NURS 142 EXAM 3 NEWEST 2025 ACTUAL EXAM

• | P a g e

NURS 142 EXAM 3 NEWEST 2025 ACTUAL EXAM

COMPLETE 100 QUESTIONS AND CORRECT

DETAILED ANSWERS (VERIFIED ANSWERS)

|ALREADY GRADED A+||BRAND NEW VERSION!!

A patient is ordered calcium gluconate for treatment of hypocalcemia. Which statement by the patient indicates a need for further teaching?

• "I will take calcium 1 hour before eating."
• "I will need to avoid eating whole-grain cereals."
• "I should drink a large glass of water each time I take my

calcium."

• "I will need to call my healthcare provider if I develop

vomiting, constipation, or frequency of urination." - ANSWER-

• "I will take calcium 1 hour before eating."

Dosing of calcium with or after meals, not before, promotes absorption of the medication; therefore, further patient teaching is necessary. Calcium salts should be taken with a large glass of water. Foods to be avoided include spinach, Swiss chard, beets, 1 / 4

• | P a g e

bran, and whole-grain cereals. Patients should be taught the symptoms of hypercalcemia, such as nausea, vomiting, constipation, urinary frequency, lethargy, and depression, and should promptly notify the healthcare provider if these occur.

The nurse should follow up on which finding if it is identified in a patient receiving periodic intravenous infusions of abatacept [Orencia] for rheumatoid arthritis?

• Itching and hives
• Blurred vision and eye pain
• Fever and malaise
• Jaundice and dark urine - ANSWER-c. Fever and malaise

Abatacept suppresses immune function by reducing T-cell proliferation. Therefore, the patient is at greater risk for serious infections of the upper respiratory, gastrointestinal (GI), and urinary tracts. Fever and malaise are symptoms of infection that should be investigated. Itching and hives, blurred vision and eye pain, and jaundice and dark urine are not adverse effects of abatacept.

• / 4

• | P a g e

A nurse is monitoring a patient who takes etanercept [Enbrel] for rheumatoid arthritis. The nurse should obtain the results of which laboratory test when evaluating for adverse effects?

• Arterial blood gases (ABGs)
• Skin test for tuberculosis
• Electrocardiogram (ECG)
• 24-hour urine collection for creatinine clearance - ANSWER-
• Skin test for tuberculosis

Etanercept increases the risk for serious bacterial and fungal infections, as well as tuberculosis. Patients who develop new infections should be monitored frequently. If tuberculosis develops, it often is extrapulmonary. Patients should be tested for latent tuberculosis, and if the test result is positive, they should be treated for TB before starting etanercept. It is not necessary to obtain ABGs, an ECG, or urine for creatinine clearance when a patient is taking etanercept.

A nurse teaches a patient who is to start taking infliximab [Remicade] for rheumatoid arthritis. Which of these cardiac 3 / 4

• | P a g e

findings should the nurse instruct the patient to report as a complication of the treatment?

• Calf pain
• Pedal edema
• Cool, pale toes
• Clubbed fingernails - ANSWER-b. Pedal edema

Infliximab is a tumor necrosis factor (TNF) blocker used for the treatment of rheumatoid arthritis. It should not be used in patients who have heart failure, and it may cause new-onset heart failure in some individuals. Pedal edema is a sign of heart failure, and the patient should report it to the healthcare provider. Cool, pale toes; calf pain; and clubbed fingers are not symptoms related to heart failure.

A patient is taking methotrexate [Rheumatrex] for rheumatoid arthritis. Which therapeutic action should a nurse expect if the medication is having the desired effect?

• Selective inhibition of cyclooxygenase
• / 4