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NURS 170 FINAL EXAM LATEST 2024 -2025 TEST BANK
COMPLETE 260 ACTUAL EXAM QUESTIONS WITH
CORRECT DETAILED ANSWERS (VERIFIED ANSWERS)
GRADED A+
When considering nutrients in foods, which one of the following foods should a person with Type II Diabetes limit the most in her daily diet?Baked potato Regular soda Bagel Bran cereal - Correct Answer - soda, Regular soda is very high in carbohydrates and contains very little nutritional value compared to all of the other food options.
During medication administration, which will the nurse consider to be a contraindication to the administration of rectal suppositories?Vomiting Constipation Rectal bleeding.Fever - Correct Answer - Rectal suppositories are contraindicated when a patient is experiencing rectal bleeding.
The nurse has administered a medication intravenously to a patient for complaints of severe pain. The medication has an onset of action of 5 minutes, a peak of action of 30 minutes, a half-life of 60 minutes, and a duration of action of 120 minutes. If this medication was given at 1600, what is the best time to ask the patient if the medication was effective to achieve a maximum therapeutic response?1605 1630
1700 1 / 4
pg. 2 1800 - Correct Answer - 1630, The peak level would be the most therapeutic effects of the drug.
You are caring for your elderly patient who is having difficulty sleeping at night.Which of the following actions should the nurse take first?Provide patient with a back massage before bedtime.Offer a light snack in the evening.Contact the Physician to obtain a sleeping aid.Ask the patient what their normal bedtime routine is at home. - Correct Answer - The first thing we need to assess is the patients normal bedtime routine or schedule and then we can help promoting the best sleep for the patient.
Your patient has just been diagnosed with cardiovascular disease. When developing health promotion and disease prevention strategies, which of the following nursing interventions should the nurse include?
SELECT ALL THAT APPLY
- Facilitate and support recommended community resources.
- Advocate for the patient to become informed about the disease.
- Devise and set all goals for the patient.
- Teach different stress management tactics. - Correct Answer - all of them
The nurse administers digoxin 0.125 mg PO and benazepril 20 mg PO to a patient at 0900. At 0910 the patient vomits stomach contents including the medications.What does the nurse do next?Places a nasogastric tube into the patient and administers the medications via that route.Tells the patient that he or she really needs to take the medicines and administers them again.Contacts the pharmacy, has the medications sent back in the rectal form, and administers them via the rectal route.Contacts the physician and discusses alternative medication orders, since the parenteral or rectal route may be preferred. - Correct Answer - Contacts the physician, It 2 / 4
pg. 3 is never appropriate to change the route of a medication without an order from the prescriber.
Which medications were administered at the correct time? SELECT ALL THAT APPLY
- metoprolol ordered at 1600 and given at 1628
- furosemide ordered at 0800 and given at 0712
- amoxicillin ordered at 0000 and given at 2334
- benazepril ordered at 1400 and given at 1342
- femazepam ordered at 2200 and given at 2248 - Correct Answer - A) metoprolol
- amoxicillin ordered at 0000 and given at 2334
- benazepril ordered at 1400 and given at 1342
ordered at 1600 and given at 1628
Medications need to be given 30 minutes before or after the ordered time
The nurse is administering warfarin along with aspirin. Both medications are anticoagulants and are "highly protein bound." What would most concern the nurse?There will be an increase of warfarin and/or aspirin in the blood.No therapeutic effect will be achieved because both medications will attach to albumin.There will be a reduction of warfarin and aspirin distributed to the cells.The dose for both medications will need to be at a higher dose to be effective. - Correct Answer - There will be an increase of warfarin and/or aspirin in the blood.When a patient is taking two medications that are highly protein bound, the medications may compete for binding sites on the albumin molecule. Because of this competition, there is more free, unbound drug available in the bloodstream.
A nurse educator realizes she needs to provide the new graduate nurse with more education regarding enteral nutrition when the new graduate nurse verbalizes which of the following statements? SELECT ALL THAT APPLY
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- Using commercially made formulas for enteral feedings are preferred because the
- Enteral feeding tubes for short-term use include nasogastric, nasojejunal, and
- In order to provide enteral nutrition, a patient's gastrointestinal tract must be
- Cyclic tube feeding methods mimic normal eating patterns and are used when
- The bag of total parenteral nutrition (TPN) should be hooked up to the PEG tube for
nutrient composition, consistency, and safety standards are better insured.
nasoduodenal.
functioning.
patients are transitioning back to oral intake.
delivery. - Correct Answer - D, E Cyclic tube feeding methods mimic normal eating patterns and are used when patients are transitioning back to oral intake. (Only part of this statement is correct - cyclic tube feedings are used when patients are transitioning back to oral intake. Cyclic tube feeding methods do not mimic normal eating patterns. Intermittent tube feedings do) The bag of total parenteral nutrition (TPN) should be hooked up to the PEG tube for delivery. (TPN is given intravenously, which is a type of parenteral route. PEG tubes are enteral - GI tract)
Which outcome will the nurse use to evaluate that the goal of "Patient will demonstrate correct use of the cane" has been met?Patient is able to verbalize to the nurse all safety considerations with cane use.Patient is able to teach another family member how to correctly use the cane.Patient has successfully passed a 5 question quiz on correct cane use.Patient has ambulated across the room correctly using the cane. - Correct Answer - Patient has ambulated across the room correctly using the cane. If your goal is that the patient can "Demonstrate" then they need to perform the activity for you to know that the goal has been met.
The nurse has assessed his patient and determined his physical assessment findings are different from what they were the last time he was in the room. He carefully analyses what he knows and determines these new findings need to be acted on immediately. He calls the Rapid Response Team to the patient's room.What is this nurse showing evidence of?
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