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1 NURS 676 LATEST MIDTERM EXAM & FINAL EXAM
(COMPLIED FROM REAL EXAM) QUESTIONS AND
CORRECT ANSWERS GRADED A+
NURS 676 LATEST MIDTERM EXAM
A nurse practitioner who provides care on a cute medicine unit has frequently recommended the use of nicotine replacement come for patients who expressed a willingness to quit smoking during the admission or following their discharge. For which of the following patients with nicotine gum be contradicted? - ANSWER>>If you shoot with a history of angina who experienced a non-ST wave myocardial infarction
The clinic nurse practitioner is planning care for a 68-year-old man who has been on omprazole Prilosec. Therapy for heartburn for sometime. Regarding the patient safety, which of the following would be a priority nursing action? - ANSWER>>Coordinate bone density testing for the patient
Mrs. Houston is a 78-year-old woman who resides in an assisted living facility. Her doctor prescribed Digoxin at her last visit to the clinic and she has approach the nurse who makes regular visits to the assisted living facility about this new drug. What teaching points are the nurse emphasize to Mrs. Houston? - ANSWER>>The importance of having required laboratory work performed on time
In light of her recent high blood pressure readings, a patient has been started on a thiazide diuretic and metoprolol lopressor, which is a beta adrenergic blockers. What is the most likely rationale for using two medication's to address the patient's hypertension - ANSWER>>Using the two drugs to treat a health problem may create a synergistic affect 1 / 4
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He 70-year-old woman has a complex medical and a current drug regimen that includes calcium and vitamin D supplements for osteoporosis, Met Forman Glucophage for a type two diabetes,Phenelzine ( nardil), for depression, and metoprolol (lopressor), and Fursemide (Lasix) for hypertension. The woman is requesting dextromethorphan for treatment of a recurrent cough. What component of her drug regime contraindicates the use of dextromethorphan - ANSWER>>Phenelzine (Nardil)
A 68-year-old man complains of a chronic, nonproductive cough. He states that he hast to have relief, that he has been coughing every 2 to 3 minutes, and he's worn out. Dextromethorphan is prescribed for him. Before he leaves the clinic he asked how long it will take for the medicine to work the nurse will advise him that he should experience therapeutic affect - ANSWER>>15 to 30 minutes
Which of the following statements best defines how a chemical becomes termed a drug - ANSWER>>A chemical must have a proven therapeutic value or efficacy without severe toxicity or damaging properties to become a drug
It is determined that a patient, who is in a hepatic coma, needs a laxative. Lactulose is prescribed. Which of the following should the nurse monitor to assess the efficacy of the lactulose therapy - ANSWER>>Blood ammonia levels
The parents of a seven-year-old boy who has just been diagnosed with allergy asthma are being taught about their sons medication regimen by the nurse. The nurse is currently teaching the 2 / 4
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3 parents about the appropriate use of a rescue drug for acute exacerbation of their sons asthma what drugs are the nurse suggest the parents to use in the situation's - ANSWER>>Albuterol
Unexpected outcome for a patient who has just taken sub lingual nitroglycerin should be - ANSWER>>Increased heart rate and decreased blood pressure
A patient is in the clinic for seasonal allergic rhinitis. Loratadine Claritin is prescribed. Which of the following statements for the nurse include when providing patient education concerning this drug - ANSWER>>Determine if the drug is going to make you drowsy before you drive
A patient who takes aluminum hydroxide with magnesium hydroxide (My Lanta) frequently for upset stomach, heartburn, and sour stomach is seen regularly in the clinic. The nurse should assess which of the following - ANSWER>>Serum phosphate level
A nurse is caring for a post surgical patient who has small torturous pain and had a difficult IV insertion. Patient is now receiving IV medication on a regular basis. What is the best nursing intervention to minimize the adverse effects of the stroke therapy - ANSWER>>Monitor the IV site for redness, swelling, or
A patient with a diagnosis of non-small cell lung cancer is currently undergoing chemotherapy. I think courage meant of a family member, the patient is an ounce to the nurses intention to complement the street man with a regimen of herbal remedies. How should the nurse respond 3 / 4
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4 to this patient statement - ANSWER>>It is important to discuss what herbs you'll be taking with your doctor or with the pharmacist to make sure there aren't any interactions
A resident of a long-term care facility receives 12.5 mg of metoprolol ( lopressor) At 8 AM and 8 PM daily. Before administering the struggle the nurse should perform and document what - ANSWER>>Heart rate and blood pressure
A 53-year-old man Has been treated for severe asthma for several years with prednisone.Recently, his position initiated alternate day therapy for him. The patient tells the nurse that he would rather take the medication every day to prevent confusion. Which of the following would be the best response by the nurse? - ANSWER>>The schedule allows rest. So that the adverse effects are decreased but the anti-inflammatory effects continue
A nurse is teaching an older adult patient about polypharmacy. Which of the following statements best describes this - ANSWER>>Taking several drugs simultaneously
A nurse is caring for a 73-year-old man who is receiving drug therapy. He's beginning to exhibit signs of decline in his renal system, you have his current serum creatinine level is normal. The nurse will basis patient's plan of care and understanding that there is - ANSWER>>A decrease in the amount of creatinine To be filtered
A nurse is assigned to a patient who is taking lithium. Which of the following drugs serum levels would indicate that the patient is at risk for adverse effects of the drug - ANSWER>>1.7 mEqL
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