Nurse Moose
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    Exam Review

    1. A female client with mild depression reports to the nurse recently starting St. John's wort. Which information provided by the client requires further instruction?
      A)Hard candy can be used for a dry mouth.
      B)Another form of contraception is not needed.
      C)Insomnia may occur while taking the medication.
      D)Sensitivity to the sun can develop.
    2. A client who is taking an oral dose of a tetracycline reports gastrointestinal (GI) upset. Which snack should the nurse instruct the client to take with the tetracycline?
      A)Cheese and crackers.
      B)Toasted wheat bread and jelly.
      C)Fruit-flavored yogurt.
      D)Cold cereal with skim milk.
    3. To prevent deep vein thromboses following knee replacement surgery, an adult male client is receiving daily subcutaneous enoxaparin. Which laboratory result requires immediate action by the nurse? Reference Range: Hematocrit [42% to 52% (0.42 to 0.52 volume fraction)] Platelets [150,000 to 400,000/mm² (150 to 400 × 10^9/L)] Creatinine [0.5 to 1.1 mg/dL (44 to 97 μmol/L)] Blood Urea Nitrogen (BUN) [10 to 20 mg/dL (3.6 to 7.1 mmol/L)]
      A)Platelet count of 100,000/mm³ (100 x 10^9/L).
      B)Hematocrit 45% (0.45 volume fraction).
      C)Blood urea nitrogen (BUN) 20 mg/dL (7.1 mmol/L).
      D)Serum creatinine 1.0 mg/dL (88.4 μmol/L).
    4. A client who experiences migraine headaches reports having fewer headaches since using the herbal remedy feverfew. Which information is most important for the nurse to include in a teaching plan for this client?
      A)Increased anxiety and nervousness have been reported by those taking feverfew.
      B)Feverfew may interact with aspirin or non-steroidal anti-inflammatory drugs.
      C)Those with allergies to chamomile, ragweed, or yarrow should not take feverfew.
      D)Abdominal pain, gas, nausea, vomiting, and diarrhea can occur when taking feverfew.
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    Exam Review

    1. A client is receiving orlistat as part of a weight management program. Which ongoing assessment should be included in the plan of care to determine the effectiveness of the medication?
      A)Depression screening.
      B)Body mass index.
      C)Daily calorie count.
      D)Serum protein levels.
    2. A client with bulimia and depression who is taking phenelzine 90 mg daily is admitted to an acute care hospital for uncontrolled hypertension. Which dietary choices should the nurse instruct the client to avoid?
      A)Beef tips with gravy.
      B)Deep-fried shrimp.
      C)Pepperoni pizza.
      D)Pan-seared catfish.
    3. Which assessment finding requires nursing intervention prior to the administration of a prescribed dose of digoxin to an adult?
      A)Apical pulse rate of 50 beats/minute.
      B)Irregular apical pulse rhythm.
      C)Presence of a systolic heart murmur.
      D)Apical pulse heard best at the pulmonic site.
    4. A client with multiple sclerosis starts a new prescription, baclofen, to control muscle spasticity. Three days later, the client calls the clinic nurse and reports feeling fatigued and dizzy. Which instruction should the nurse provide?
      A)Increase intake of fluids and high protein foods.
      B)Stop taking the medication immediately.
      C)Obtain transportation to the emergency department.
      D)Avoid hazardous activities until symptoms subside.
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    Exam Review

    1. A client with a cold is taking the antitussive medication benzonatate. Which assessment information indicates to the nurse that the medication is effective?
      A)Expectorating bronchial secretions.
      B)Reports reduced nasal discharge.
      C)Able to sleep through the night.
      D)Denies having coughing spells.
    2. A client with bipolar disorder admitted with severe depression and suicidal ideation receives a prescription for lithium carbonate. Which instruction should the nurse provide to the client?
      A)Eliminate use of nonsteroidal anti-inflammatory drugs (NSAIDs).
      B)Monitor blood glucose levels daily.
      C)Notify healthcare provider prior to dental procedures.
      D)Avoid consuming all foods that contain iodine.
    3. A client with bipolar disorder admitted with severe depression and suicidal ideation receives a prescription for lithium carbonate. Which instruction should the nurse provide to the client?
      A)Eliminate use of nonsteroidal anti-inflammatory drugs (NSAIDs).
      B)Monitor blood glucose levels daily.
      C)Notify healthcare provider prior to dental procedures.
      D)Avoid consuming all foods that contain iodine.
    4. A client with open-angle glaucoma is using pilocarpine ophthalmic solution, a miotic agent. Which action should the nurse at the eye clinic include in evaluating the effectiveness of the medication?
      A)Use Snellen chart to assess visual acuity.
      B)Check amount of drainage from each eye.
      C)Palpate eyelids for decreased swelling.
      D)Review eye pressure measurements.
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    Exam Review

    1. A client with myasthenia gravis receives a new prescription for pyridostigmine. Which information should the nurse obtain prior to administering the medication?
      A)Trouble sleeping
      B)Difficulty with urination
      C)Unexplained weight loss
      D)Recent oral intake
    2. The nurse is administering sevelamer during lunch to a client with chronic kidney disease (CKD). The client asks the nurse to bring the medication later. The nurse should describe which action of sevelamer as an explanation for taking it with meals?
      A)Promotes stomach emptying and prevents gastric reflux.
      B)Buffers hydrochloric acid and prevents gastric erosion.
      C)Prevents indigestion associated with ingestion of spicy foods.
      D)Binds with phosphorus in foods and prevents absorption.
    3. When administering zolpidem to an older client, which computer documentation indicates that the desired outcome has been achieved?
      A)Sleeps soundly through the night.
      B)Decreased episodes of incontinence.
      C)Improved ability to concentrate.
      D)Exhibits fewer emotional outbursts.
    4. The nurse is teaching a client with type 1 diabetes mellitus (DM) about the onset, peak, and duration of a new prescription for glargine insulin. If the insulin is administered at 0800, when is the client most likely to experience hypoglycemia?
      A)Midmorning.
      B)No peak occurs.
      C)Midafternoon.
      D)Shortly after midnight.
    Page 4 of 5

    Exam Review

    1. The nurse is administering sevelamer during lunch to a client with chronic kidney disease (CKD). The client asks the nurse to bring the medication later. The nurse should describe which action of sevelamer as an explanation for taking it with meals?
      A)Promotes stomach emptying and prevents gastric reflux.
      B)Buffers hydrochloric acid and prevents gastric erosion.
      C)Prevents indigestion associated with ingestion of spicy foods.
      D)Binds with phosphorus in foods and prevents absorption.
    2. Patient Data Exhibits The nurse is discussing the client's pain management with a student nurse. Choose the most likely options for the information missing from the statement(s) by selecting from the lists of options provided. Morphine is a(n) ▾ Pure opioid antagonist and it activates ▾ Mu receptors and is used to relieve ▾ Severe pain.
      Dropdown 1:
      Option 1: Agonist-antagonist opiod
      Option 2: Andogenous opiod
      Option 3: Pure opioid antagonist
      Option 4: Local anesthetic
      Dropdown 2:
      Option 1: Mu
      Option 2: Kappa
      Option 3: Delta
      Option 4: NMDA
      Option 5: GABA
      Dropdown 3:
      Option 1: Mild pain
      Option 2: Moderate pain
      Option 3: Severe pain
      Option 4: Neuropathic pain
      Option 5: Inflammatory pain
    3. Patient Data Exhibits What actions should the nurse take to ensure safety during morphine administration? Select all that apply.(SATA)
      A)Take an initial respiratory rate
      B)Perform a 12-lead electrocardiogram
      C)Suction the client to clear the airway
      D)Have a manual resuscitation bag at the bedside
      E)Ask the client about other medications she takes
      F)Restrain the client with soft restraints
    4. Patient Data Exhibits What other medications would the nurse expect the surgeon to prescribe along with morphine? Select all that apply.(SATA)
      A)Ibuprofen
      B)Propofol
      C)Methadone
      D)Senna
      E)Docusate sodium
      F)Naloxone
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