possible exam 3 question fro audio 2013

Question 1

A cleint has diabetes insipidus and is receiving DDAVP(ADH)

Answer 1

this med is going to keep water reabsorption

Question 2

the client has been diagnosed with cushing syndrome what will the nursing assessment reveal?

Answer 2

Upper body obesity,(adrenal cortex issue), hyperglycemia, hypernatremia

Question 3

which vital sign is the greatest to observe for digoxin

Answer 3

HR, apical less than 60 NO administration

Question 4

a client is receiving hydrocortisone therapy the nurse will primarily asses for which electrolyte disturbance

Answer 4

hypernatremia (due to sodium)

Question 5

the nurse plans to administer intransala DDAVP to the client, what would be the best plan by the nurse include

Answer 5

direct the spray high in the nasal cavity (you want it to go to the source-nasal cavity pituitary gland)

Question 6

vassopresors are used in the treatment of

Answer 6

HYPOtension

Question 7

function of thyroid gland is to

Answer 7

control basal metabolism

Question 8

which of the following is a s/s of hypothyroidism

Answer 8

bradycardi

Question 9

the primary pharmacotherapy goal in HYPER thyroidism in graves disease is to

Answer 9

lower the activity

Question 10

Select all that apply: a client has been RX levothyroxine, what medication information should the nurse

Answer 10

do not start a fibrolaxative without discussing(can cause constipation), take this med same time everyday in the morning

Question 11

the md orders insulin homolog when will the nurse admin med

Answer 11

when meal tray arrives on the floor

Question 12

md writes orders with diabetes which oder will the nurse validate with the physician

Answer 12

lantus 20 units BID its supposed to be DAILY insulin

Question 13

a client with diabetes mellitus is taking oral agents and is scheduled for diagnostic tests that is NPO

Answer 13

get orders-ms needs to know that

Question 14

a client with diabetes mellitus type II the nurse taught that the client about illness that learning has occurred

Answer 14

my cells cannot use the insulin that my pancreas makes

Question 15

client has type 1 diabetes and ska the nurse why can’t i take pills

Answer 15

stomach destroys pills can’t be absorbed in the GI tract

Question 16

highest risk for developing diabtes

Answer 16

42 y/o client overweight

Question 17

the client injects insuin and gets busy forgets to eat

Answer 17

cleint wi have moist skin

Question 18

clioent receives metformin select all that apply

Answer 18

decrease sugar in liver, rediuce insulin resistance

Question 19

md orders iv inslin for client with BG 563 nurse administered pro humaloig inslun

Answer 19

should have used regular because its fast acting(reg insulin is only one IV.

Question 20

nurse understands that which of thje following drugs falls under that classification of begoinides

Answer 20

metformin

Question 21

client has been Rx Byetta (type 2) what med education should the nurse prescribe

Answer 21

take this med twice a day, this drug will help you secrete more insulin

Question 22

a lot of diabetic meds can cause

Answer 22

go issues

Question 23

plan to med edu with client rx viagra

Answer 23

be sure to take 1 pill

Question 24

client comes to clinician for rx for viagra

Answer 24

don’t use nitro

Question 25

rn teaching student about histamines what statement was not right...

Answer 25

h1 receptors are found in the stomach

Question 26

select all that apply

Answer 26

A,D,E place the patch where theres no hair, change daily, observe rash, keep away from kids

Question 27

24 y/o F pt with MS(interferon) beta 1 therapy

Answer 27

monitor signs of bone marrow suppression

Question 28

APTT

Answer 28

for Heparin

Question 29

md rx flexeril for pt whe ding med edu what will be the best

Answer 29

anticholinergic effects--increase fiber( causes major constipation)

Question 30

pt receives Dantrium which lab would you look at

Answer 30

liver alt and ast

Question 31

which of the following most likely will be an initial tx for alxzherimers

Answer 31

arocept

Question 32

pt receive cognex for tx of alheimers disease what will nurse primarily asses

Answer 32

LFT-excreted through the liver

Question 33

amylase

Answer 33

pancreatitis

Question 34

pt rcves ldopa rn compeltes edu determines learning occurs whe pt makes which statement

Answer 34

Increase fiber can cause constipation

Question 35

which drug types used for depression

Answer 35

1st line std for depressionSSRI's

Question 36

which of the folioing foods to avoid when taking MAOI

Answer 36

chocolate, wine, aged cheese (tyramine)

Question 37

pt has pca pump following surgery keeps narcan per protocol what does the rn recognize as a rationale

Answer 37

reverse opioid effects

Question 38

what is a priority assessment question prior to

Answer 38

how would you rate your pain

Question 39

depression that occurs during cld winter moths

Answer 39

seasonal affective disorder

Question 40

what is priority outcome assessment 6 y/o pt to using ritalin

Answer 40

pt will use age appropriate play with peers

Question 41

identify correct statemnt er opioid recpetors

Answer 41

opioid agnist will activate the kappa receptors

Question 42

which of the following szr meds would be administered IV and show signs of excevisation(purple glove)

Answer 42

dilantin

Question 43

the pt has bipolar disorder and is a manic phase(lithium levels 0.8-1.2) PT HAS A LOW LITHUM LEVEL..what will the nurse expect to asses in the patient

Answer 43

hyperactivity and increased manic behavior

Question 44

eledely pt is taking lumenol what is the most important nursing assesment

Answer 44

resperations

Question 45

young child has absence szrs, md rx depakote and determines that learning has occurred when she makes this statmentq

Answer 45

I will not use with carbonated beverages

Question 46

pt receing depaoite and aspirin...profilactically

Answer 46

bleeding from the gums

Question 47

md ordered dilatin and dextrose(dextrose is only compatible with normal saline )

Answer 47

use large vein for infusion and iv line with salineA,C

Question 48

mdordered IV dilatnin nurse does not read drug label IM, what is the most response from the pt

Answer 48

local tissue damage

Question 49

md ordered IV diazapam valium

Answer 49

status epilepticus

Question 50

duing administration what is the nurse

Answer 50

respirations

Question 51

The nurse iOS connecting medication from the past with a pt with epilepsy, what s the best

Answer 51

pt will recognize that the anitszr med must be continued

Question 52

pt has epilespsy dilantin has been seizure free and asks the nurse why he still needs blood tests

Answer 52

depakote

Question 53

pt syas to the nurse my md says i have epilespy

Answer 53

yes take meds to regular basis to control seizures

Question 54

pt taking what meds should avoid food high in tyramine

Answer 54

MAOI's

Question 55

which explanation best explains why barbiturates are rarely used to Tx ANXIETY

Answer 55

addictive properties

Question 56

which of the following have adverse effects must be stressed by the nurse during pt discharge(SSRI)

Answer 56

wt gaina nd sexual dysfunction

Question 57

whats the best way to manage stress

Answer 57

determine the cause and act accordingly

Question 58

patient will verbalize why stopping the drug abruptly(panics attacks clonapion

Answer 58

safety

Question 59

pt recving amben for short term insomnia..primary safety concern when pt taking meds

Answer 59

sleepwalking

Question 60

pt comes to ed after overseen of ativan nurse plans to administer

Answer 60

romazacon

Question 61

pt taking ativan for two years manufacture plants shuts for rat droppings stop taking meds best nurse assessment for stopping medication wha best described nurse assessment after

Answer 61

increased heart rate fever muscle cramps(detox)

Question 62

pt has been treated by same md for two years and has had insomnia the entire time, many different meds have been tried with limited success, what should be the nurses primary assessment

Answer 62

asses for primary sleep disorder such as sleep apnea

Question 63

which the following response are regulated by the SNS

Answer 63

relaxation of bl;adde and pupil

Question 64

nurse will adminster meds to a group of pt and one will get atropine the drug is contraindicated with which patent ?

Answer 64

pt with glycoma

Question 65

pt received albuterol(proventil) and andrcholinergic drug. a consulting physician orders cartrol, what best described the nurse assessment

Answer 65

the affects of albuterol will be decreased