Self check quiz weeks 9-14 Flashcards

1
Q

The nurse is reviewing with a client the steroid hormones that are released from the adrenal glands. Which hormone is not secreted from the adrenal gland?

Mineralocorticoids
Corticosteroids
Adrenocorticotropic hormone (ACTH)
Glucocorticoids

A

Adrenocorticotropic hormone (ACTH)

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2
Q

Which laboratory value will the nurse monitor to determine the progression of thyroid disease in a client?

A

TSH

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3
Q

Which body tissue or organ cannot synthesize glucose for its energy supply?

A

brain

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4
Q

A nurse is administering desmopressin to a client recovering from a head injury that increased pressure on the posterior pituitary gland. The nurse recognizes that this form of artificial antidiuretic hormone (ADH) will have the most impact on which portion of the assessment?

A

Urine output and blood pressure

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5
Q

A client is being treated with pancreatic enzyme replacement therapy. What would the nurse recognize as a contraindication to this therapy?

Allergy to ________

A

pork

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6
Q

A client who was taking large doses of ibuprofen (Motrin) for over a year developed a peptic ulcer. The client asks the nurse why this occurred. The nurse best answers the client by stating:

A

“Motrin works against your own body’s ulcer defenses.”

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7
Q

A nurse is caring for a client started on an antiseizure medication. The client starts to stare off at the wall with eyelids fluttering. After a few seconds, the client is responsive to the nurse. Which type of seizure does the nurse document along with the assessment?

A

Absence

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8
Q

The nurse is concerned that a client is experiencing symptoms of Parkinson’s disease. Which assessment findings would indicate the client might have idiopathic or primary Parkinson’s disease?

A

Tremors and bradykinesia

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9
Q

A client prescribed an atypical antipsychotic medication for bipolar disorder reports difficulty sleeping. What might the nurse want to discuss with the client?

A

Avoiding the use of valerian

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10
Q

A client who recently returned from duty in Iraq is diagnosed with post-traumatic stress disorder (PTSD). The client’s family questions what this means. How should the nurse respond to the family?

A

“The client might experience nightmares, hallucinations, or flashbacks, accompanied by a racing heart, sweating, shortness of breath, and trembling.”

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11
Q

The nurse is evaluating outcomes for a client who has been using a nasal steroid consistently for several months. Which is the desired outcome?

A

The client reports decreased nasal congestion.

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12
Q

A client in acute respiratory distress on a medical unit is receiving a nebulizer albuterol treatment. The client is annoyed because he already has an albuterol metered-dose inhaler (MDI). The nurse’s response to the client’s concern is based on the knowledge that:

A

suspension of the medication in liquid and delivery over a longer period increase the bronchodilator’s effectiveness.

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13
Q

Which assessment finding would the nurse expect in a client with right-sided heart failure (HF) as opposed to left-sided failure?

A

Peripheral edema

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14
Q

Nitroglycerin relieves angina in part by vasodilating veins. What is the ultimate effect for a client who is prescribed nitroglycerin?

A

Decreased contractility

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15
Q

The nurse is caring for a client with a new diagnosis of hypertension and no other conditions. Which medication prescription should the nurse anticipate as the first treatment option?

A

A thiazide-type diuretic

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16
Q

The angiotensin-converting enzyme (ACE) converts angiotensin I almost instantly to which substance?

A

Angiotensin II

17
Q

The nurse preparing to administer both a calcium channel blocker and a beta1-adrenergic blocker to a client with hypertension plans to monitor the client’s response based on which understanding of these drugs?

A

They prevent calcium influx into vascular smooth muscle.

18
Q

A client diagnosed with hypertension is prescribed carvedilol (Coreg) and complains of dizziness and faintness immediately after taking this medication. The nurse knows that this effect is due to the action of which receptors?

A

Alpha1, beta1, and beta2 receptors

19
Q

A low-dose dopamine infusion is to be started for a client diagnosed with hypovolemic shock. Which assessment finding indicates the drug is having the desired therapeutic effect?

A

Increased urine output