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NURS 323 Final Exam – Quizzes With
100% correct answers. ALREADY
GRADED A+.
A client has been diagnosed with gonorrhea and been prescribed oral tetracycline. What should the nurse include in health education about tetracycline? Select all that
apply. - CORRECT ANSWER -Do not take the drug with foods or other drugs
that contain calcium, Do not take the drug at the same time as an iron supplements or high-iron foods A client in distress is brought to the emergency department by ambulance. Emergency medical technicians state that an anaphylactic reaction from oral penicillin is suspected. Which of the nurse's assessment findings best supports this diagnosis? -
CORRECT ANSWER -Blood pressure: 186/100 mmHg, shortness of breath
A client presents to the emergency department with a drug level of 50 units/mL. The half-life of this drug is 1 hour. With this drug, concentrations above 25 units/mL are considered toxic, and no more drug is given. How long will it take for the blood level to
reach the nontoxic range? Provide your answer measured in minutes. - CORRECT
ANSWER -60 minutes
A client's unexpected response to a new medication has been attributed to characteristics of the client's genetic make-up. What area of study best explains this
client's medication response? - CORRECT ANSWER -pharmacogenomics
The client tells the nurse about a new drug being tested to treat the disease she was diagnosed with and asks the nurse whether the doctor can prescribe a medication still in
the preclinical phase of testing. What is the nurse's best response? - CORRECT
ANSWER -"Drugs in the preclinical phase of testing are only tested on animals and
so would not be available to you." The nurse administered a scheduled dose of hydrochlorothiazide, a diuretic, 45 minutes ago. The nurse is now preparing to assess the client's blood pressure. In what phase of
the nursing process should the nurse perform this action? - CORRECT
ANSWER -evaluation
The nurse is caring for a client scheduled for surgery this morning who is not to be given anything orally. The nurse reviews the medication administration record and finds the client has an important medication due but it is supposed to be given orally. What is the
nurse's best action? - CORRECT ANSWER -Call the ordering health care
provider and clarify administration The nurse is caring for a client with a brain infection of bacterial etiology. When administering medications to this client, the nurse should prioritize what variable related
to the client's diagnosis? - CORRECT ANSWER -The client will require lipid-
soluble antibiotics
Pharmacokinetics - CORRECT ANSWER -The study of how medications move
throughout the body
Pharmacodynamics - CORRECT ANSWER -The study of how medications work
and affect the body
Metabolism - CORRECT ANSWER -How drugs biotransform to be more easily
excreted
Excretion - CORRECT ANSWER -How drugs exit the body
Agonist - CORRECT ANSWER -A substance that initiates a physiological
response when bound to a receptor A patient has an increased reaction to a drug that is capable of inhibiting the CYP enzymes (P450) following a change in her dietary habits. Which of the following
changes would most likely be the cause of this reaction to a drug? - CORRECT
ANSWER -Increased intake of grapefruit juice
The home care nurse is taking care of a client on IV vancomycin for cellulitis of the left calf. The client's lack of response to treatment suggests possible resistance. What
process may have caused this phenomenon? - CORRECT ANSWER -
Microorganisms may have produced a chemical that is an antagonist to the drug A client has been prescribed an aminoglycoside. In order to prevent accumulation of the
drug, what should the nurse encourage the client to do? - CORRECT ANSWER -
Increase fluid intake The nurse is providing discharge teaching to a client who is being sent home on oral
tetracycline. What instructions should the nurse include? - CORRECT
ANSWER -Take the drug on an empty stomach
A client diagnosed with a malignancy is receiving an antimetabolite as part of medication therapy. What should the nurse teach this client about the use of
For what reason might a nurse administer androgen injections to a 9-year-old boy? -
CORRECT ANSWER -Hypogonadism
A client is taking low-dose corticosteroids on a long-term basis for chronic obstructive pulmonary disease. The nurse assesses this client knowing prolonged use of
corticosteroids puts the client at risk for what? - CORRECT ANSWER -Adrenal
atrophy After administering propylthiouracil (PTU), what effect would the nurse anticipate the
drug will have in the client's body? - CORRECT ANSWER -To inhibit production
of thyroid hormone in the thyroid gland The nurse is caring for a client with renal dysfunction who requires an oral antidiabetic
agent. What drug will the nurse expect to see ordered? - CORRECT ANSWER -
Tolbutamide What assessment findings would the nurse expect to see in a client who has overdosed
on levothyroxine? - CORRECT ANSWER -Nervousness, tachycardia, tremors
A client with type 2 diabetes presents to the clinic for a routine follow-up appointment. The client asks the nurse whether she can take the herbal supplement ginseng. What is
the correct response by the nurse? - CORRECT ANSWER -"It increases the risk
for low blood glucose levels" The nurse suspects the client with diabetes may be having a hypoglycemic reaction
when what manifestation is assessed? - CORRECT ANSWER -Diaphoresis
While studying the antihypertensive drugs, the nursing students learn that the pressure in the cardiovascular system is regulated by various elements. What are they? Select all
that apply. - CORRECT ANSWER -Heart rate, Stroke volume, Total peripheral
resistance A client taking a calcium channel blocker is seen in the clinic and diagnosed with drug toxicity. When collecting the nursing history, what finding would indicate the likely cause
of this drug toxicity? - CORRECT ANSWER -The ingestion of grapefruit juice
The 96-year-old client is receiving digoxin and furosemide. In the morning, the client
reports headache and nausea. What will the nurse do first? - CORRECT
ANSWER -Check her laboratory values and vital signs
The nurse assesses the client before administering digoxin and withholds the drug and
notifies the physician with what finding? - CORRECT ANSWER -Pulse is 44
beats/minute A client has been diagnosed with angina and prescribed nitroglycerin. What aspect of the client's health history should prompt the nurse to monitor the client particularly
closely after administration of the drug? - CORRECT ANSWER -Orthostatic
hypotension A client recently began taking lovastatin. The nurse should assess the client for what
potential adverse effects? - CORRECT ANSWER -Nausea, flatulence, and
constipation A client is receiving subcutaneous heparin 5,000 units every 8 hours. An activated thromboplastin time (aPTT) is drawn 1 hour before the 8:00 am dose; the aPTT is at 3.
times the control value. What is the nurse's priority action? - CORRECT
ANSWER -Hold the dose and call to inform the result to the prescriber
A client is taking phenazopyridine and ciprofloxacin for a urinary tract infection. What is the most important instruction the nurse needs to provide to the client concerning this
drug combination? - CORRECT ANSWER -"If you notice yellowing of your eyes
or skin, contact your health care provider immediately" A 91-year-old client is being discharged on the diuretic spironolactone. What assessment finding would the nurse attribute to adverse effects of this medication? -
CORRECT ANSWER -Confusion and irregular heart rate
A client has just begun to take a prescribed diuretic and the nurse has taught the client about the phenomenon of fluid rebound. How should the nurse teach the client to avoid
this complication? - CORRECT ANSWER -Ensure consistent, adequate fluid
intake When evaluating an 82-year-old client receiving hydrochlorothiazide, what laboratory
value is most likely to result from the medication? - CORRECT ANSWER -
Elevated uric acid levels A client has just been prescribed furosemide. After reviewing the client's medication history, what drug would cause the nurse concern when taken with furosemide? -
CORRECT ANSWER -Naproxen
The nurse is providing discharge instructions to a 72-year-old client who has been discharged home on a diuretic. What would the client's instructions regarding the use of
For what reason might the nurse administer sildenafil to a woman? - CORRECT
ANSWER -Pulmonary arterial hypertension
The nurse is talking with a menopausal woman about the use of hormone replacement therapy (HRT). What statement, if made by the nurse, would be accurate and
appropriate to share with the client? - CORRECT ANSWER -There is a possible
increased risk of breast and cervical cancer when taking HRT A 68-year-old client who has type 1 diabetes is to receive hydrochlorothiazide. Before administration of this medication, what information is most important for the nurse to
communicate to the client? - CORRECT ANSWER -Insulin doses may need to
be increased The client's serum levels of phenytoin have been above therapeutic limits several times
in the past few months. The nurse should perform what assessments? - CORRECT
ANSWER -Assess ALT and AST
The nurse is giving a presentation at the local senior center. Which examples will the
nurse give as ways to acquire passive immunity? Select all the apply. - CORRECT
ANSWER -Immune globulin injection, Antivenom for a rattlesnake bite, Breast
feeding
