Walden University > NURSING > NURS 6521NWeek 6

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NURS 6521N Week 6 QUESTION 1 A 33-year-old man has developed acute gouty arthritis. He has been prescribed colchicine. When developing a care plan for this patient, which factor will be most impor... tant for the nurse to consider? A. Ethnicity B. Typical daily fluid intake C. Dietary habits D. Work environment 1 points Saved QUESTION 2 A 40-year-old woman with a diagnosis of fibromyalgia has been prescribed cyclobenzaprine (Flexeril) as an adjunct to her existing drug regimen. What nursing diagnosis should the nurse prioritize when updating the nursing care plan for this patient? A. Risk for Injury related to CNS depressant effects B. Altered Nutrition, Less than Body Requirements, related to appetite suppression C. Diarrhea related to anticholinergic effects D. Impaired Swallowing related to increased muscle tone 1 points Saved QUESTION 3 During long-term desmopressin therapy in a 48-year-old woman, it will be most important for the nurse to assess which of the following? A. The patient's environment B. The patient's diet C. The condition of the patient's nasal passages D. The condition of the patient's skin 1 points Saved QUESTION 4 A 43-year-old woman was diagnosed with multiple sclerosis 2 years ago and has experienced a recent exacerbation of her symptoms, including muscle spasticity. Consequently, she has been prescribed Dantrolene (Dantrium). In light of this new addition to her drug regimen, what teaching point should the woman's nurse provide? A. “This will likely relieve your muscle spasms but you'll probably develop a certain amount of dependence on the drug over time.” B. “You might find that this drug exacerbates some of your muscle weakness while it relieves your spasticity.” C. “We'll need to closely monitor your blood sugar levels for the next week.” D. “There's a small risk that you might experience some hallucinations in the first few days that you begin taking this drug.” 1 points Saved QUESTION 5 A nurse is assessing a patient who has come to the emergency department complaining of back spasms. The patient states that he has a history of opioid addiction and does not want to take any drug that “puts me at risk of becoming physically dependent.” Which of the following medications would the nurse question, if ordered? A. Metaxalone (Skelaxin) B. Orphenadrine (Norflex) C. Cyclobenzaprine (Flexeril) D. Methocarbamol (Robaxin) 1 points Saved QUESTION 6 A patient with type 1 diabetes has been admitted to the hospital for orthopedic surgery and the care team anticipates some disruptions to the patient's blood glucose levels in the days following surgery. Which of the following insulin regimens is most likely to achieve adequate glycemic control? A. Small doses of long-acting insulin administered four to five times daily B. Doses of basal insulin twice daily with regular insulin before each meal C. Large doses of rapid-acting insulin combined with long-acting insulin each morning and evening D. Divided doses of intermediate-acting insulin every 2 hours, around the clock 1 points Saved QUESTION 7 A 34-year-old male patient is prescribed methimazole (MMI). The nurse will advise him to report which of the following immediately? A. Vertigo B. Intolerance to cold C. Epigastric distress D. Loss of appetite 1 points Saved QUESTION 8 A nurse is caring for a patient who has been diagnosed with hypothyroidism. Levothyroxine (Synthroid) has been prescribed. Before the drug therapy is started, the nurse will assess for which of the following? A. Hirsutism B. History of taking anticoagulant drugs C. Allergy to seafood D. The patient's age 1 points Saved QUESTION 9 A female patient with a diagnosis of type 1 diabetes mellitus has been experiencing increasing neuropathic pain in recent months, a symptom that has not responded appreciably to conventional analgesics. The patient's care provider has begun treatment with gabapentin (Neurontin). How is the addition of this drug likely to influence the management of the patient's existing drug regimen? A. The patient may be required to temporarily hold her other medications until a stable serum level of gabapentin is achieved. B. It is unlikely to influence the patient's other medications because gabapentin does not interact with other drugs. C. The patient's medication-related risk for renal failure must be assessed prior to the use of gabapentin. D. Gabapentin is contraindicated with the use of exogenous insulin. 1 points Saved QUESTION 10 Following an assessment by her primary care provider, a 70-year-old resident of an assisted living facility has begun taking daily oral doses of levothyroxine. Which of the following assessment findings should prompt the nurse to withhold a scheduled dose of levothyroxine? A. The resident's apical heart rate is 112 beats/minute with a regular rhythm B. The resident received her annual influenza vaccination the previous day C. The resident has not eaten breakfast because of a recent loss of appetite D. The resident had a fall during the night while transferring from her bed to her bathroom 1 points Saved QUESTION 11 A nurse will monitor which of the following when assigned to a patient taking allopurinol for chronic gout who visits the clinic every 2 months? A. Blood sugar levels B. Liver function tests C. Body temperature D. Blood pressure 1 points Saved QUESTION 12 The nurse is conducting a medication reconciliation of a new resident of a long-term care facility. The nurse notes that the resident takes allopurinol on a daily basis for the treatment of gout. What is the primary purpose of this drug? A. To balance urate concentration and prevent gout attacks B. To promote the remodeling of damaged synovium C. To achieve pain relief in joints affected by gout D. To potentiate the metabolism of dietary purines 1 points Saved QUESTION 13 A male patient is to begin glyburide (Diabeta) for type 2 diabetes. Before the drug therapy begins, a priority action by the nurse will be to assess the patient's A. potassium level. B. blood pressure. C. use of alcohol. D. use of salt in his diet. 1 points Saved QUESTION 14 A patient in need of myocardial infarction prophylaxis has been prescribed sulfinpyrazone for gout. Which of the following will the nurse monitor the patient most closely for? A. Bleeding B. Renal dysfunction C. Hypotension D. Hypothermia 1 points Saved QUESTION 15 A nurse is instructing a patient who was recently diagnosed with multiple sclerosis about dantrolene (Dantrium). The patient is a 38-year-old-male and the foreman for a construction company. In order to minimize one important adverse effect of the drug, the nurse will give the patient which of the following instructions? A. Decrease the dosage if any adverse effect is experienced B. Eat a high-protein diet C. Wear appropriate clothing and sunscreen whenever he is in direct sunlight D. Have a complete blood cell count done weekly 1 points Saved QUESTION 16 A nurse is caring for a male patient who has a spinal cord injury due to a motorcycle accident. He has been taking dantrolene (Dantrium) for 2 weeks. The nurse will monitor which of the following? A. Follicle-stimulating hormone levels B. Alanine aminotransferase and total bilirubin levels C. Prothrombin time and partial thromboplastin time D. Urine specific gravity 1 points Saved QUESTION 17 A nurse is caring for a 61-year-old man who has had a severe attack of gout while in the hospital for food poisoning. The nurse administers colchicine intravenously in order to A. ensure quick distribution of the drug. B. prevent the risk of infection or bleeding. C. minimize the risk of depressed bone marrow function. D. avoid aggravating the gastrointestinal tract. 1 points Saved QUESTION 18 A nurse has been invited to speak to a support group for persons with movement disorders and their families. Which of the following statements by the nurse addresses the chronic nature of these diseases and the relevant drug therapies? A. “Drug therapy can consist of one or more drugs to eliminate the symptoms of these diseases.” B. “Drugs used to treat these disorders always pose a risk of severe liver and kidney dysfunction.” C. “Persons of all cultures are treated similarly and respond in similar ways to treatment.” D. “Drugs do not cure these disorders; they instead enhance quality of life.” 1 points Saved QUESTION 19 A patient is taking gabapentin (Neurontin) for spasticity associated with multiple sclerosis. Which of the following should be the priority for monitoring? A. Renal function B. Cardiac function C. Respiratory function D. Hepatic function 1 points Saved QUESTION 20 A patient receives 25 units of NPH insulin at 7.AM. At what time of day should the nurse advise the patient to be most alert for a potential hypoglycemic reaction? A. Before lunch B. After breakfast C. Late afternoon D. Bedtime 1 points Saved QUESTION 21 A nurse is instructing a patient in the administration of regular insulin by the subcutaneous route. Which of the following strategies would the nurse suggest if the goal is to promote absorption of the regular insulin? A. Select one anatomic area for regular insulin injections and then use serial locations within that area. B. Select one injection site for regular insulin injections and use it exclusively. C. Rotate injection sites by using the arm one day, the stomach the next day, and the thigh the day after and then repeating the cycle. D. Administer the medication 30 to 60 minutes after a meal. 1 points Saved QUESTION 22 A 66-year-old woman has experienced a significant decline in her quality of life as a result of worsening rheumatoid arthritis. Her physician has prescribed etanercept and the nurse is responsible for facilitating this new aspect of the patient's drug regimen. This will involve the administration of A. daily, oral administration . B. weekly subcutaneous injections. C. daily, outpatient intravenous therapy. D. weekly administration of an enteric coated tablet. 1 points Saved QUESTION 23 A patient with diabetes has had a cough for 1 week and has been prescribed a cough syrup (an expectorant). What special instructions should the nurse include in the patient teaching for this situation? A. Note the time the medicine is taken each day B. Wash hands before and after taking the medicine C. Keep track of any gastrointestinal tract infections D. Monitor glucose levels closely 1 points Saved QUESTION 24 A nurse is working with a 57-year-old man who is a former intravenous drug abuser. He has been prescribed a weekly dosage of methotrexate for his rheumatoid arthritis. Which of the following will the nurse include in her teaching plan for this patient? A. Avoid red meat B. Drink plenty of water every day C. Avoid high-fat foods D. Take the tablets before bedtime 1 points Saved QUESTION 25 A 65-year-old woman has an advanced form of rheumatoid arthritis. Her treatment includes a regular dosage of methotrexate. The nurse will advise her to take which of the following vitamin supplements while taking the drug? A. Vitamin B B. Vitamin A C. Vitamin C D. Vitamin D 1 points Saved QUESTION 26 To minimize the risk of adverse effects of glucagon when given to an unconscious diabetic patient, as the patient regains consciousness, the nurse should A. position the patient in the side-lying position. B. administer calcium supplements. C. administer carbohydrates. D. monitor for nausea and vomiting. 1 points Saved QUESTION 27 A male patient with a diagnosis of relapsing-remitting multiple sclerosis is in the clinic to discuss with the nurse the possibility of self-administration of glatiramer. During the patient education session for self-administration, the nurse will emphasize A. the need to use only the thigh muscle for the drug injection site. B. the need to avoid crushing the tablet. C. the need to place the tablet under the tongue. D. the need to rotate the injection site of the drug. 1 points Saved QUESTION 28 A 13-year-old patient has juvenile arthritis. He has recently had oral surgery and was told by the surgeon to take aspirin for the pain. The nurse will monitor for which of the following? A. Hepatotoxicity B. Aplastic anemia C. Bronchoconstriction D. Agranulocytosis 1 points Saved QUESTION 29 A diabetic patient being treated for obesity tells the nurse that he is having adverse effects from his drug therapy. The patient has been taking dextroamphetamine for 2 weeks as adjunct therapy. Which of the following adverse effects would need the nurse's immediate attention? A. Increased blood glucose B. Jittery feeling C. Decreased libido D. Dry eyes 1 points Saved QUESTION 30 A clinic nurse is following a 9-year-old boy who is taking somatropin. Which of the following will the nurse monitor periodically? A. Water retention B. Height C. Dehydration D. Antidiuretic hormone (ADH) levels 1 points Saved [Show More]

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