Rasmussen College: NUR 2407 Module 6 open book quiz,100% CORRECT

Rasmussen College: NUR 2407Module 6 open book quiz Course NUR2407 Section P1 Pharmacology - Residential and Online - 2018 Summer Quarter Test Module 06 End of Module Open Book Quiz Started 8/5/18 5:47 PM Subm ...

Rasmussen College: NUR 2407Module 6 open book quiz Course NUR2407 Section P1 Pharmacology - Residential and Online - 2018 Summer Quarter Test Module 06 End of Module Open Book Quiz Started 8/5/18 5:47 PM Submitted 8/5/18 11:18 PM Due Date 8/8/18 7:00 AM Status Completed Attempt Score 4.75 out of 5 points Time Elapsed 5 hours, 31 minutes Results Displayed All Answers, Submitted Answers, Correct Answers Question 1 The nurse is providing client education after laboratory findings reveal an elevated thyroid stimulating hormone (TSH). How would the nurse best explain the implication of the laboratory findings to the client? Selected Answer: "Hypothyroidism can cause a decrease in TSH." Answers: "Hypothyroidism can cause a decrease in TSH." "The test probably is erroneous because you don't have a goiter." "TSH is not a good screening test for thyroid disease." "A high TSH implies the need for thyroid medication." Question 2 When metronidazole (Flagyl) is a component of the H. Pylori treatment regimen, what instructions should the client receive? Selected Answer: Avoid any alcoholic beverages. Answers: Avoid foods containing tyramine. Take the drug before eating. Take the drug on an empty stomach. Avoid any alcoholic beverages. Question 3 A client calls from home to report that his lispro (Humalog) insulin appears cloudy. What would be the nurse's best response? Selected Answer: "Discard the vial. The solution should be clear." Answers: "Agitate the solution, and the granules should disappear." "Discard the vial. The solution should be clear." "Proceed with the injection. Drawing the solution into the syringe will mix the particles." "Lispro is always cloudy. Proceed with the injection." Question 4 In which of these situations would the nurse question the administration of steroid eye drops? Selected Answer: During an eye infection Answers: During an eye infection After cataract surgery After a corneal abrasion After a chemical eye splash Question 5 Parent's bring their child to the clinic because they suspect the child has pinworms. What education is the most important for the nurse to provide to the parents? Selected Answer: "Everyone in the family should be treated." Answers: "One dose of mebendazole (Vermox) will eradicate the infestation." "The infestation is not easily spread." "Everyone in the family should be treated." "The treatment should be limited to symptomatic infestations." Question 6 A steroid dependent client has a blood glucose level of 249 mg/dL. Her blood pressure is 178/99 and she is complaining of muscle aches and weakness. Her face appears very round and puffy. What would the nurse suspect? What type of advocacy does the client need? Selected Answer: Diuretics and glucose control may be needed. Cushing's syndrome presents this way. Answers: Advocacy for a TSH level is needed because these symptoms indicate Graves' Question 7 disease. Advocacy for fludrocortisone is needed because these symptoms are consistent with Addison's disease. Diuretics and glucose control may be needed. Cushing's syndrome presents this way. Diabetic ketoacidosis is causing the client's sodium pump to shut down. An IV insulin drip is needed. Given these reports on clients receiving chemotherapy, which client should the nurse see first? Selected Answer: The client with a fever of 100.3F Answers: The client with lightly bleeding gums The client with nausea and vomiting The client with a fever of 100.3F The client with diarrhea and mouth sore Question 8 Lantus insulin (glargine) is prescribed for a hospitalized patient who is diabetic. When will the nurse administer this drug? Selected Answer: Once daily at bedtime. Answers: Approximately 15-30 minutes before each meal. In the morning and at 4 pm. Once daily at bedtime. After meals and at bedtime. Question 9 An elderly client who lives alone in the community is concerned about recent exposure to the flu and asks for an influenza vaccination. What client education should the nurse provide? Selected Answer: "Protection against the flu should begin about 1-2 weeks after the injection." Answers: "Because exposure has already occurred, the injection will not be of any use to you." "Protection against the flu should begin about 1-2 weeks after the injection." "A person should not receive the vaccine unless direct contact has been confirmed." "The vaccine is given only if the exposure has been verified as type A influenza." Question 10 A campus nurse is teaching a group of college students about the safe use of oral contraceptives. Which of these groups should be counseled to avoid the use of oral contraceptives? Selected Answer: Women who smoke heavily Answers: Women who had an abortion Women who have given birth Women who have had an IUD Women who smoke heavily Question 11 A public health nurse is providing client education for a client who is being treated for scabies. The client has been prescribed 5% permethrin cream to eradicate the scabies. What instruction about applying the cream should the nurse provide? Selected Answer: "Apply cream once over body, including the head, wrap with gauze, and rinse after 8-12 hours." Answers: "Apply lotion, covering head to toe every day for 7-10 days. Shower after 30 minutes." "Apply cream once over body, including the head, wrap with gauze, and rinse after 8-12 hours." "Apply cream once, cover yourself from head to toe and rinse after 10 minutes." "Shampoo your hair with Permethrin. Cover with a shower cap. Leave in place for 16 hours." Question 12 The nurse manages care for a client with diabetes who takes metformin (Glucophage). Which laboratory result would cause the nurse to question the prescription? Selected Answer: Elevated creatinine. Answers: Elevated creatinine. Decreased hemoglobin. Decreased platelets. Increased iron. Question 13 What advice should the nurse offer a client who is being started on a significant amount of Prednisone? Selected Answer: Answers: Consult your doctor if nausea prevents you from taking this drug. Don't stop it abruptly. Consult your doctor if nausea prevents you from taking this drug. Don't stop it abruptly. Take the medication on an empty stomach. This will help assure full absorption. Snack often on simple starches and comfort foods. This will help you avoid hypoglycemia. Use table salt. Avoid salt substitutes because steroids cause potassium retention and sodium losses. Question 14 The nurse is administering the first dose of Vancomycin to a client with MRSA. The client suddenly becomes hypotensive, nauseated, and develops hives. What should the nurse do? Selected Answer: Stop the IV and consult the MD for next steps. Answers: Give Benadryl to control the symptoms and continue the infusion. Stop the IV and consult the MD for next steps. Report that sepsis is setting in and obtain a stat order for blood cultures. Slow down the infusion and offer the client hydroxyzine. Question 15 A client with type 1 diabetes who takes insulin reports taking propranolol for hypertension. Why would this cause the nurse to be concerned? Selected Answer: The beta blocker can mask the symptoms of hypoglycemia. Answers: The beta blocker can cause insulin resistance and hyperglycemia. Using the two agents together increases the risk of ketoacidosis. Propranolol increases insulin requirements because of receptor blocking. The beta blocker can mask the symptoms of hypoglycemia. Question 16 A nurse is reinforcing instructions about the effects of diphenhydramine, an antihistamine. Which statement by the client indicates that this client needs further instruction? Selected Answer: "I should only take this medication in the morning." Answers: "I should avoid driving or activities requiring alertness when taking this medicine." "I should use sugarless gum, candy, or oral rinses to decrease dry mouth." "I should avoid alcohol while taking this medication." "I should only take this medication in the morning." Question 17 The nurse is caring for a client who comes to the clinic with tinea corporis, ringworm, for which the prescriber orders clotrimazole. What education about this medication should the nurse provide? Selected Answer: "Continue the therapy for at least 1 week after the symptoms have cleared up." Answers: "Use the medication over the entire body once a week for 1 month." "Sun exposure will negate the drug's effects." "Continue the therapy for at least 1 week after the symptoms have cleared up." "This drug is effective after a single application." Question 18 A client is receiving Diflucan. What should the nurse know to give this medication safely? Selected Answer: It is often only taken as a single dose because of its lingering effects. Answers: It is safe to take in states of liver insufficiency but not with renal insufficiency. It can only be given with orange juice. It is a class D medication but breastfeeding is fine due to its short half-life. It is often only taken as a single dose because of its lingering effects. Question 19 A client in ketoacidosis needs IV insulin. What should the nurse understand before giving IV insulin? Selected Answer: Only regular insulin can be administered IV. It is given in smaller increments. Answers: Either aspart or glargine insulin can be administered IV, so the nurse should ask which one to give. It is customary to administer the same dose IV that would be given subcutaneously per sliding scale. Insulin should never be given IV, so this order should be questioned. Only regular insulin can be administered IV. It is given in smaller increments. Question 20 The nurse is giving an injection to a client with suspected Hepatitis B. After the injection the nurse suffers a dirty needle stick. What is the most important thing the nurse should do for self- protection? Selected Answer: Receive hepatitis immune globulin injections and begin hepatitis B vaccines (if not already completed). Answers: Have repeated titers to determine exposure to Hepatitis B. Receive hepatitis immune globulin injections and begin hepatitis B vaccines (if not already completed). Start antibiotic therapy immediately. Go on sick leave until all screening tests are negative. Sunday, August 5, 2018 11:18:36 PM CDT