NURS 6521N Week 6 Quiz 2.Q&A

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NURS 6521N Week 6 Quiz 2.Q&A • Question 1 1 out of 1 points The nurse is conducting a medication reconciliation of a new resident of a long-term care facility. The nurse notes that the reside ... nt takes allopurinol on a daily basis for the treatment of gout. What is the primary purpose of this drug? Response Feedback: Uricosuric drugs such as allopurinol help to balance urate levels and thus prevent gout attacks. They do not influence the remodeling of synovial membrane, provide analgesia, or affect the metabolism of purines. • Question 2 1 out of 1 points 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? Response Feedback: During long-term desmopressin therapy, the nurse should periodically assess the patient's nasal passages because inappropriate administration of the drug may lead to nasal ulceration. Consequently, subsequent doses may be inadequate. General skin assessment, diet, and environment are also factors that need to be assessed, but these are not as important as assessing the patient's nasal passages. • Question 3 1 out of 1 points 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? Response Feedback: Since sulfinpyrazone inhibits antiplatelet action, it is important for the nurse to monitor the patient for signs of bleeding. It is also important to avoid administration of sulfinpyrazone with other drugs such as salicylates and anticoagulants (warfarin) that affect platelet aggregation. The drug does not pose a risk of hypothermia, hypotension, or renal dysfunction. • Question 4 1 out of 1 points 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? Response Feedback: The CNS depression that is associated with the use of cyclobenzaprine constitutes a risk for injury. The anticholinergic effects of the drug constitute a risk for constipation, not diarrhea. Nutrition and swallowing are not typically affected by the use of cyclobenzaprine. • Question 5 1 out of 1 points To minimize the risk of adverse effects of glucagon when given to an unconscious diabetic patient, as the patient regains consciousness, the nurse should Response Feedback: While it is important to monitor a patient for nausea and vomiting and help him or her into a more comfortable position, it is most important to administer supplemental carbohydrates as soon as the patient becomes conscious. Administering supplemental carbohydrates serves to restore liver glycogen and prevent secondary hypoglycemia. Calcium supplements are not necessary in this situation. • Question 6 1 out of 1 points A 49-year-old woman has been diagnosed with myalgia. The physician has recommended aspirin. The patient is concerned that the aspirin will upset her stomach. The nurse will encourage the patient to Response Feedback: Taking aspirin with milk or food minimizes the stomach upset because it buffers the stomach wall from direct contact with the medication, decreasing gastric distress. Chewable tablets can be chewed before swallowing or crushed and then advised to be taken with food or mixed in a drink. Swallowed whole, extended-release tablets are enteric coated to delay release of the aspirin, which again buffers the stomach wall from the medication, decreasing gastric distress. Nonchewable tablets should be swallowed whole and should never be advised to be crushed or chewed. • Question 7 1 out of 1 points Which of the following would be the most important safety-related instruction for a nurse to give to a patient taking baclofen (Lioresal)? Response Feedback: In a patient experiencing spasticity, the nurse should advise the patient to stop drinking alcohol. Alcohol consumption may increase the adverse effect of sedation, causing sleepiness, dizziness, and blurred vision. The patient should not drive or walk after taking the drug; he should learn to self-administer the drug; and constipation is a concern. However, the most important safety concern is to avoid alcohol. .......CONTINUED [Show More]

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