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NURSING 3165 - Comprehensive Exit Exam With Answers

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08.05 Comprehensive Exit Exam Multiple Choice Identify the choice that best completes the statement or answers the question. ____ 1. The child with seizure disorder is being treated with phenytoin ... (Dilantin). Which of the following statements by the patient's mother indicates to the nurse that the patient is experiencing a common side effect of Dilantin therapy? a. "She is very irritable lately." b. "I have trouble getting her to sleep." c. "Her gums look too big for her teeth." d. "She has gained about 10 pounds in the last six months." ANS: C ____ 2. The prescriber orders tranylcypromine sulfate (Parnate)10 mg twice a day for a client with major depression. The nurse should teach the client to refrain from eating foods containing tyramine because it may cause: a. Melanoma. b. Hyperthermia. c. Hypertension. d. Urinary retention. ANS: C ____ 3. The prescriber orders captopril (Capoten) 25mg by mouth three times daily for a client with hypertension. Which of the following adverse reactions can occur with administration of Capoten? a. Tinnitus. b. Persistent cough. c. Muscle weakness. d. Diarrhea. ANS: B ____ 4. A client who has been taking phenazopyridine (Pyridium) for symptoms of urethritis and cystitis comes to the clinic because her urine is reddish-orange. Which question should the practical nurse ask to determine if the medication has been effective? a. How much water have you been drinking each day? b. Does the urine color stain your toilet bowl or undergarments? c. Have you had any relief from urinary pain, burning, or urgency? d. Did your urine appear cloudy or have a foul odor on voiding? ANS: C ____ 5. The nurse is visiting a home health client with osteoporosis. The client has a new prescription for alendronate (Fosamax). Which instruction should be given to the client? a. Avoid rapid movements after taking the medication. b. Rest in bed after taking the medication for at least 30 minutes. c. Take the medication with water only. d. Allow at least 1 hour between taking the medicine and taking other. ANS: C ____ 6. A client receives a prescription for an oral opioid analgesic for post-operative pain. Which adverse effect should the nurse monitor for with the client? a. Photosensitivity b. Constipation. c. Decreased heart rate. d. Frequent urination. ANS: B ____ 7. A postoperative client receiving a transfusion of packed red blood cells develops chills, fever, headache, and anxiety 35 minutes after the transfusion is started. After stopping the transfusion, what action should the nurse take? a. Draw blood for a new crossmatch. b. Send a urine specimen to the lab [Show More]

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