NUR1141 Exam 4 Questions With Complete Solutions
A client is asking the nurse how long the insulin will last. The
nurse explains that the long acting insulin (Lantus, Levimir) will
last: Correct Answers 24hrs
A common adverse effect of ibuprofen is Correct Answers
Gastrointestinal upset
A female patient arrives to the clinic for counseling on potential
hormone replacement therapy. When taking the patient's history,
what condition would the nurse consider as a contraindication to
use of hormone replacement therapy for the patient? Correct
Answers Thromboembolic events
A male patient is in the clinic for a yearly physical and is asking
for a prescription refill for sildenafil (Viagra). He has listed on
his health history that he is taking nitrate for angina. The nurse
is aware that which problem may occur if sildenafil is taken with
nitrate? Correct Answers Significant decrease in blood pressure
A patient has developed diabetes insipidus after a head injury.
Which medication would the nurse anticipate to be prescribed
for the management of DI in this patient? Correct Answers
Desmopressin
A patient has just been diagnosed with Type 2 diabetes, what
should the nurse monitor? Correct Answers diet and blood
glucose
,A patient in the emergency department was showing signs of
hypoglycemia and had a fingerstick glucose level of 34 mg/dL.
The patient has just become unconscious. What is the nurse's
next action? Correct Answers Administer intravenous glucose
(50% dextrose).
or
administer glucagon
A patient is being prescribed levothyroxine for the first time.
Which statement by the patient indicates an understanding of
discharge instructions given by the nurse? Correct Answers "I
will take this medication in the morning so it does not affect my
sleep at night."
A patient is receiving finasteride (Proscar) for treatment of
benign prostatic hyperplasia. The nurse will tell him that a
possible adverse effect of this medication is: Correct Answers
Reduced libido
A patient receiving propylthiouracil (PTU) asks the nurse, "How
does this medication relieve symptoms?" What is the
appropriate response by the nurse? Correct Answers PTU
inhibits the formation of new thyroid hormone, thus returning
your metabolism to normal."
A patient taking oral contraceptives is being treated for a urinary
tract infection with antibiotics. What information would the
nurse include as education related to the oral contraceptives?
Correct Answers "Use an alternative method of birth control for
up to 1 month during and after antibiotic use."
, A patient who has type 2 diabetes is scheduled for an oral
endoscopy and has been NPO (nothing by mouth) since
midnight. What is the best action by the nurse regarding the
administration of her oral antidiabetic drugs? Correct Answers
Contact the prescriber for further orders.
A patient who is receiving his third intravenous dose of a
penicillin drug. He calls the nurse to report that he is feeling
anxious and is having trouble breathing. What will the nurse do
first? Correct Answers Stop the antibiotic infusion
A patient with a history of chronic obstructive pulmonary
disease (COPD) and type 2 diabetes has been treated for
pneumonia for the past week. The patient has been receiving
intravenous corticosteroids as well as antibiotics as part of his
therapy. At this time, the pneumonia has resolved, but when
monitoring the blood glucose levels, the nurse notices that the
level is still elevated. What is the best explanation for this
elevation? Correct Answers The corticosteroids may cause an
increase in glucose levels.
A patient with gout has been treated with allopurinol (Zyloprim)
for 2 months. The nurse will monitor laboratory results for
which therapeutic effect? Correct Answers Decreased uric acid
levels
A patient, newly diagnosed with hypothyroidism, has received a
prescription for thyroid replacement therapy. The nurse will
instruct the patient to take this medication at which time of day?
Correct Answers in the morning (6am)
A client is asking the nurse how long the insulin will last. The
nurse explains that the long acting insulin (Lantus, Levimir) will
last: Correct Answers 24hrs
A common adverse effect of ibuprofen is Correct Answers
Gastrointestinal upset
A female patient arrives to the clinic for counseling on potential
hormone replacement therapy. When taking the patient's history,
what condition would the nurse consider as a contraindication to
use of hormone replacement therapy for the patient? Correct
Answers Thromboembolic events
A male patient is in the clinic for a yearly physical and is asking
for a prescription refill for sildenafil (Viagra). He has listed on
his health history that he is taking nitrate for angina. The nurse
is aware that which problem may occur if sildenafil is taken with
nitrate? Correct Answers Significant decrease in blood pressure
A patient has developed diabetes insipidus after a head injury.
Which medication would the nurse anticipate to be prescribed
for the management of DI in this patient? Correct Answers
Desmopressin
A patient has just been diagnosed with Type 2 diabetes, what
should the nurse monitor? Correct Answers diet and blood
glucose
,A patient in the emergency department was showing signs of
hypoglycemia and had a fingerstick glucose level of 34 mg/dL.
The patient has just become unconscious. What is the nurse's
next action? Correct Answers Administer intravenous glucose
(50% dextrose).
or
administer glucagon
A patient is being prescribed levothyroxine for the first time.
Which statement by the patient indicates an understanding of
discharge instructions given by the nurse? Correct Answers "I
will take this medication in the morning so it does not affect my
sleep at night."
A patient is receiving finasteride (Proscar) for treatment of
benign prostatic hyperplasia. The nurse will tell him that a
possible adverse effect of this medication is: Correct Answers
Reduced libido
A patient receiving propylthiouracil (PTU) asks the nurse, "How
does this medication relieve symptoms?" What is the
appropriate response by the nurse? Correct Answers PTU
inhibits the formation of new thyroid hormone, thus returning
your metabolism to normal."
A patient taking oral contraceptives is being treated for a urinary
tract infection with antibiotics. What information would the
nurse include as education related to the oral contraceptives?
Correct Answers "Use an alternative method of birth control for
up to 1 month during and after antibiotic use."
, A patient who has type 2 diabetes is scheduled for an oral
endoscopy and has been NPO (nothing by mouth) since
midnight. What is the best action by the nurse regarding the
administration of her oral antidiabetic drugs? Correct Answers
Contact the prescriber for further orders.
A patient who is receiving his third intravenous dose of a
penicillin drug. He calls the nurse to report that he is feeling
anxious and is having trouble breathing. What will the nurse do
first? Correct Answers Stop the antibiotic infusion
A patient with a history of chronic obstructive pulmonary
disease (COPD) and type 2 diabetes has been treated for
pneumonia for the past week. The patient has been receiving
intravenous corticosteroids as well as antibiotics as part of his
therapy. At this time, the pneumonia has resolved, but when
monitoring the blood glucose levels, the nurse notices that the
level is still elevated. What is the best explanation for this
elevation? Correct Answers The corticosteroids may cause an
increase in glucose levels.
A patient with gout has been treated with allopurinol (Zyloprim)
for 2 months. The nurse will monitor laboratory results for
which therapeutic effect? Correct Answers Decreased uric acid
levels
A patient, newly diagnosed with hypothyroidism, has received a
prescription for thyroid replacement therapy. The nurse will
instruct the patient to take this medication at which time of day?
Correct Answers in the morning (6am)
