NURS 300 Exam 5 – Questions With
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Terms in this set (53)
A nurse is providing discharge A. "Seizures can occur with this this medication."
teaching to a client who has a the nurse should tell the client that seizures can
bacterial infection about adverse occur when receiving imipenem. The
effects of imipenem to report to the
provider. Which of the following
pieces of information should the nurse
include?
A. "Seizures can occur with this this
medication."
B. " You should observe for
manifestations of bleeding."
C. " Check your hands and feet for
dysfunction."
D. " this medication can increase the
risk of ototoxicity"
A nurse is caring for a child who B. assess for laryngeal edema
received penicillin IM 15 minutes ago. The greatest risk to this child is bronchoconstriction
The child is now irritable and restless. due to an anaphylactic reaction to penicillin.
Which of the following actions should Therefore, the first action the nurse should take is to
the nurse take first? assess the child for laryngeal edema and implement
A. Administer diphenhydramine interventions to maintain a patent airway
B. assess for laryngeal edema
C. initiate hourly urine output
monitoring
D. give epinephrine IV push
,A nurse is teaching a client who is in C. "Talk with your doctor about a prescription for
the third trimester of pregnancy and acyclovir to treat your symptoms."
has herpes genitalis. Which of the Acyclovir is an antiviral medication that helps reduce
following instructions should the the manifestations of a genital herpes simplex
nurse include? infection. However, topical acyclovir is a pregnancy
A. "Clean the lesions twice a day with risk category C medication, so the provider and the
hydrogen peroxide." client should weigh the risks and benefits of this
B. "Apply a hot compress to the therapy
affected areas."
C. "Talk with your doctor about a
prescription for acyclovir to treat your
symptoms."
D. "Expect to receive penicillin prior to
delivery."
A nurse is monitoring a client with C. Laryngeal edema
pneumonia who has received When using the urgent vs nonurgent approach to
penicillin G intramuscularly (IM). Which client care, the nurse should determine that the
of the following findings should the priority finding is laryngeal edema, which can
nurse plan to evaluate first? indicate the client is experiencing an allergic reaction
A. Pain at the injection site to penicillin G. The nurse should also consider that
B. Prolonged motor dysfunction the client is experiencing an anaphylactic reaction,
C. Laryngeal edema which can be life-threatening. Anaphylaxis is an
D. Temperature 37.6°C (99.7°F) immediate hypersensitivity reaction that requires the
primary treatment of epinephrine in addition to
respiratory support.
A nurse is teaching a newly licensed C. Piperacillin
nurse about contraindications to Clients who have a severe allergy to piperacillin,
ceftriaxone. A severe allergy to which which is a penicillin, can have a cross-sensitivity
of the following medications is a reaction to ceftriaxone, a third-generation
contraindication to ceftriaxone? cephalosporin. Ceftriaxone is contraindicated for a
A. Gentamicin client who has an allergy to cephalosporins or a
B. Clindamycin severe allergy to penicillin.
C. Piperacillin
D. Sulfamethoxazole-trimethoprim
, A nurse is administering a client's first B. "Sucralfate forms a gel-like substance that protects
dose of sucralfate. Which of the ulcers."
following explanations should the The primary action of sucralfate is the formation of a
nurse provide about the action of gel-like protectant that adheres to the ulcer surface.
sucralfate? This protective mechanism lasts for 6 hours and
A. "Sucralfate decreases gastric acid allows the ulcer to heal.
secretions."
B. "Sucralfate forms a gel-like
substance that protects ulcers."
C. "Sucralfate inactivates Helicobacter
pylori."
D. "Sucralfate inhibits the production
of gastric acid."
A nurse is assessing a client who is B. Proteinuria
receiving IV gentamicin 3 times daily. Proteinuria is a manifestation of nephrotoxicity, an
Which of the following findings adverse effect of gentamicin. The nurse should
indicates that the client is monitor for oliguria and hematuria.
experiencing an adverse effect of this
medication?
A. Hypoglycemia
B. Proteinuria
C. Nasal congestion
D. Visual disturbances
A nurse is planning care for a client A. 1 hour after administering the IM injection
who is receiving gentamicin IM and Timing is important when drawing blood samples for
has a new prescription to obtain aminoglycoside levels. The nurse should obtain
gentamicin peak and trough levels. At blood samples for peak levels 1 hour after
which of the following times should administering an IM injection or 30 minutes after
the nurse plan to obtain a blood completing an IV infusion.
sample to evaluate the gentamicin
peak?
A. 1 hour after administering the IM
injection
B. Just before administering the IM
injection
C. 12 hours after the last IM injection
D. 30 minutes after administering the
IM injection
Comprehensive Solutions
Save
Terms in this set (53)
A nurse is providing discharge A. "Seizures can occur with this this medication."
teaching to a client who has a the nurse should tell the client that seizures can
bacterial infection about adverse occur when receiving imipenem. The
effects of imipenem to report to the
provider. Which of the following
pieces of information should the nurse
include?
A. "Seizures can occur with this this
medication."
B. " You should observe for
manifestations of bleeding."
C. " Check your hands and feet for
dysfunction."
D. " this medication can increase the
risk of ototoxicity"
A nurse is caring for a child who B. assess for laryngeal edema
received penicillin IM 15 minutes ago. The greatest risk to this child is bronchoconstriction
The child is now irritable and restless. due to an anaphylactic reaction to penicillin.
Which of the following actions should Therefore, the first action the nurse should take is to
the nurse take first? assess the child for laryngeal edema and implement
A. Administer diphenhydramine interventions to maintain a patent airway
B. assess for laryngeal edema
C. initiate hourly urine output
monitoring
D. give epinephrine IV push
,A nurse is teaching a client who is in C. "Talk with your doctor about a prescription for
the third trimester of pregnancy and acyclovir to treat your symptoms."
has herpes genitalis. Which of the Acyclovir is an antiviral medication that helps reduce
following instructions should the the manifestations of a genital herpes simplex
nurse include? infection. However, topical acyclovir is a pregnancy
A. "Clean the lesions twice a day with risk category C medication, so the provider and the
hydrogen peroxide." client should weigh the risks and benefits of this
B. "Apply a hot compress to the therapy
affected areas."
C. "Talk with your doctor about a
prescription for acyclovir to treat your
symptoms."
D. "Expect to receive penicillin prior to
delivery."
A nurse is monitoring a client with C. Laryngeal edema
pneumonia who has received When using the urgent vs nonurgent approach to
penicillin G intramuscularly (IM). Which client care, the nurse should determine that the
of the following findings should the priority finding is laryngeal edema, which can
nurse plan to evaluate first? indicate the client is experiencing an allergic reaction
A. Pain at the injection site to penicillin G. The nurse should also consider that
B. Prolonged motor dysfunction the client is experiencing an anaphylactic reaction,
C. Laryngeal edema which can be life-threatening. Anaphylaxis is an
D. Temperature 37.6°C (99.7°F) immediate hypersensitivity reaction that requires the
primary treatment of epinephrine in addition to
respiratory support.
A nurse is teaching a newly licensed C. Piperacillin
nurse about contraindications to Clients who have a severe allergy to piperacillin,
ceftriaxone. A severe allergy to which which is a penicillin, can have a cross-sensitivity
of the following medications is a reaction to ceftriaxone, a third-generation
contraindication to ceftriaxone? cephalosporin. Ceftriaxone is contraindicated for a
A. Gentamicin client who has an allergy to cephalosporins or a
B. Clindamycin severe allergy to penicillin.
C. Piperacillin
D. Sulfamethoxazole-trimethoprim
, A nurse is administering a client's first B. "Sucralfate forms a gel-like substance that protects
dose of sucralfate. Which of the ulcers."
following explanations should the The primary action of sucralfate is the formation of a
nurse provide about the action of gel-like protectant that adheres to the ulcer surface.
sucralfate? This protective mechanism lasts for 6 hours and
A. "Sucralfate decreases gastric acid allows the ulcer to heal.
secretions."
B. "Sucralfate forms a gel-like
substance that protects ulcers."
C. "Sucralfate inactivates Helicobacter
pylori."
D. "Sucralfate inhibits the production
of gastric acid."
A nurse is assessing a client who is B. Proteinuria
receiving IV gentamicin 3 times daily. Proteinuria is a manifestation of nephrotoxicity, an
Which of the following findings adverse effect of gentamicin. The nurse should
indicates that the client is monitor for oliguria and hematuria.
experiencing an adverse effect of this
medication?
A. Hypoglycemia
B. Proteinuria
C. Nasal congestion
D. Visual disturbances
A nurse is planning care for a client A. 1 hour after administering the IM injection
who is receiving gentamicin IM and Timing is important when drawing blood samples for
has a new prescription to obtain aminoglycoside levels. The nurse should obtain
gentamicin peak and trough levels. At blood samples for peak levels 1 hour after
which of the following times should administering an IM injection or 30 minutes after
the nurse plan to obtain a blood completing an IV infusion.
sample to evaluate the gentamicin
peak?
A. 1 hour after administering the IM
injection
B. Just before administering the IM
injection
C. 12 hours after the last IM injection
D. 30 minutes after administering the
IM injection
