ANSWERS (100% CORRECT ANSWERS) /ALREADY GRADED
A nurse is admitting a client to the hospital following acetaminophen
toxicity. Which of the following medications should the nurse expect to
admin to this client?
A. acetylcysteine
B. pegfilgrastim
C. misoprostol
D. naltrexone Ans✓✓✓A
A nurse is taking a history for a client who reports taking aspirin 4x
daily for a sprained wrist. Which of the following prescribed meds taken
by the client is contraindicated with aspirin?
A. digoxin
B. metformin
C. warfarin
D. nitro Ans✓✓✓C
the effect of warfarin & other anticoagulants is increased by aspirin,
which inhibits platelet aggregation. This client would have an increased
risk for bleeding
A nurse is planning to admin morphine IV to a client who is post-op.
Which of the following actions should the nurse take?
A. monitor for seizures & confusion with repeated doses
,B. protect the client's skin from the severe diarrhea that occurs with
morphine
C. withhold this med if the RR is less than 12
D. give morphine intermittent via IV bolus over 30 sec or less
Ans✓✓✓C
A nurse is reviewing the MAR for a client who is receiving transdermal
fentanyl for severe pain. The nurse should identify that which of the
following medications can cause an adverse effect when administered
concurrently with fentanyl?
A. ampicillin
B. diazepam
C. furosemide
D. prednisone Ans✓✓✓B
A nurse is planning care for a client who has cancer & is taking a
glucocorticoid as an adjuvant med for pain control. Which of the
following interventions should the nurse include in the plan of care?
SATA
A. monitor for urinary retention
B. monitor blood glucose
C. monitor blood K level
D. monitor for gastric bleeding
E. monitor for resp. depression Ans✓✓✓B, C, D
,A nurse is caring for a client who has diabetes insipidus. Which of the
following urinalysis lab findings should the nurse expect?
A. presence of glucose
B. decreased specific gravity
C. presence of ketones
D. presence of RBCs Ans✓✓✓B
A nurse is obtaining a nursing history from a client who has a new dx of
anorexia nervosa. Which of the following questions should the nurse
include in the assessment? SATA
A. what is your relationship like with your family?
B. why do you want to lose weight?
C. would you describe your current eating habits?
D. at what weight do you believe you will look better?
E. can you discuss your feelings about your appearance? Ans✓✓✓A, C,
E
A nurse is caring for an adolescent client who has anorexia nervosa with
recent rapid weight loss & a current weight of 90 lb. Which of the
following statements indicates the client is experiencing the cognitive
distortion of catastrophizing?
A. life isn't worth living if I gain weight
B. don't pretend like you don't know how fat I am
C. if I could be skinny, I know I'd be popular
D. when I look in the mirror, I see myself as obese Ans✓✓✓A
, this statement reflects the cognitive distortion of catastrophizing b/c the
client's perception of their appearance/situation is much worse than their
current condition
A nurse is performing an admission assessment of a client who has
bulimia nervosa with purging behavior. Which of the following is an
expected finding? SATA
A. amenorrhea
B. hypokalemia
C. yellowing of the skin
D. slightly elevated body weight
E. presence of lanugo on the face Ans✓✓✓B, D
the other options are expected with anorexia nervosa rather than bulimia
nervosa
A nurse is planning care for a client who has anorexia nervosa with
binge-eating & purging behavior. Which of the following actions should
the nurse include in the client's plan of care?
A. allow the client to select preferred eating times
B. establish consequences for purging behavior
C. provide the client with a high-fat diet at the start of treatment
D. implement 1:1 observation during meal times Ans✓✓✓D