COMPLETE 230 FREQUENTLY TESTED QUESTIONS AND
CORRECT ANSWERS (VERIFIED ANSWERS) |ALREADY
GRADED A+(2025) Advanced Final Exam Study
Guide 2026/2027
⭐ Accurate Questions with Correct Detailed Solutions |
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A nurse is caring for a client who ingested a toxic amount of acetaminophen 36 hr ago.
For which of the following findings should the nurse monitor? Select all that apply
a. elevated troponin level
b. diaphoresis
c. hyperglycemia
d. abdominal discomfort
e. increased alanine aminotransferase (ALT) level - ANSWER ✅✅✅✅b. Diaphoresis
is correct. The nurse should monitor the client for early manifestations of
acetaminophen toxicity, which includes diaphoresis. Later manifestations of toxicity
include liver failure, which manifest 48 to 72 hr following ingestion of the toxic dose.
d. Abdominal discomfort is correct. The nurse should monitor the client for early
manifestations of acetaminophen toxicity, which include abdominal discomfort, nausea,
vomiting, and diarrhea.
e. Increased alanine aminotransferase (ALT) level is correct. The nurse should monitor
ALT levels because these enzymes may elevate with liver inflammation from
acetaminophen overdose.
A nurse is assessing a client who has a prescription for oral albuterol for the long-term
management of asthma. For which of the following adverse effects should the nurse
monitor?
a. Nystagmus
b. Tachycardia
, c. Drowsiness
d. Oral fungal infections - ANSWER ✅✅✅✅b. Tachycardia
Albuterol is a beta2-agonist, which can cause excessive stimulation of cardiac and
skeletal muscle beta cells. Therefore, the nurse should monitor the client for tachycardia
and dysrhythmias.
A nurse is planning care for a client who has asthma and a prescription for
methylprednisolone. Which of the following lab values should the nurse monitor?
a. Aspartate aminotransferase (AST)
b. Fibrin split products
c. BUN
d. Glucose - ANSWER ✅✅✅✅d. Glucose
Methylprednisolone therapy increases the synthesis of glucose and decreases the
uptake of glucose by the muscles and adipose tissues, resulting in increased circulating
glucose. Therefore, it is important for the nurse to regularly monitor blood glucose levels
while clients are receiving corticosteroid therapy.
A nurse planning care for a client who has a prescription for acetazolamide. Which of
the following findings should the nurse plan to monitor for as an adverse effect of this
medication?
a. Bronchospasm
b. Constipation
c. Diplopia
d. Electrolyte imbalance - ANSWER ✅✅✅✅d. Electrolyte imbalance
Acetazolamide promotes renal excretion of sodium and potassium and reduces the
formation of bicarbonate, increasing the client's risk of electrolyte and acid-base
imbalances. Therefore, the nurse should monitor the client for findings of electrolyte
imbalance.
A nurse is caring for a client who reports an increase in migraine headaches over the
past 2 weeks and asks if sumatriptan might be helpful. Which of the following conditions
from the client's medical history should the nurse recognize as a contraindication for this
medication?
a. Gastrointestinal reflux
b. Angina pectoris
c. Routine acetylsalicylic acid use
d. Eczema - ANSWER ✅✅✅✅b. Angina pectoris
Sumatriptan is a vasoconstrictor and can cause angina from coronary vasospasm. The
nurse should identify uncontrolled hypertension, coronary artery disease, ischemic heart
disease, and angina pectoris as contraindications for receiving sumatriptan.