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NURS 6521 FINAL EXAM. WALSH COLLEGE

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NURS 6521 FINAL EXAM. WALSH COLLEGE.A Nurse Practitioner is caring for a patient with cancer who has been prescribed dronabinol (Marinol) to help reduce nausea and vomiting from chemotherapy. The nurse will inform the patient that he or she is taking an oral form of Selected Answer: marijuan a.  Question 2 1 out of 1 points A patient has acquired primary hypogonadism and has been prescribed testosterone transdermal (Androderm) patches. When educating the patient on how to administer the drug, the nurse will instruct him to Selected Answer: place the patch on the back, abdomen, upper arms, or thighs.  Question 3 1 out of 1 points A patient has been prescribed oral tetracycline. The nurse will instruct the patient to take the drug Selected Answer: on an empty stomach 1 hour before or 2 hours after taking any meals or other drugs.  Question 4 1 out of 1 points Morphine has been prescribed for a 28-year-old man with severe pain due to a back injury. The nurse will advise the patient to avoid Selected Answer: alcohol.  Question 5 0 out of 1 points The Nurse Practitioner notices a cold sore on a patient's upper lip and requests medication; docosanol (Abreva) is ordered. Before applying the medication, the nurse would first Selected Answer: put gloves on to protect herself.  Question 6 1 out of 1 points A 5-year-old boy needs an IM injection. The least painful and most effective injection site would be the Selected Answer: ventrogluteal muscle.  Question 7 1 out of 1 points A 12-year-old boy is being discharged from the hospital after major surgery. The boy will be taking two medications at home for an extended period. The nurse who is discharging the patient should provide medication teaching specifically to Selected Answer: both the boy and his mother regarding all medication issued.  Question 8 1 out of 1 points A woman is receiving magnesium sulfate for intrapartum eclampsia. The patient is perspiring and her blood pressure is 88/50. The serum magnesium level is 10 mg/dL. The nurse will interpret these manifestations as Selected Answer: magnesium sulfate toxicity.  Question 9 1 out of 1 points A Nurse Practitioner is working with a 57-year-old man who is a former intravenous drug abuser. He has been prescribed a weekly dosage of methotrexate for his rheumatoid arthritis. Which of the following will the nurse include in her teaching plan for this patient? Selected Answer: Drink plenty of water every day  Question 10 0 out of 1 points A 72-year-old patient is prescribed ophthalmic ciprofloxacin for a bacterial infection in her right eye. The nurse will teach her to observe for which of the following adverse effects of the drug? Selected Answer: Nephrotoxicity and neurotoxicity  Question 11 1 out of 1 points A 60-year-old patient experienced a sudden onset of chest pain and shortness of breath and was subsequently diagnosed with a pulmonary embolism in the emergency department. The patient has been started on an intravenous heparin infusion. How does this drug achieve therapeutic effect? Selected Answer: By inactivating clotting factors and thus stopping the coagulation cascade

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1 out of 1 points
A Nurse Practitioner is caring for a patient with cancer who has been prescribed
dronabinol (Marinol) to help reduce nausea and vomiting from chemotherapy. The
nurse will inform the patient that he or she is taking an oral form of

Selected marijuan
Answer: a.

 Question 2
1 out of 1 points
A patient has acquired primary hypogonadism and has been prescribed
testosterone transdermal (Androderm) patches. When educating the patient on
how to administer the drug, the nurse will instruct him to
Selected place the patch on the back, abdomen, upper arms, or
Answer: thighs.
 Question 3
1 out of 1 points
A patient has been prescribed oral tetracycline. The nurse will instruct the
patient to take the drug
Selected on an empty stomach 1 hour before or 2 hours after taking any
Answer: meals or other drugs.
 Question 4
1 out of 1 points
Morphine has been prescribed for a 28-year-old man with severe pain due
to a back injury. The nurse will advise the patient to avoid



Selected alcohol.
Answer:
 Question 5
0 out of 1 points
The Nurse Practitioner notices a cold sore on a patient's upper lip and
requests medication; docosanol (Abreva) is ordered. Before applying the
medication, the nurse would first

Selected put gloves on to protect herself.
Answer:
 Question 6
1 out of 1 points
A 5-year-old boy needs an IM injection. The least painful and most effective
injection site would be the
Selected ventrogluteal
Answer: muscle.

, Question 7
1 out of 1 points
A 12-year-old boy is being discharged from the hospital after major surgery. The
boy will be taking two medications at home for an extended period. The nurse
who is discharging the patient should provide medication teaching specifically to
Selected both the boy and his mother regarding all medication
Answer: issued.
 Question 8
1 out of 1 points
A woman is receiving magnesium sulfate for intrapartum eclampsia. The patient
is perspiring and her blood pressure is 88/50. The serum magnesium level is 10
mg/dL. The nurse will interpret these manifestations as
Selected magnesium sulfate toxicity.
Answer:
 Question 9
1 out of 1 points
A Nurse Practitioner is working with a 57-year-old man who is a former intravenous
drug abuser. He has been prescribed a weekly dosage of methotrexate for his
rheumatoid arthritis. Which of the following will the nurse include in her teaching
plan for this patient?

Selected Drink plenty of water
Answer: every day

 Question 10
0 out of 1 points
A 72-year-old patient is prescribed ophthalmic ciprofloxacin for a bacterial
infection in her right eye. The nurse will teach her to observe for which of the
following adverse effects of the drug?
Selected Nephrotoxicity and neurotoxicity
Answer:
 Question 11
1 out of 1 points
A 60-year-old patient experienced a sudden onset of chest pain and shortness
of breath and was subsequently diagnosed with a pulmonary embolism in the
emergency department. The patient has been started on an intravenous heparin
infusion. How does this drug achieve therapeutic effect?
Selected By inactivating clotting factors and thus stopping the
Answer: coagulation cascade
 Question 12
1 out of 1 points

, A 45-year-old woman with acute leukemia is going to begin chemotherapy with
vincristine. The nurse is aware that vincristine must always be administered
Selected through a central line.
Answer:
 Question 13
1 out of 1 points
A 20-year-old female patient is receiving topical clindamycin for acne vulgaris.
She develops a rash and urticaria along with severe itching where the
medication is applied. The nurse will formulate which of the following nursing
diagnoses for the patient?
Selected Risk for Injury related to allergic
Answer: reactions
 Question 14
1 out of 1 points
A 56-year-old woman will soon begin treatment of her overactive bladder with
tolterodine (Detrol). What patient teaching should the nurse provide to this
woman?
Selected "You might find that you get a dry mouth or a headache from this
Answer: drug, but this does not mean it has to be discontinued."
 Question 15
1 out of 1 points
A 46-year-old man is receiving a quinupristin/dalfopristin IV infusion for a life-
threatening infection. Which of the following would be most important for the
nurse to monitor?
Selected Infiltration, edema, or phlebitis at the infusion
Answer: site
 Question 16
1 out of 1 points
A patient is prescribed ganciclovir to treat a CMV infection. An oral
dosage is prescribed. To help increase bioavailability of the drug, the
nurse will encourage the patient to take the medication

Selected with high-fat meals.
Answer:
 Question 17
1 out of 1 points
A patient is taking etoposide for a testicular tumor refractory to treatment. The
nursing assessment reveals that he is also taking warfarin. The nurse must
carefully monitor for which of the following?
Selected Elevated prothrombin time
Answer:

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