Exam 2022 Graded A+
A nurse is assessing a client who reports using several herbal and vitamin supplements
daily, including saw palmetto. The nurse should recognize that saw palmetto is a
supplement used by clients to elicit which of the following therapeutic effects
A. urinary health promotion
B. immune system stimulation
C. decreased leg pain from arterial disease
D. prevention of nausea caused by motion sickness Correct answer- A. urinary health
promotion
Saw palmetto is used primarily for manifestations related to prostatic conditions, such
as benign prostatic hypertrophy (BPH). Its effectiveness has not been scientifically
proven, however. The nurse should teach the client to check with the provider about
interactions between saw palmetto and other medications.
A nurse is preparing a discharge teaching plan for a 6-year-old client who has asthma
and several prescription medications using metered dose inhalers [MDIs]. Which of the
following interventions should the nurse include in the plan?
A. add spacer to each MDI
B. instruct the child to inhale more rapidly
C. request that the provider change the child's medications from inhaled to oral
formulations
D. administer oxygen by facemask along with the MDI Correct answer- A. add spacer to
each MDI
MDIs are difficult to use correctly and, even when properly used, only a portion of the
medication is delivered to the lungs. A spacer applied to an MDI can make up for lack of
hand-lung coordination by increasing the amount of medication delivered to the lungs.
A nurse is providing teaching to a client who has postmenopausal osteoporosis and a
new prescription for intranasal calcitonin-salmon. Which of the following statements by
the client indicates an understanding of the teaching?
A. I will administer a spray into each nostril daily
B. I should expect nasal bleeding for the first week
, C. I will need to depress the side arms to activate the pump
D. I should expect to take this medication for a short-term course of treatment Correct
answer- C. I will need to depress the side arms to activate the pump
The nurse should instruct the client to activate the pump on the initial use by holding the
bottle upright and depressing the two white side arms toward the bottle six times.
A nurse in an outpatient facility is assessing a client who is prescribed furosemide 40
mg daily, but the client reports that she has been taking extra doses to promote weight
loss. Which of the following findings should indicate to the nurse that the client is
dehydrated?
A. urine specific gravity 1.035
B. distended neck veins
C. BUN 18 mg/dL
D. bounding radial pulse Correct answer- A. urine specific gravity 1.035
Oliguria, increased urine concentration, and an increase in urine specific gravity greater
than 1.030 are expected findings in clients who are dehydrated.
A nurse is preparing to administer heparin 900 units/hr. via IV infusion. The amount
available is heparin 25, 000 units in 500 mL 5% dextrose in water. The nurse should set
the IV pump to deliver how many mL/hr? (Round to the nearest whole number) Correct
answer- 18 mL/hr
A nurse is teaching a client who has chronic stable angina pectoris and a prescription
for sublingual nitroglycerin tablets. Identify the sequence of instructions that the nurse
should tell the client to use if he experiences chest pain?
Wait for 5 min
Stop activity
Call 911 if the pain is not relieved
Place a tablet under the tongue Correct answer- Stop activity
Place a tablet under the tongue
Wait for 5 min
Call 911 if the pain is not relieved
A nurse is providing teaching to a client who is to start taking Hydrochlorothiazide for
hypertension. The nurse instructs the client to eat foods rich in potassium. Which of the
following statements by the client indicates an understanding of the teaching?
A. this medication will not work unless I have enough potassium
B. potassium will increase the therapeutic effect of my blood medication
C. potassium will lower my blood pressure
D. this medication can cause a loss of potasium Correct answer- D. this medication can
cause a loss of potassium