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A nurse who provides care on an acute medicine unit has frequently
recommended the use of nicotine replacement gum for patients who express a
willingness to quit smoking during their admission or following their discharge.
For which of the following patients would nicotine gum be contraindicated?
A) A patient who received treatment for kidney failure due to an overdose of
acetaminophen
B) A patient whose pulmonary embolism was treated with a heparin infusion
C) A patient with a history of angina who experienced a non-ST wave myocardial
infarction
D) A patient whose stage III pressure ulcer required intravenous antibiotics
and a vacuum dressing
C
A patient calls the clinic and reports that he is having chest pain. The patient
states that "I'm scared that I am going to die and I've been pacing up and down my
driveway." After calming the patient, the initial instruction by the nurse would be
to
A) ask the patient to call 911 and wait outside for the ambulance to arrive.
B) ask the patient to place a nitroglycerin tablet under his tongue immediately.
C) have the patient take his pulse for 1 minute.
D) have the patient go into his house and sit or
lie down. D
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Constipation is a major problem in patients with amyotrophic lateral
sclerosis (ALS). The nurse will educate the patient and family to
A) choose a laxative at the local drug store.
B) use prune juice only.
C) consult their physician before purchasing a laxative.
D) walk at least 500 yards a
day. C
A nurse has been assigned to care for a 52-year-old attorney who has
hypertension and peptic ulcer disease. Before administering his medications, the
nurse must complete an initial assessment. Core patient variables will be obtained
from which of the following?
(Select all that apply.)
A) The patient's interview
B) The patient's medical history
C) The patient's medical record
D) The patient's physical examination
E) The patient's health
insurer A, B, C, D
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A 59-year-old woman has long-standing diagnoses of type 1 diabetes and
hypertension and has recently been diagnosed with glaucoma. Her
ophthalmologist has prescribed pilocarpine (Akarpine), which will achieve its
intended therapeutic effect by which of the following means?
A) By blocking receptors of acetylcholine
B) By increasing synthesis of acetylcholine
C) By directly stimulating cholinergic receptors
D) By stimulating nicotinic N
receptors C
A woman in her twenties has been accompanied to her primary care provider
by her mother, who states that her daughter has been experiencing increasingly
severe episodes of irritable grandiose behavior. The care provider has
consequently begun a treatment regimen that includes pharmacological therapies.
This patient is most likely experiencing which of the following mood disorders?
A) Bipolar disorder
B) Dysthymic disorder
C) Major depression
D) Personality
disorder A
A patient is treated with an antibiotic for an infection in his leg. After 2 days of
taking the antibiotic, the patient calls the clinic and reports that he has a rash all
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over his body. The nurse is aware that a rash can be an adverse effect of an
antibiotic and can be either a biologic, chemical, or physiologic action of the drug,
which is an example of
A) pharmacotherapeutics.
B) pharmacokinetics.
C) pharmacodynamics.
D) pharmacogeneti
cs. C
A 70-year-old man with diabetes mellitus is taking metoprolol (Lopressor)
to manage his hypertension. The nurse would be sure to instruct the patient to
A) take his pulse at least four times a day.
B) weigh himself once a week at the same time of the day.
C) avoid smoke-filled rooms.
D) understand the signs and symptoms of
hypoglycemia. D
A 45-year-old man enters the emergency department complaining of chest
pain. The nurse has an order to administer amyl nitrite. The nurse will
A) administer the medication by intramuscular injection.
B) crush the capsule and ask the patient to inhale the vapors.
C) place the tablet under the patient's tongue.
D) ask the patient to chew the tablet before
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