• Question 1
1 out of 1 points
A 33-year-old man has developed acute gouty arthritis. He has
been prescribed colchicine. When developing a care plan for this
patient, which factor will be most important for the nurse to
consider?
Response
Feedback The nurse must consider the patient's dietary habits
: because foods high in purines increase uric acid
concentrations in the blood, making a gouty attack more
likely. Assessing the patient's work environment, fluid
intake, and ethnicity are not as important as assessing
his dietary habits.
• Question 2
1 out of 1 points
A nurse will instruct a patient taking allopurinol to take each dose
Response
Feedback: The nurse should teach the patient to take each dose
after a meal to decrease the potential for nausea and
vomiting. Taking this medicine at night, in the morning,
or before a meal would not help decrease the GI
symptoms associated with this drug.
• Question 3
1 out of 1 points
A 65-year-old woman has an advanced form of rheumatoid arthritis.
Her treatment includes a regular dosage of methotrexate. The
nurse will advise her to take which of the following vitamin
supplements while taking the drug?
Response
Feedback Taking vitamin B every day will help decrease the
: potential for adverse effects of methotrexate. This drug is
given cautiously to very young and elderly patients,
because these patients' livers and kidneys cannot
adequately clear the drug. Vitamin C is contraindicated
with most antiarthritic and antigout drugs because it
decreases the renal excretion of drugs. Supplements of
vitamin A or D would not be necessary.
• Question 4
1 out of 1 points
Following an assessment by her primary care provider, a 70-year-
old resident of an assisted living facility has begun taking daily oral
doses of levothyroxine. Which of the following assessment findings
should prompt the nurse to withhold a scheduled dose of
levothyroxine?
, Response
Feedback:
If the pulse rate is greater than 100 bpm, it is necessary
to withhold a levothyroxine dose in an older adult.
Anorexia, recent vaccination, and recent falls do not
necessary indicate a need to withhold this medication.
• Question 5
1 out of 1 points
A patient with diabetes has had a cough for 1 week and has been
prescribed a cough syrup (an expectorant). What special
instructions should the nurse include in the patient teaching for this
situation?
Response
Feedback Special instructions need to be given to patients with
: diabetes when they are prescribed syrups. A diabetic
patient needs to monitor glucose levels closely because
syrups contain high levels of sugars, which can cause
elevated glucose levels. Increased gastrointestinal tract
infections are not directly related to diabetic patients
taking cough syrups. Noting the time that a medication is
taken and good hand-washing are always important, but
are not specific considerations for a diabetic patient
taking cough syrup.
• Question 6
1 out of 1 points
A 34-year-old male patient is prescribed methimazole (MMI). The
nurse will advise him to report which of the following immediately?
Response
Feedback The nurse should ask the patient to report immediately if
: he notices decreased cardiac rate, intolerance to cold, or
weight gain. These are indications of hypothyroidism
resulting from antithyroid therapy, and if the medication
is continued unchanged, insidious goitrogenic
hypothyroidism may occur. Vertigo, drowsiness, loss of
appetite, and epigastric distress are possible adverse
effects of the therapy but would not present an
immediate risk to the patient's health.
• Question 7
1 out of 1 points
A patient receives 25 units of NPH insulin at 7.AM. At what time of
day should the nurse advise the patient to be most alert for a
potential hypoglycemic reaction?
Response
Feedback: After an early morning dose of NPH insulin, the patient
should be alert for a possible hypoglycemic reaction
during mid- to late-afternoon. The lengthy peak action
1 out of 1 points
A 33-year-old man has developed acute gouty arthritis. He has
been prescribed colchicine. When developing a care plan for this
patient, which factor will be most important for the nurse to
consider?
Response
Feedback The nurse must consider the patient's dietary habits
: because foods high in purines increase uric acid
concentrations in the blood, making a gouty attack more
likely. Assessing the patient's work environment, fluid
intake, and ethnicity are not as important as assessing
his dietary habits.
• Question 2
1 out of 1 points
A nurse will instruct a patient taking allopurinol to take each dose
Response
Feedback: The nurse should teach the patient to take each dose
after a meal to decrease the potential for nausea and
vomiting. Taking this medicine at night, in the morning,
or before a meal would not help decrease the GI
symptoms associated with this drug.
• Question 3
1 out of 1 points
A 65-year-old woman has an advanced form of rheumatoid arthritis.
Her treatment includes a regular dosage of methotrexate. The
nurse will advise her to take which of the following vitamin
supplements while taking the drug?
Response
Feedback Taking vitamin B every day will help decrease the
: potential for adverse effects of methotrexate. This drug is
given cautiously to very young and elderly patients,
because these patients' livers and kidneys cannot
adequately clear the drug. Vitamin C is contraindicated
with most antiarthritic and antigout drugs because it
decreases the renal excretion of drugs. Supplements of
vitamin A or D would not be necessary.
• Question 4
1 out of 1 points
Following an assessment by her primary care provider, a 70-year-
old resident of an assisted living facility has begun taking daily oral
doses of levothyroxine. Which of the following assessment findings
should prompt the nurse to withhold a scheduled dose of
levothyroxine?
, Response
Feedback:
If the pulse rate is greater than 100 bpm, it is necessary
to withhold a levothyroxine dose in an older adult.
Anorexia, recent vaccination, and recent falls do not
necessary indicate a need to withhold this medication.
• Question 5
1 out of 1 points
A patient with diabetes has had a cough for 1 week and has been
prescribed a cough syrup (an expectorant). What special
instructions should the nurse include in the patient teaching for this
situation?
Response
Feedback Special instructions need to be given to patients with
: diabetes when they are prescribed syrups. A diabetic
patient needs to monitor glucose levels closely because
syrups contain high levels of sugars, which can cause
elevated glucose levels. Increased gastrointestinal tract
infections are not directly related to diabetic patients
taking cough syrups. Noting the time that a medication is
taken and good hand-washing are always important, but
are not specific considerations for a diabetic patient
taking cough syrup.
• Question 6
1 out of 1 points
A 34-year-old male patient is prescribed methimazole (MMI). The
nurse will advise him to report which of the following immediately?
Response
Feedback The nurse should ask the patient to report immediately if
: he notices decreased cardiac rate, intolerance to cold, or
weight gain. These are indications of hypothyroidism
resulting from antithyroid therapy, and if the medication
is continued unchanged, insidious goitrogenic
hypothyroidism may occur. Vertigo, drowsiness, loss of
appetite, and epigastric distress are possible adverse
effects of the therapy but would not present an
immediate risk to the patient's health.
• Question 7
1 out of 1 points
A patient receives 25 units of NPH insulin at 7.AM. At what time of
day should the nurse advise the patient to be most alert for a
potential hypoglycemic reaction?
Response
Feedback: After an early morning dose of NPH insulin, the patient
should be alert for a possible hypoglycemic reaction
during mid- to late-afternoon. The lengthy peak action
