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NCLEX Prep II Renal and Urinary Medications Chapter 59 (Answered) With Rationale

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NCLEX Prep II Renal and Urinary Medications Chapter 59 (Answered) With Rationale Parenteral bethanechol chloride is prescribed for a client with urinary retention. The nurse should plan to administer this medication by which route? 1.Intravenously 2.Intradermally 3.Intramuscularly 4.Subcutaneously 4.Subcutaneously Rationale: The injectable form of bethanechol chloride is intended for subcutaneous administration only. Bethanechol must never be injected intramuscularly or intravenously because the resulting high medication level can cause severe toxicity, resulting in bloody diarrhea, bradycardia, profound hypotension, and cardiovascular collapse. A client taking metronidazole telephones the home health nurse to report dark discoloration to the urine. The nurse interprets that the client's complaint warrants which nursing action at this time? 1.Instruct the client to increase fluid intake. 2.Tell the client to discontinue the medication. 3.Instruct the client to call the health care provider (HCP). 4.Tell the client that this is a harmless medication side effect. 4.Tell the client that this is a harmless medication side effect. Rationale: Harmless darkening of the urine may occur, and the client should be told of this effect. Metronidazole can produce a variety of side effects, but they rarely require termination of treatment. Increasing fluid intake is a good health measure but will not prevent this side effect from occurring. It is not necessary to discontinue the medication or call the HCP. A client is receiving oxybutynin. The nurse should suspect that this medication is prescribed to relieve which condition? 1.Gastritis 2.Renal calculi 3.Ulcerative colitis 4.Overactive bladder 4.Overactive bladder Rationale: When medication therapy for overactive bladder is indicated, anticholinergic agents are the medications generally prescribed. These medications block muscarinic receptors on the bladder detrusor and thereby inhibit bladder contractions and decrease the urge to void. It is not used to treat gastritis. The medication would not be used to treat renal calculi or ulcerative colitis. In fact, it may make those conditions worse. The nurse is taking care of a client receiving oxybutynin. Which finding should the nurse expect to note if the client develops side or adverse effects of this medication?

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(comp review for Board 2021-2022) practice test 750+
questions and case studies NBDHE 2022
24.
Which two of the following are functions of the stomach?

a. Storage of ingested food until it is emptied into the small intestine
b. Stimulated by PANS
c. Secretion of HC1 and enzymes that initiate digestion
d. Inhibited by SANS
a. Storage of ingested food until it is emptied into the small intestine
c. Secretion of HC1 and enzymes that initiate digestion
252. MATCH the following types of bone grafts with the source of the bone:

___ Autograft
___ Allograft
___ Xenograft
___ Alloplast

a. Cadaver bone
b. Synthetic bone
c. Bone taken from the patient
d. Cow or pig bone
__c_ Autograft
__a_ Allograft
__d_ Xenograft
__b_ Alloplast
187. MATCH the stage of anesthesia with the conditions that it results in

___Stage I
__ Stage II
___ Stage III
___ Stage IV

a. Unconscious, regular respiration, and pulse_
b. Conscious, reduced pain
c. Respiratory arrest
d. Loss of consciousness, irregular respiration
a. Unconscious, regular respiration, and pulse_ --> Stage III
b. Conscious, reduced pain --> Stage I
c. Respiratory arrest --> Stage IV
d. Loss of consciousness, irregular respiration --> Stage II
154. MATCH the following classifications of decay with their location using G.V.
Black's Classification:

,____ Class I
____ Class II
____ Class III
____ Class IV
____ Class V
____ Class VI

a. Proximal surfaces, including incisal edges
b. Proximal surfaces of anterior teeth
c. Gingival 1/3 of facial or lingual surfaces
d. Occlusal and lingual pit and fissure
e. Cusp tips
f. Proximal surfaces of posterior teeth
__D__ Class I
__F__ Class II
__B__ Class III
__A__ Class IV
__C__ Class V
__E__ Class VI
40. MATCH the following symptoms to the appropriate disease condition.

___ Fifth's Disease
___ Shingles
___ Herpes
___ Syphilis
___ Mumps

a. Fever, swollen parotid gland

b. Red, lacy rash

c. clear, fluid-like blisters on the lips

d. Fever, itching, and red rash on one side of the body

e. Small, round nodule on the lip or tongue
_B__ Fifth's Disease --> red lacy rash
_D__ Shingles--> fever, itching and red rash on one side of body.
_C__ Herpes--> clear, fluid-like blister on lip
__E_ Syphilis--> small, round nodule on lip or tongue
__A_ Mumps--> fever, swollen parotid gland.
1
T/F
During swallowing, the hyoid bone moves downward. During swallowing, the
larynx elevates

,F
hyoid bone moves upward with larynx, then hyoid bone moves forward and returns to
starting position,
2. Which nervous system produces the fight-or-flight reaction?
b - The sympathetic nervous system releases norepinephrine to raise the heart rate and
elevateblood pressure, triggering the fight or flight reaction in a stressful situation
3. A patient is experiencing symptoms related to Bell's palsy. Which cranial nerve
is suffering from a motor deficit?
facial nerve VII
4. What is mobilized in and out of the blood during bone remodeling?
Calcium is mobilized in and out of blood stream allowing bone formation where needed.
5. Which of the following cranial nerves pass through the foramen ovale of the
sphenoid bone?
CN V - trigeminal mandibular nerve passes through the foramen ovale of the sphenoid
bone
6. The maxillary branch of the trigeminal nerve passes through the ______.
foramen rotundum is the opening that conveys the maxillary branch
7. Which cranial nerve is the longest and extends to the trunk of the body?
CN X
vagus nerve is the longest
9. List the following components of a muscle fiber in order of the LARGEST
component to the SMALLEST component.

_____ a. Myofilaments
_____ b. Muscle fascicle
_____ c. Muscle
_____ d. Myofibril
_____ e. Myofiber
8. List the following digestive system structures in order of their function during
the digestion of
a meal.
_____ a. Stomach
_____ b. Small intestine
_____ c. Pharynx
_____ d. Large intestine
_____ e. Esophagus
__3___ a. Stomach
__4___ b. Small intestine
___1__ c. Pharynx
___5__ d. Large intestine
___2__ e. Esophagus
10. The trigeminal ganglion of the fifth (V) trigeminal nerve has three divisions.
Which of the following is NOT a division of the trigeminal ganglion? entering
through superior orbital fissure, ovale and rotundum in the sphenoid bone.

a. Ophthalmic

, b. Mandibular
c. Optic
d. Maxillary
c. Optic
11. Which three of the following are lymphatic organs?

a. Tonsils
b. Pituitary gland
c. Spleen
d. Thymus
e. Kidney
f. Brain
A- Tonsil
C- Spleen
D- Thymus

4th one not listed is the lympth nodes themselves.
12. Order the following anatomical structures of the respiratory tract as they
appear and function in the processing of inhalation.
_____ a. Trachea
_____ b. Alveoli
_____ c. Alveolar duct
_____ d. Primary bronchi
_____ e. Bronchiole
__1___ a. Trachea
___5__ b. Alveoli
__4___ c. Alveolar duct
__2___ d. Primary bronchi
___3__ e. Bronchiole
13. What parallels the venous blood vessels and returns filtered fluids to the
bloodstream?
lymphatic systems filters fluids and returns them to the bloodstream
14. What type of cell-to-cell attachments are found in enamel-forming
ameloblasts?

a. Hemidesmosome
b. Tight junctions
c. Desmosomes
d. Gap junctions
desmosomes - cell to cell
What is the homogenous, translucent gel enclosed in a cell by the cell
membrane?
cytoplasm
allows movemetn about within the cell
16
Which type of epithelia lines the oral cavity?

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