NURS 215 Exam 2 Review questions with answers and rationales 2023.

NURS 215 Exam 2 Review questions with answers and rationales 2023. Question 1: A client who underwent cardioversion for atrial fibrillation is prescribed amiodarone. Which testing should the nurse ensure has been completed before the client starts this medication? 1.A hearing test 2. A fasting blood sugar 3. A pulmonary lung function test 4. A 24-hour urine test for creatinine Rational: Rationale 1: Amiodarone does not affect hearing. Rationale 2: Amiodarone does not have a direct effect on blood sugar levels. Rationale 3: The most serious side effect of amiodarone can occur in the lungs. Because pulmonary toxicity can be fatal, baseline and periodic assessment of lung function is essential. Rationale 4: Amiodarone is excreted primarily through the liver. There is no reason to obtain a 24-hour urine test for creatinine. Global Rationale: The most serious side effect of amiodarone can occur in the lungs. Because pulmonary toxicity can be fatal, baseline and periodic assessment of lung function is essential. Amiodarone does not affect hearing or have a direct effect on blood sugar levels. Amiodarone is excreted primarily through the liver. There is no reason to obtain a 24-hour urine test for creatinine. Question 2: The nurse is providing information for a client who will self-administer a twice daily antidysrhythmic medication at home. Which client statements evaluates understanding of the teaching? Select all that apply. 1. If I get the flu, I should stop taking the medication until my fever goes down. 2. I should take my doses as close to 12 hours apart as I can. 3. If I forget a dose of medication I should take two pills for the next dose. 4. If I cant take the medication for a couple of days because I am sick, I should call the clinic for advice. 5. I should get my prescription refilled before I am completely out of medicine. Rational: Rationale 1: Antidysrhythmic medications should not be stopped abruptly. Rationale 2: Doses of antidysrhythmic medications should be evenly spaced. Rationale 3: Antidysrhythmic medications should not be double-dosed to make up for missed doses. Rationale 4: The health care provider should be consulted if the patient is going to miss medication for more than 1 day. Rationale 5: Abrupt discontinuation of antidysrhythmic medications can have serious side effects, so an adequate supply of the medication should be available. Question 3: NUR 215 Exam 2 Review questions with answers and rationales 2023 The nurse has completed the education for a client with angina prescribed nitroglycerin. Which statement made by the client indicated further teaching required? 1. "I can take up to 5 tablets to resolve the chest pain." 2. "If my pain is not reduced 5 minutes after taking one tablet I should call EMS." 3. "I should take a tablet as soon as chest pain occurs." 4. "I can take three tablets, one every 5 minutes." Question 4: The nurse is teaching a client about the pharmacologic management of angina. The nurse plans to include which points in the clients teaching? 1. The medications increase the heart rate. 2. The medications dilate the veins so that the heart receives less blood. 3. The medications cause the heart to contract with less force. 4. The medications increase blood pressure. 5. The medications increase the ability of the body to produce red blood cells. Rational: Global Rationale: Medications that dilate the veins so that the heart receives less blood treat angina by decreasing preload. Medications that cause the heart to contract with less force reduce contractility and are useful in treating angina. Medications used to treat angina decrease the heart rate and blood pressure. These medications do not cause the body to produce more red blood cells. Question 5: The nurse is caring for a client who is recovering from a myocardial infarction. The nurse anticipates that the client will be prescribed which medications in order to reduce post MI mortality? Select all that apply. 1. Aspirin 2. Beta-blockers 3. Narcotic analgesics 4. ACE inhibitors 5. Antidysrhythmics Rational: Rationale 1: Aspirin is often prescribed to reduce the risk of post-MI mortality. Rationale 2: Beta-blockers are often prescribed to reduce the risk of post-MI mortality. Rationale 3: Narcotic analgesics are not prescribed to reduce the risk of post-MI mortality. They are administered to manage severe pain and anxiety associated with MIs. Rationale 4: ACE inhibitors are prescribed to reduce the risk of post-MI mortality. Rationale 5: Antidysrhythmics are prescribed to treat post-MI dysrhythmias, not to reduce the risk of post-MI mortality.