NURS 6521 MIDTERM EXAM
QUESTIONS AND ANSWERS LATEST
UPDATE 2023/2024
• A nurse is caring for a postsurgical patient who has small
tortuous veins and had a difficult IV insertion. The patient is
now receiving IV medications on a regular basis. What is the
best nursing intervention tominimize the adverse effects of this
drug therapy?
• Monitor the patient's bleeding time
• Check the patient's blood glucose levels
• Record baseline vital signs
• Monitor the IV site for redness, swelling, or pain
• A patient is in the clinic after 6 weeks of taking riluzole
(Rilutek) for a recent diagnosis of amyotrophic lateral sclerosis.
The nurse will priori-tize assessment for which of the
following?
,• Weight gain
• Constipation
• Increased energy
• Dizziness
• A cardiac care nurse is monitoring a patient who is receiving
lidocaine(Xylocaine) per IV infusion pump for an acute
ventricular arrhythmia associated with an acute MI. Which of
the following patient manifesta- tions would cause the nurse to
notify the physician immediately?
• Confusion
• Headache
• Nausea
• Leg crampsA
• A nurse is caring for a patient who is admitted into the
cardiac care unit with acute, decompensated heart failure.
Nesiritide (Natrecor) hasbeen ordered. When preparing for
administration of the drug, the nursewill
,• add the reconstituted vial of medication to a 1,000 mL IV bag.
• shake the vial vigorously to mix the medication for
reconstitution.
• administer the initial IV bolus over approximately 60 seconds.
• use the reconstituted solution within a
36-hourperiod. C
• A patient has been prescribed lithium therapy. Which of the
followingsigns and symptoms will the nurse tell the patient to
report immediately?
• Increased urination
• Muscle twitching
• Hair loss
• Increased thirstB
• A nurse is caring for a patient who has just been diagnosed
with Parkinson disease. The patient does not understand how
the medicationordered, carbidopa-levodopa, is going to help
her condition. Which of the following is the correct response
by the nurse?
, • "Carbidopa-levodopa will delay the loss of muscle
strength andlimb function for several months."
• "This drug will change the immune processes in your body to
help
decrease the tissue damage."
• "Carbidopa-levodopa increases the activity of
dopamine inyour body, which will decrease your
symptoms."
• "Your drug therapy will reduce excessive reflex activity
causing yourmuscle spasms and will allow for muscle
relaxation."
C
• Which of the following patients demonstrates the
clearestindication for treatment with prednisone?
• A 66-year-old woman whose history of smoking has
culminated in adiagnosis of emphysema
QUESTIONS AND ANSWERS LATEST
UPDATE 2023/2024
• A nurse is caring for a postsurgical patient who has small
tortuous veins and had a difficult IV insertion. The patient is
now receiving IV medications on a regular basis. What is the
best nursing intervention tominimize the adverse effects of this
drug therapy?
• Monitor the patient's bleeding time
• Check the patient's blood glucose levels
• Record baseline vital signs
• Monitor the IV site for redness, swelling, or pain
• A patient is in the clinic after 6 weeks of taking riluzole
(Rilutek) for a recent diagnosis of amyotrophic lateral sclerosis.
The nurse will priori-tize assessment for which of the
following?
,• Weight gain
• Constipation
• Increased energy
• Dizziness
• A cardiac care nurse is monitoring a patient who is receiving
lidocaine(Xylocaine) per IV infusion pump for an acute
ventricular arrhythmia associated with an acute MI. Which of
the following patient manifesta- tions would cause the nurse to
notify the physician immediately?
• Confusion
• Headache
• Nausea
• Leg crampsA
• A nurse is caring for a patient who is admitted into the
cardiac care unit with acute, decompensated heart failure.
Nesiritide (Natrecor) hasbeen ordered. When preparing for
administration of the drug, the nursewill
,• add the reconstituted vial of medication to a 1,000 mL IV bag.
• shake the vial vigorously to mix the medication for
reconstitution.
• administer the initial IV bolus over approximately 60 seconds.
• use the reconstituted solution within a
36-hourperiod. C
• A patient has been prescribed lithium therapy. Which of the
followingsigns and symptoms will the nurse tell the patient to
report immediately?
• Increased urination
• Muscle twitching
• Hair loss
• Increased thirstB
• A nurse is caring for a patient who has just been diagnosed
with Parkinson disease. The patient does not understand how
the medicationordered, carbidopa-levodopa, is going to help
her condition. Which of the following is the correct response
by the nurse?
, • "Carbidopa-levodopa will delay the loss of muscle
strength andlimb function for several months."
• "This drug will change the immune processes in your body to
help
decrease the tissue damage."
• "Carbidopa-levodopa increases the activity of
dopamine inyour body, which will decrease your
symptoms."
• "Your drug therapy will reduce excessive reflex activity
causing yourmuscle spasms and will allow for muscle
relaxation."
C
• Which of the following patients demonstrates the
clearestindication for treatment with prednisone?
• A 66-year-old woman whose history of smoking has
culminated in adiagnosis of emphysema
