Which information about a 60-year-old patient with MS indicates that the nurse
should consult with the health care provider before giving the prescribed dose of
dalfampridine (Ampyra)?
a. The patient has relapsing-remitting MS.
b. The patient walks a mile a day for exercise.
c. The patient complains of pain with neck flexion.
d. The patient has an increased serum creatinine level.
Give this one a try later!
, D
Dalfampridine should not be given to patients with impaired renal function.
The other information will not impact whether the dalfampridine should be
administered.
The health care provider suspects the Somogyi effect in a 50-year-old patient whose
6:00 AM blood glucose is 230 mg/dL. Which action will the nurse teach the patient to
take?
a. Avoid snacking at bedtime.
b. Increase the rapid-acting insulin dose.
c. Check the blood glucose during the night
d. Administer a larger dose of long-acting insulin.
Give this one a try later!
C
If the Somogyi effect is causing the patients increased morning glucose
level, the patient will experience hypoglycemia between 2:00 and 4:00 AM.
The dose of insulin will be reduced, rather than increased. A bedtime snack
is used to prevent hypoglycemic episodes during the night.
A 70-year-old patient who has had a transurethral resection of the prostate (TURP) for
benign prostatic hyperplasia (BPH) is being discharged from the hospital today, The
nurse determines that additional instruction is needed when the patient says which of
the following?
a. I should call the doctor if I have incontinence at home.
b. I will avoid driving until I get approval from my doctor.
,c. I will increase fiber and fluids in my diet to prevent constipation.
d. I should continue to schedule yearly appointments for prostate exams.
Give this one a try later!
A
Because incontinence is common for several weeks after a TURP, the
patient does not need to call the health care provider if this occurs.
The other patient statements indicate that the patient has a good
understanding of post-TURP instructions.
A 27-year-old patient admitted with diabetic ketoacidosis (DKA) has a serum glucose
level of 732 mg/dL and serum potassium level of 3.1 mEq/L. Which action prescribed
by the health care provider should the nurse take first?
a. Place the patient on a cardiac monitor.
b. Administer IV potassium supplements.
c. Obtain urine glucose and ketone levels.
d. Start an insulin infusion at 0.1 units/kg/hr.
Give this one a try later!
A
Hypokalemia can lead to potentially fatal dysrhythmias such as ventricular
tachycardia and ventricular fibrillation, which would be detected with
electrocardiogram (ECG) monitoring. Because potassium must be infused
over at least 1 hour, the nurse should initiate cardiac monitoring before
infusion of potassium.
Insulin should not be administered without cardiac monitoring because
insulin infusion will further decrease potassium levels. Urine glucose and
ketone levels are not urgently needed to manage the patients care.
, A 53-year-old man is scheduled for an annual physical exam. The nurse will plan to
teach the patient about the purpose of
a. urinalysis collection.
b. uroflowmetry studies.
c. prostate specific antigen (PSA) testing.
d. transrectal ultrasound scanning (TRUS).
Give this one a try later!
C
An annual digital rectal exam (DRE) and PSA are usually recommended
starting at age 50 for men who have an average risk for prostate cancer.
Urinalysis and uroflowmetry studies are done if patients have symptoms of
urinary tract infection or changes in the urinary stream. TRUS may be
ordered if the DRE or PSA is abnormal.
The nurse assessing a 54-year-old female patient with newly diagnosed trigeminal
neuralgia will ask the patient about
a. visual problems caused by ptosis.
b. triggers leading to facial discomfort.
c. poor appetite caused by loss of taste.
d. weakness on the affected side of the face.
Give this one a try later!
B
The major clinical manifestation of trigeminal neuralgia is severe facial pain
that is triggered by cutaneous stimulation of the nerve.
should consult with the health care provider before giving the prescribed dose of
dalfampridine (Ampyra)?
a. The patient has relapsing-remitting MS.
b. The patient walks a mile a day for exercise.
c. The patient complains of pain with neck flexion.
d. The patient has an increased serum creatinine level.
Give this one a try later!
, D
Dalfampridine should not be given to patients with impaired renal function.
The other information will not impact whether the dalfampridine should be
administered.
The health care provider suspects the Somogyi effect in a 50-year-old patient whose
6:00 AM blood glucose is 230 mg/dL. Which action will the nurse teach the patient to
take?
a. Avoid snacking at bedtime.
b. Increase the rapid-acting insulin dose.
c. Check the blood glucose during the night
d. Administer a larger dose of long-acting insulin.
Give this one a try later!
C
If the Somogyi effect is causing the patients increased morning glucose
level, the patient will experience hypoglycemia between 2:00 and 4:00 AM.
The dose of insulin will be reduced, rather than increased. A bedtime snack
is used to prevent hypoglycemic episodes during the night.
A 70-year-old patient who has had a transurethral resection of the prostate (TURP) for
benign prostatic hyperplasia (BPH) is being discharged from the hospital today, The
nurse determines that additional instruction is needed when the patient says which of
the following?
a. I should call the doctor if I have incontinence at home.
b. I will avoid driving until I get approval from my doctor.
,c. I will increase fiber and fluids in my diet to prevent constipation.
d. I should continue to schedule yearly appointments for prostate exams.
Give this one a try later!
A
Because incontinence is common for several weeks after a TURP, the
patient does not need to call the health care provider if this occurs.
The other patient statements indicate that the patient has a good
understanding of post-TURP instructions.
A 27-year-old patient admitted with diabetic ketoacidosis (DKA) has a serum glucose
level of 732 mg/dL and serum potassium level of 3.1 mEq/L. Which action prescribed
by the health care provider should the nurse take first?
a. Place the patient on a cardiac monitor.
b. Administer IV potassium supplements.
c. Obtain urine glucose and ketone levels.
d. Start an insulin infusion at 0.1 units/kg/hr.
Give this one a try later!
A
Hypokalemia can lead to potentially fatal dysrhythmias such as ventricular
tachycardia and ventricular fibrillation, which would be detected with
electrocardiogram (ECG) monitoring. Because potassium must be infused
over at least 1 hour, the nurse should initiate cardiac monitoring before
infusion of potassium.
Insulin should not be administered without cardiac monitoring because
insulin infusion will further decrease potassium levels. Urine glucose and
ketone levels are not urgently needed to manage the patients care.
, A 53-year-old man is scheduled for an annual physical exam. The nurse will plan to
teach the patient about the purpose of
a. urinalysis collection.
b. uroflowmetry studies.
c. prostate specific antigen (PSA) testing.
d. transrectal ultrasound scanning (TRUS).
Give this one a try later!
C
An annual digital rectal exam (DRE) and PSA are usually recommended
starting at age 50 for men who have an average risk for prostate cancer.
Urinalysis and uroflowmetry studies are done if patients have symptoms of
urinary tract infection or changes in the urinary stream. TRUS may be
ordered if the DRE or PSA is abnormal.
The nurse assessing a 54-year-old female patient with newly diagnosed trigeminal
neuralgia will ask the patient about
a. visual problems caused by ptosis.
b. triggers leading to facial discomfort.
c. poor appetite caused by loss of taste.
d. weakness on the affected side of the face.
Give this one a try later!
B
The major clinical manifestation of trigeminal neuralgia is severe facial pain
that is triggered by cutaneous stimulation of the nerve.
