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NURS 180 Final Exam with correct detailed answers

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NURS 180 Final Exam with correct detailed answers

Institution
NURS 180 Pharm
Course
NURS 180 Pharm

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NURS 180 Final Exam with correct detailed answers ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||




Consciousness, jaw clenching, contraction and relaxation of muscle groups, periods of ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||




cyanosis. The nurse correctly identifies this as what time of a seizure? - correct ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||




answer✔✔Tonic-clonic



A parent says to the nurse "A doctor prescribed Zartan for my children who has absence
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||




seizures, what does this mean? What is the best response by the nurse? - correct ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||




answer✔✔Your stutter seizures manifest into staring into space for a few seconds ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||




A patient says to the nurse, "My doctor says I have epilepsy and I need to take medication
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||




for those seizures I had. Do I really need medicine?" What is the best response by the nurse?
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||




- correct answer✔✔"Yes, you need to take the medication on a continual basis to control
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||




the seizures" ||\\//||




The nurse is employed by the FDA, involved in clinical investigation. What is the primary
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||




role the nurse in this phase of the review and approval process of the FDA? - correct
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||




answer✔✔To perform tests on human clients ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||




Which of the following is NOT a frequent side effect of organic nitrates such as
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||




Azanopride? - correct answer✔✔Bradycardia ||\\//|| ||\\//|| ||\\//||




Which of the following is NOT an expected pharmacological action of organic nitrates? -
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||




correct answer✔✔It does not increase the force of myocardial contractions
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||




The patient with coronary artery disease is prescribed Niacin. The client complains of
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||




flushing of the face, neck and ears. Which priority intervention should the nurse||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||




implement? - correct answer✔✔take aspirin 30 mins before ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||

,A new graduate nurse understands that cardiac glycosides have which of the following
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||




expected actions? - correct answer✔✔positive inotropic effect, negative chronotropic ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||




Beta-blockers are contraindicated in clients with which of the following conditions? - ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||




correct answer✔✔Asthma ||\\//||




A client who has taken Enalapril is asking the nurse about therapeutic use of this class of
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||




medications. Which of the following statements from the nurse is NOT appropriate to teach ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||




the client? - correct answer✔✔ACE inhibitors are used to control cardiac dysrhythmias
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||




A client asks about their medication Lasix and its common side effects. Which of the
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||




following should the nurse NOT include in their teaching? - correct answer✔✔Signs of ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||




hypoglycemia



Which of the following medications would NOT be appropriate to use during antiplatelet
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||




therapy? - correct answer✔✔Warfarin ||\\//|| ||\\//|| ||\\//||




A client complains of a severe headache after he receives Nitro. Which should the nurse
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||




administer? - correct answer✔✔A PRN dose of Tylenol ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||




Your patient is in A-Fib and is going to start taking anticoagulation therapy. You are aware
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||




as a nurse that the following medications are accepted EXCEPT for which of the following?
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||




- correct answer✔✔Plavix
||\\//|| ||\\//||




Phenytoin (Dilantin) patient understanding of teaching. - correct answer✔✔Patient will ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||




verbalize that the antiseizure medication must be continued indefinitely ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||




Absence (petit mal) seizure - correct answer✔✔-Last a few seconds; seen mostly in children||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||




(child stares into space, does not respond to verbal stimulation, may have fluttering eyelids
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||




or jerking) ||\\//||

, -Misdiagnosed as ADHD ||\\//|| ||\\//||




Atonic (drop attacks) seizure - correct answer✔✔Falling or stumbling for no reason; lasting
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||




a few seconds
||\\//|| ||\\//|| ||\\//||




Tonic-clonic (grand mal) - correct answer✔✔-Aura (preceding) ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||




-Intense muscle contraction following by alternating contraction and relaxation of muscles
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||




-Disorientation and deep sleep after seizure ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||




Ethosuximide (Zarontin) drug facts - correct answer✔✔-Preferred drug for managing ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||




absence of seizures ||\\//|| ||\\//||




-May impair mental and physical abilities
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||




-Dizziness, fatigue, ataxia ||\\//|| ||\\//||




Ethosuximide (Zarontin) client teaching - correct answer✔✔-Do not abruptly withdraw this ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||




medication
||\\//||




Induce tonic-clonic seizures ||\\//|| ||\\//||




-Avoid driving and hazardous activities ||\\//|| ||\\//|| ||\\//|| ||\\//||




Epilepsy medicine drug facts and client teaching. - correct answer✔✔Take medication on a
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||




continual basis to control the seizures ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||




Nicotinic acid (Niacin) drug facts and nursing intervention - correct answer✔✔-Causes ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||




flushing of the face, neck, ears ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||




-Take aspirin 30 mins before to reduce symptoms
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||

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