Tutoring Review for Week 3 Quiz

Click to edit Master subtitle style By Mrs. Shannon Cook, MSN, NP-C,

BSN

5/1/12

1.) A nurse is teaching a client with PUD how to properly self-administer zanitidine (Zantac). Which of the following statements indicates effective teaching by the nurse?

A. I should call my doctor if my stools look black and sticky. I will take Zantac regularly until my burning symptoms disappear. I need to take Zantac on an empty stomach. I can take ibuprofen if I have minor aches and pains.
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B.

C.

D.

Answer

A. I should call my doctor if my stools look black and sticky. I will take Zantac regularly until my burning symptoms disappear. I need to take Zantac on an empty stomach. I can take ibuprofen if I have minor aches and pains.

B.

C.

D.

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2.) A nurse is caring for a client who is starting omeprazole (Prilosec) PO for management of GERD. The nurse should recognize that this medication works by
A. B. C. D.

Improving gastric motility Decreasing the production of gastric acid Neutralizing gastric acid Antagonizing serotonin receptors

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Answer
A. B. C. D.

Improving gastric motility Decreasing the production of gastric acid Neutralizing gastric acid Antagonizing serotonin receptors

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3.) A client taking sucralfate (Carafate) PO for peptic ulcer disease has been started on phenytoin (Dilantin) to control seizures. Which of the following should be included in the clients teaching?
A. B. C. D.

Take both of these medications at the same time. Take sucralfate with a glass of milk Allow a 2-hr interval between these meds

Chew the sucralfate thoroughly before swallowing

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Answer
A. B. C.

Take both of these medications at the same time. Take sucralfate with a glass of milk Allow a 2-hr interval between these meds Chew the sucralfate thoroughly before swallowing

D.

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4.) For which of the following clients with peptic ulcer disease is misoprostol (Cytotec) contraindicated?
A. B. C. D.

27-year old client who is pregnant 75-year old client with osteoarthritis 37-year old client with a kidney stone

46-year old client with a urinary tract infection

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Answer
A. B. C. D.

27-year old client who is pregnant 75-year old client with osteoarthritis 37-year old client with a kidney stone

46-year old client with a urinary tract infection

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5.) For which of the following clients is a laxative indicated? (Select all that apply).

-----A

young adult female who is postpartum following a vaginal delivery with an episiotomy. young adult male with constipation and periumbilical pain young adult client affected by IBS older adult client with limited mobility and minor bowel incontinence older adult client preparing for a colonoscopy 5/1/12

-----A ----A

----An ---A

Answer
-----A

young adult female who is postpartum following a vaginal delivery with an episiotomy young adult male with constipation and periumbilical pain young adult client affected by IBS older adult client with limited mobility and minor bowel incontinence older adult client preparing for a colonoscopy
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-----A ----A

----An ---A

6.) Laxatives containing sodium are contraindicated for which of the following client conditions?
A. B. C. D.

Hypertension Arthritis Depression Seizure disorder

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Answer
A. B. C. D.

Hypertension Arthritis Depression Seizure disorder

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7. A nurse is taking a history for a client who has irritable bowel syndrome with constipation. Which of the following in the clients history is a contraindication to lubiprostone (Amitiza)?
A. B. C. D.

Myocardial infarction Ulcerative colitis Diabetes mellitus Rheumatoid arthritis

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Answer
A. B. C. D.

Myocardial infarction Ulcerative colitis Diabetes mellitus Rheumatoid arthritis

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8.) A nurse is providing teaching to a client who has type 2 diabetes mellitus and is starting repaglinide (Prandin). Which of the following statements made by the client indicates understanding of the administration of this medication?
A. B.

Ill take this medicine with my meals.

Ill take this medicine 30 minutes before I eat. Ill take this medicine just before I go to bed. Ill take this medicine as soon as I wake up in the morning.

C.

D.

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Answer
A. B. C.

Ill take this medicine with my meals.

Ill take this medicine 30 minutes before I eat. Ill take this medicine just before I go to bed. Ill take this medicine as soon as I wake up in the morning.

D.

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9.) Clients taking metformin (Glucophage) should be monitored for which of the following?
A. B. C. D.

Lactic acidosis Hypertension Hyperlipidemia Respiratory alkalosis

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Answer
A. B. C. D.

Lactic acidosis Hypertension Hyperlipidemia Respiratory alkalosis

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10.) A client taking glipizide (Glucotrol) for control of type 2 diabetes mellitus should be cautioned against the use of which of the following?
A. B. C. D.

Magnesium hydroxide (Milk of Magnesia) Hydrocortisone acetate cream Calcium supplements Alcohol

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Answer
A. B. C. D.

Magnesium hydroxide (Milk of Magnesia) Hydrocortisone acetate cream Calcium supplements Alcohol

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11.) Four clients need to receive morning insulin. Breakfast trays are due in 15 min. A nurse should first administer insulin to which of the following clients?
A.

Client with ac glucose level of 70 mg/dL, scheduled to receive NPH insulin (Humulin N) 3 units. Client with ac glucose level of 90 mg/dL, scheduled to receive Regular insulin (Humulin R) 5 units. Client with ac glucose level of 120 mg/dL, scheduled to receive NPH (Humulin N) 15 units. Client with ac glucose level of 170 mg/dL, scheduled to receive lispro insulin (Humalog) 5 units 5/1/12

B.

C.

D.

Answer
A.

Client with ac glucose level of 70 mg/dL, scheduled to receive NPH insulin (Humulin N) 3 units. Client with ac glucose level of 90 mg/dL, scheduled to receive Regular insulin (Humulin R) 5 units. Client with ac glucose level of 120 mg/dL, scheduled to receive NPH (Humulin N) 15 units. Client with ac glucose level of 170 mg/dL, scheduled to receive lispro insulin (Humalog) 5 units 5/1/12

B.

C.

D.

12.) Which of the following should be included in a teaching plan for a client newly diagnosed with type 2 diabetes? (Select all that apply)

---- -----

Check your blood glucose levels less frequently when not feeling well. Take an extra dose of the oral hypoglycemic agent the next day if you miss a dose. Carry a fast-acting glucose source. Eat a snack prior to planned exercise. Inspect feet surfaces daily.
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---- ---- -----

Answer
---- -----

Check your blood glucose levels less frequently when not feeling well. Take an extra dose of the oral hypoglycemic agent the next day if you miss a dose. Carry a fast-acting glucose source. Eat a snack prior to planned exercise. Inspect feet surfaces daily.
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---- ---- -----

13.) A nurse is providing teaching to a client who is prescribed pramlintide (Symlin) for type 1 diabetes. Which of the following should the nurse include in the teaching?

-- -- -- -- ---

Take oral medications 1 hr before injection. Use upper arms as preferred injection sites. Mix medication with breakfast dose of insulin. Freeze unopened vials of medication. Discard open vials after 28 days.
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Answer
-- -- -- -- ---

Take oral medications 1 hr before injection. Use upper arms as preferred injection sites. Mix medication with breakfast dose of insulin. Freeze unopened vials of medication. Discard open vials after 28 days.

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14.) A client tells a nurse that she has been taking her levothyroxine (Synthroid) every day for 9 days. She asks why there has been no improvement in her condition. Which of the following is the nurses best response?

A. B.

It may take several weeks for you to notice a therapeutic effect from the drug. Your drug dose is probably too low. Your body must be resistant to this drug. Your doctor should be notified right away.
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C.

D.

Answer
A. B. C.

It may take several weeks for you to notice a therapeutic effect from the drug. Your drug dose is probably too low. Your body must be resistant to this drug. Your doctor should be notified right away.

D.

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15.) Propranolol (Inderal) may be prescribed to clients with hyperthyroidism to do which of the following?
A. B. C. D.

Increase the blood flow to the thyroid gland. Prevent thyroid hormone synthesis. Decrease tachycardia and tremors. Promote conversion of T4 to T3.

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Answer
A. B. C. D.

Increase the blood flow to the thyroid gland. Prevent thyroid hormone synthesis. Decrease tachycardia and tremors. Promote conversion of T4 to T3.

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16.) A client is starting on levothyroxine (Synthroid) for long-standing hypothyroidism. Which of the following dosage schedules should the nurse expect to administer?

A. B.

The client will start at a high dose and the dose will be tapered down as needed. The clients initial dosage will be based on body weight. The clients dosage will be adjusted daily based on blood levels. The client will start on a low dose, which will be gradually increased.
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C.

D.

17.) For which of the following clients would radioactive iodine (131I) be contraindicated?
A. B. C.

A client who is over 40 years of age. A client who is pregnant

A client who has had a recent myocardial infarction. A client who is scheduled for thyroid surgery.

D.

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Answer
A. B. C.

A client who is over 40 years of age. A client who is pregnant.

A client who has had a recent myocardial infarction. A client who is scheduled for thyroid surgery.

D.

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18.) A nurse is caring for a client who is prescribed somatropin (Genotropin) to stimulate growth. The nurse should plan to monitor the clients urine for which of the following?
A. B. C. D.

RBCs Specific gravity Protein Glucose

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Answer
A. B. C. D.

RBCs Specific gravity Protein Glucose

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19. A client is taking vasopressin (Pitressin) for diabetes insipidus. The nurse is assessing the client for vasopressin-related side effects. The nurse should monitor for
A. B. C. D.

Hypovolemia Hypercalcemia Hyperglycemia Hypertension

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Answer
A. B. C. D.

Hypovolemia Hypercalcemia Hyperglycemia Hypertension

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20.) A client taking hydrocortisone for adrenocortical insufficiency (Addisons disease) is admitted to the hospital for a total hip arthroplasty. Which of the following actions is the highest priority?
A. B.

Administration of supplemental dose of hydrocortisone. Instruction on coughing and deep breathing. Insertion of an indwelling urinary catheter. Requesting a referral for physical therapy.

C. D.

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Answer
A. B.

Administration of supplemental dose of hydrocortisone. Instruction on coughing and deep breathing. Insertion of an indwelling urinary catheter. Requesting a referral for physical therapy.

C. D.

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