NUR MISC Practice Exam Questions And Answers Rated A+ Guaranteed Success Latest Update 202, Exams of Nursing

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A client with metastatic cancer who has been receiving fentanyl for several weeks reports to the nurse that the medication is not effectively controlling the pain. Which intervention should the nurse initiate? Notify the health care provider of the need to increase the dose. Which instructions should the nurse provide to an adolescent female client who is initiating treatment with isotretinoin for acne vulgaris? (Select all that apply.) "Notify the health care provider immediately if you think you are pregnant." "If you begin crying more than usual and feel sad, stop the drug and call the health care provider." "Before, during, and after therapy, two effective forms of

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birth control must be used at the same time." Which statement indicates that client teaching regarding the administration of the chemotherapeutic agent daunorubicin HCl has been effective? "I expect my urine to be red for the next few days." When caring for a client on digoxin therapy, the nurse knows to be alert for digoxin toxicity. Which finding would predispose this client to developing digoxin toxicity? Low serum potassium level In developing a nursing care plan for a 9- month-old infant with cystic fibrosis, the nurse writes a nursing diagnosis of alteration in nutrition: less than Give pancrelipase capsule mixed with applesauce before each meal

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fibrosis is receiving ticarcillin disodium for Pseudomonas pneumonia. For which adverse effect should the nurse assess and report promptly to the health care provider? A client who is experiencing an acute attack of gouty arthritis is prescribed colchicine Report any vomiting to the clinic. -- The client should be instructed to report signs of USP, 1 mg PO daily. Which information is most important for the nurse to provide the client? colchicine toxicity, such as nausea, diarrhea, vomiting, and/or abdominal pain, to the health care provider. Food inhibits the absorption of colchicine when ingested concurrently. Limited fluid intake decreases the excretion of the uric acid crystals, which

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contributes to painful attacks. A client is receiving acyclovir sodium IV for a severe herpes simplex infection. Which intervention should the nurse implement during this drug therapy? Increase daily fluids to 2000 to 4000 mL/day. -- Increasing fluid intake during treatment prevents precipitation of the drug in the renal tubules, which could lead to obstructive problems that impair kidney function. Acute glomerulonephritis is a possible complication of acyclovir sodium therapy. A 67-year-old client is discharged from the hospital with a prescription for digoxin, 0.25 mg daily. Which instruction should the nurse include in this client's discharge teaching plan? Take and record radial pulse rate daily.

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with an infection. The drug is available in a suspension of 125 mg/ mL. How many milliliters should the nurse administer with each dose? A client who is hypertensive receives a prescription for hydrochlorothiazide. When teaching about the side effects of this drug, which symptoms are most important for the nurse to instruct the client to report? Fatigue and muscle weakness Dopamine, 5 mcg/kg/min, is prescribed for a client who weighs 105 kg. The nurse mixes 400 mg of dopamine in 250 mL D 5 W for IV administration via an 20 mL/hr

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infusion pump. What is the hourly rate that the nurse should set on the pump? A male client asks the nurse why condoms should not be lubricated with the spermicide nonoxynol-9. Which response is best for the nurse to provide? Nonoxynol-9 provides no protection from STDs and has been linked to the transmission of HIV. -- The use of condoms and a water-based spermicide is recommended because nonoxynol-9 can cause a rash that allows viruses a portal of entry if the condom breaks, which increases

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discomfort Minocycline, 50 mg PO every 8 hours, is prescribed for an adolescent girl diagnosed with acne. The nurse discusses self-care with the client while she is taking the medication. Which teaching points should be included in the discussion? (Select all that apply.) Report vaginal itching or discharge. Protect skin from natural and artificial ultraviolet light. Avoid driving until response to medication is known. Use a nonhormonal method of contraception if sexually active. – Adverse effects of tetracyclines include superinfections, photosensitivity, and decreased efficacy of oral contraceptives. Therefore, the client

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should report vaginal itching or discharge (A), protect the skin from ultraviolet light (C), and use a nonhormonal method of contraception (F) while on the medication. Minocycline is known to cause dizziness and ataxia, so until the client’s response to the medication is known, driving (D) should be avoided. The nurse knows that certain antipsychotic drugs cause extrapyramidal symptoms. Which extrapyramidal symptom is a permanent and irreversible adverse effect of long-term Tardive dyskinesia

NUR MISC Practice Exam Questions And Answers

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NUR MISC Practice Exam Questions And Answers

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A client receives a prescription for theophylline PO to be initiated in the morning after the dose of theophylline IV is complete. The nurse determines that a theophylline level drawn yesterday was 22 mcg/mL. Based on this information, which action should the nurse implement? Hold the theophylline dose and notify the health care provider. -- The therapeutic range for theophylline is 10 to 20 mcg/mL, so the theophylline dose should be held for fear of causing toxicity. A client who arrives in the postanesthesia care unit (PACU) after surgery is not awake from general anesthesia. Which action should the nurse implement first? Review the medication administration record (MAR) Two hours after taking the first dose of Severe acute anaphylactic response

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prescribed for his brother's seizure disorder. Which nursing intervention should the nurse implement first? The health care provider prescribes ipratropium for a client. An allergic reaction to which other medication would cause the nurse to question the prescription for? Atropine sulfate During administration of theophylline, the nurse should monitor for signs of toxicity. Which symptom would cause the nurse to suspect theophylline toxicity? Restlessness -- Restlessness is a sign of theophylline intoxication. Other signs of toxicity are anorexia, nausea, vomiting, insomnia, tachycardia, arrhythmias, and seizures. A client has a positive skin test for Isoniazid

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tuberculosis. Which prophylactic drug should the nurse expect to administer to this client? The health care provider prescribes the anticonvulsant carbamazepine for an adolescent client with a seizure disorder. The nurse should instruct the client to notify the health care provider if which condition occurs? Develops a sore throat. -- Blood dyscrasias (aplastic anemia, leukopenia, anemia, and thrombocytopenia) can be an adverse effect of carbamazepine. Flulike symptoms, such as pallor, fatigue, sore throat, and fever, are indications of such dyscrasias A client is receiving pyridostigmine bromide to control the symptoms of myasthenia gravis. Which client behavior would indicate that the drug therapy is effective? Clear speech

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ADHD, which instruction is most important for the nurse to provide to the parents? The nurse is preparing to administer the disease-modifying antirheumatic drug (DMARD) methotrexate to a client diagnosed with rheumatoid arthritis. Which intervention is most important to implement prior to administering this medication? Have another nurse check the prescription A 19-year-old male client who has sustained a severe head injury is intubated and placed on assisted mechanical ventilation. To facilitate optimal ventilation and prevent the client from Neostigmine bromide -- Neostigmine bromide and atropine sulfate, both anticholinergic drugs, reverse the respiratory muscle paralysis caused by pancuronium bromide

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"fighting" the ventilator, the health care provider administers pancuronium bromide IV, with adjunctive opioid analgesia. What medication should be immediately accessible for a potential complication with this drug? Which question should the nurse ask a client prior to the initiation of treatment with IV infusions of gentamicin sulfate? "Are you having difficulty hearing?" -- Complications of gentamicin sulfate therapy include ototoxicity, nephrotoxicity, and neurotoxicity. Determining if the client is hard of hearing prior to initiation of this aminoglycoside will be helpful as the treatment progresses and

NUR MISC Practice Exam Questions And Answers