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NSG 312 Exam 2
Terms in this set (32)
A nurse is teaching a client who has a new prescription for beclomethasone. Which of the following instructions should the nurse include?
A. "Rinse your mouth after each use of this medication."
B. "Limit fluid intake while taking this medication."
C. "Increase your intake of vitamin B12 while taking this medication."
D. "You can take this medication as needed."
A. The client should rinse her mouth after each use to reduce the risk of oral fungal infection
A nurse is providing instructions to a client who has a new prescription for albuterol and beclomethasone inhalers for the control of asthma. Which of the following instructions should the nurse include in the teaching?
A. Take the albuterol at the same time each day
B. Administer the albuterol inhaler prior to using the beclomethasone inhaler
C. Use beclomethasone if experiencing an acute episode
D. Avoid shaking the beclomethasone before use
B. When the client is prescribed an inhaled beta2-agonist (such as albuterol) and an inhaled glucocorticoid (such as beclomethasone) the client should take the beta2-agonist first because it promotes bronchodilation and enhances absorption of the glucocorticoid
A nurse is providing instructions to the parent of an adolescent client who has a new prescription for albuterol, PO. Which of the following instructions should the nurse include?
A. "You can take this medication to abort an acute asthma attack."
B. "Tremors are an adverse effect of this medication"
C. "Prolonged use of this medication can cause hyperglycemia."
D. "This medication can slow skeletal growth rate."
B. Tremors can occur due to excess stimulation of beta2 receptors on skeletal muscle
A nurse is teaching a client who has a prescription for long-term use of oral prednisone for treatment of chronic asthma. The nurse should instruct the client to monitor for which of the following adverse effects of this medication?
A. weight gain
A. Weight gain and fluid retention are adverse effects of oral prednisone due to the effect of sodium and water retention
A nurse is caring for a client who states she has been taking phenylephrine nasal drops for the past 10 days for sinusitis. The nurse should assess the client for which of the following adverse effects of this medication?
B. nasal congestion
C. productive cough
B. When used for over 5 days, rebound nasal congestion can occur when taking nasal sympathomimetic medications, such as phenylephrine
A nurse is teaching a client who has a new prescription for dextromethorphan to suppress a cough. The nurse should instruct th client to monitor for which of the following adverse effects of this medication?
C. Dextromethorphan can cause sedation. Advise the client to avoid activities that require alertness
A nurse is teaching the family of a child who has cystic fibrosis and a new prescription for acetylcsteine. Which of the following information should the nurse include in the instructions?
A. "Expect this medication to suppress your cough."
B. "Expect this medication to smell like rotten eggs."
C. "Expect this medication to cause euphoria."
D. "Expect this medication to turn your urine orange."
B. Acetylcysteine has a sulfur content that causes a rotten egg odor
A nurse is teaching a client who has a new prescription for diphenhydramine for allergic rhinitis. The nurse should instruct the client to monitor for which of the following adverse reactions of this medication? (Select all that apply)
A. dry mouth
B. nonproductive cough
c. skin rash
e. urinary hesitation
A, D, E
A nurse is teaching a client about the use of fluticasone to treat perennial rhinitis. Which of the following statements by the client indicates an understanding of the teaching?
A. "I should use the spray every 4 hours while I am awake."
B. "It can take as long as 3 weeks before the medication takes a maximum effect."
C. "This medication can also be used to treat motion sickness."
D. "I can use this medication when my nasal passages are blocked"
A nurse is caring for a client who is receiving daily doses of oprelvekin. Which of the following laboratory values should the nurse monitor to determine effectiveness of this medication?
b. absolute neutrophil count
c. platelet count
d. total white blood count
A nurse is preparing to administer filgrastim for the first time to a client who has just undergone a bone marrow transplant. Which of the following interventions is appropriate?
A. administer IM in a large muscle mass to prevent injury
b. ensure that the medication is refrigerated until just prior to administration
c. shake vial gently to mix well before withdrawing dose
d. discard vial after removing one dose of the medication
a nurse is monitoring a client who is receiving epoetin alfa for adverse effects. the nurse should identify which of the following findings as an adverse effect of this medication? (select all that apply)
d. blurred vision
a nurse is assessing a client who has chronic neutropenia and who has been receiving filgrastim. which of the following actions should the nurse take to assess for an adverse effect of filgrastim?
a. assess for bone pain
b. assess for right lower quadrant pain
c. auscultate for crackles in the bases of the lungs
d. auscultate the chest to listen for a heart murmur
a nurse is caring for a preschooler. which of the following is an expected behavior of a preschool-age child?
a. describing manifestations of illness
b. relating fears to magical thinking
c. understanding cause of illness
d. awareness of body functioning
a nurse on a pediatric unti is caring for a toddler. which of the following behaviors is an effect of hospitalization? (select all that apply)
a. believes the experience is a punishment
b. experiences separation anxiety
c. displays intense emotions
d. exhibits regressive behaviors
e. manifests disturbance in body image
b, c, d
a nurse is teaching an adolescent to self administer a corticosteroid medication using a metered dose inhaler (MDI). which of the following instructions should the nurse include? (select all that apply)
a. shake the device prior to use
b. rinse and expectorate after administration
c. inhale slowly with medication administration
d. exhale quickly after medication administration
e. wait 30 seconds between puffs
a nurse in the ED is assessing a newly admitted infant. which of the following findings is an early indication of hypoxemia?
a. nonproductive cough
d. nasal stuffiness
a nurse is caring for a child who is receiving oxygen. which of the following findings is an indication of oxygen toxicity?
a. increased blood pressure
c. decreased PaCO2
a nurse is caring for a child who is receiving bronchodilator medication by nebulizer aerosol therapy. which of the following actions should the nurse take? (select all that apply)
a. instruct the child that treatment will last 30 mins
b. obtain vital signs prior to procedure
c. tell the child to tale slow deep breaths
d. determine if the child should use a mask
e. attach the device to an air aource
b, c, d, e
a nurse is caring for a child with bronchiolitis. which of the following actions should the nurse take? (Select all that apply)
a. administer oral prednisone
b. initiate chest percussion and postural drainage
c. administer humidified oxygen
d. suction the nasopharynx as needed
e. administer oral penicillin
a nurse is teaching a group of parents about influenza. which of the following should the nurse include?
a. "amantadine will prevent the illness"
b. "rimantadine is administered IM"
c. "zanamivir can be given doc children 1 year and older"
d. "oseltamivir should be given within 48 hours of onset of symptoms"
a nurse is assessing a child who has epiglottitis. which of the following findings should the nurse expect? (select all that apply)
a. hoarseness and difficulty speaking
b. difficulty swallowing
c. low grade fever
e. dry, barking cough
a, b, d, f
nurse is assessing a child who has asthma. which of the following are indications of deterioration in the childs respiratory status? (select all that apply)
a. oxygen sat 95%
c. retraction of sternal muscles
d. warm extremeities
e. nasal flaring
nurse is reviewing the diagnostic findings for a preschool age child who is suspected of having cystic fibrosis. which of the following findings should the nurse identify as an indication of CF?
a. sweat chloride content 85 mEq/L
b. increased serum levels of fat soluble vitamins
c. 72 hr stool analysis sample indicating hard, packed stools
d. chest x-ray negative for atelactasis
nurse is admitting a child who has cystic fibrosis. which of the following medications should the nurse anticipate indulging in plan of care? (select all that apply)
c. fat soluble vitamins
e. dornase alfa
a nurse is performing an admission assessment for a child who has cystic fibrosis. which of the following findings should the nurse expect? *(select all that apply)
b. clubbing of fingers and toes
c. barrel-shaped chest
d. thin, watery mucus
e. rapid growth spurts
a nurse is providing discharge teaching for a child who has cystic fibrosis. which of the following instructions should the nurse include?
a. low calorie, low protein diet
b. pancreatic enzymes with meals and snacks
c. fluid restriction during times of infection
d. restrict physical activity
a nurse is providing discharge teaching to client with COPD and new prescription for albuterol. which of the following statements by the client indicates an understanding of the teaching?
a. med can increase blood sugar
b. med can decrease immune response
c. i can have an increase in my heart rate while taking this med
d. i can have mouth sores
nurse is preparing to administer a dose of new prescription of prednisone to COPD patient. nurse should monitor for which of the following adverse effects? (select all that apply)
c. fluid retention
e. black tarry stools
nurse is teaching a client who hanse prescription for ferrous sulfate. which info should include?
a. stools will be dark red
b. take w glass of milk
c. foods high in vitamin C will promote absorption
d. take for 14 days
nurse is providing discharge teaching to client who had a gastrectomy for stomach cancer. which info should include? (select all that apply)
a. monthly injection of vitamin b12 for rest of life
b. nasal spray form of vitamin b12 daily optional
c. oral supplement of b12 taken on daily can be option
d. increase intake of animal proteins, legumes, and dairy products to increase b12 in diet
e. add soy milk fortified w b12 to decrease risk of pernicious anemia
nurse in clinic receives phone call from client seeking info about new prescription for erythropoietin, which info should the nurse review w client?
a. client needs an erythrocyte sedimentation rate (ESR) test weekly
b. have hemoglobin checked twice a week
c. oxygen saturation levels monitored
d. folic acid production will increase
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