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Nursing Fundamentals introduces students to the foundational concepts and essential skills required in the nursing profession. This course covers basic patient care, safety practices, communication techniques, and the nursing process, emphasizing the development of critical thinking, ethical decision-making, and compassionate care. Through a combination of theoretical instruction and hands-on practice, students learn about vital signs monitoring, hygiene assistance, infection control, and documentation methods. The course also explores the legal and professional responsibilities of nurses, preparing students to deliver effective, patient-centered care in a variety of healthcare settings.
Recommended Textbook
Pharmacology A Patient Centered Nursing Process Approach 9th Edition by McCuistion
Available Study Resources on Quizplus
55 Chapters
927 Verified Questions
927 Flashcards
Source URL: https://quizplus.com/study-set/1185 Page 2

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23 Verified Questions
23 Flashcards
Source URL: https://quizplus.com/quiz/23475
Sample Questions
Q1) The nurse is enrolling subjects for a double-blind experimental study.One patient asks the nurse to explain the role of the experimental group.The nurse will explain that subjects in the experimental group in this type of study
A) are selected for participation in that group.
B) have unique baseline characteristics.
C) receive a placebo.
D) receive the treatment being evaluated.
Answer: D
Q2) Which is the characteristic of preclinical in vivo testing?
A) A comparison of experimental and control data in animals
B) A study conducted in a test tube in a laboratory
C) A study that determines the effects of the placebo in human participants
D) A study to assess the seriousness of the disease to be treated
Answer: A
Q3) Which law(s)govern all drug administration by nurses?
A) Drug Regulation and Reform Act
B) FDA Amendments Act
C) Nurse Practice Acts
D) The Controlled Substances Act
Answer: C
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46 Verified Questions
46 Flashcards
Source URL: https://quizplus.com/quiz/23476
Q1) The nurse is explaining to the patient why a nonspecific drug has so many side effects.Which statement by the patient indicates a need for further teaching?
A) "Non-specific drugs can affect specific receptor types in different body tissues."
B) "Non-specific drugs can affect a variety of receptor types in similar body tissues."
C) "Non-specific drugs can affect hormone secretion as well as cellular functions."
D) "Non-specific drugs require higher doses than specific drugs to be effective."
Answer: B
Q2) A patient has been taking warfarin (Coumadin),which is highly protein-bound.The patient will begin taking gemfibrozil,which is also highly protein-bound.The nurse will observe the patient closely for
A) decreased effects of warfarin.
B) increased effects of warfarin.
C) decreased effects of gemfibrozil.
D) decreased effects of both drugs.
Answer: B
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Page 4
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10 Verified Questions
10 Flashcards
Source URL: https://quizplus.com/quiz/23477
Sample Questions
Q1) The nurse is caring for a postoperative patient who is of Asian descent.The patient reports little relief from pain even while taking an opioid analgesic containing codeine and acetaminophen.What does the nurse suspect that this patient is exhibiting?
A) Drug-seeking behavior
B) Heightened pain perception
C) Poor understanding of expected drug effects
D) Rapid metabolism of one of the drug's components
Answer: D
Q2) The nurse notes that a patient of African-American descent who is taking an oral antihypertensive medication continues to have elevated blood pressure 3 months after beginning the medication regimen.The nurse suspects that the patient may be
A) consuming ethnic foods that interfere with absorption of the drug.
B) discarding the medication.
C) experiencing allergic reactions to the medication.
D) metabolizing the drug differently than expected.
Answer: D
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5
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15 Verified Questions
15 Flashcards
Source URL: https://quizplus.com/quiz/23478
Sample Questions
Q1) Which herbal remedies are often used for GI disorders?
A) Chamomile
B) Cinnamon
C) Echinacea
D) Ginger
E) Ginkgo Biloba
F) Peppermint
Q2) The nurse is providing preoperative education to a patient who will have surgery in several weeks.The patient denies taking anticoagulant medications but reports using herbal supplements.Which herb would cause the nurse to be concerned?
A) Echinacea
B) Ginkgo biloba
C) Kava
D) Sage
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6

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17 Verified Questions
17 Flashcards
Source URL: https://quizplus.com/quiz/23479
Sample Questions
Q1) The provider has ordered that vitamin D drops be given to a newborn.Based on the knowledge of drug distribution in infants,the nurse understands that the infant may need
A) a higher dose.
B) a lower dose.
C) less frequent dosing.
D) more frequent dosing.
Q2) The parent of a school-age child tells the nurse that the child often misses the midday dose of a medication because the child forgets to take it to school.What will the nurse suggest?
A) Asking the pharmacist to divide the prescription into two labeled packages
B) Discussing a different medication with the child's provider
C) Putting the bottle of pills in the child's lunchbox
D) Requesting permission for the child to come home from school during the day
Q3) What is NOT a challenge associated with over-the-counter (OTC)medication and the pediatric client?
A) Many OTC drugs have not been tested thoroughly in children.
B) OTC cough and cold medication contain a combination of ingredients.
C) Children's doses are often expressed in terms of age range.
D) OTC drugs should not be given to children under the age of 2.
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14 Verified Questions
14 Flashcards
Source URL: https://quizplus.com/quiz/23480
Sample Questions
Q1) The nurse is caring for an 80-year-old patient who is taking warfarin (Coumadin).Which action does the nurse understand is important when caring for this patient?
A) Encouraging the patient to rise slowly from a sitting position
B) Initiating a fall-risk protocol
C) Maintaining strict intake and output measures
D) Monitoring blood pressure frequently
Q2) An 80-year-old patient is being treated for an infection.An order for which type of antibiotic would cause concern for the nurse caring for this patient?
A) Aminoglycoside
B) Cephalosporin
C) Penicillin
D) Sulfonamide
Q3) The nurse is caring for an older patient who is taking 25 mg per day of hydrochlorothiazide.The nurse will closely monitor which lab value in this patient?
A) Coagulation studies
B) White blood count
C) LFTs
D) Serum potassium
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Page 8

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16 Verified Questions
16 Flashcards
Source URL: https://quizplus.com/quiz/23481
Sample Questions
Q1) A patient who has a long history of alcohol abuse is admitted to the hospital for detoxification.In addition to medications needed to treat withdrawal symptoms,the nurse will anticipate giving intravenous
A) dopamine to restore blood pressure.
B) fluid boluses to treat dehydration.
C) glucose to prevent hypoglycemia.
D) thiamine to treat nutritional deficiency.
Q2) A patient with asthma has been using a nicotine transdermal 24-hour patch for 3 weeks to quit smoking.The patient reports having difficulty sleeping.What action will the nurse take?
A) Ask the provider for a prescription for Nicotrol NS.
B) Recommend removing the patch at bedtime.
C) Suggest using an 18-hour patch instead.
D) Tell the patient to stop the patch and join a support group.
Q3) What does the nurse understand must occur in order to produce withdrawal syndrome?
A) Intoxication
B) Craving
C) Drug tolerance
D) Physical dependence
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15 Verified Questions
15 Flashcards
Source URL: https://quizplus.com/quiz/23482
Sample Questions
Q1) The nurse provides teaching about the sedative side effects of a medication ordered to be given at 8:00 PM daily.The patient works a 7:00 PM to 7:00 AM shift.The nurse explores options including taking the medication at 8:00 AM instead of in the evening.Which Quality and Safety Education for Nurses (QSEN)competency do the nurse's actions best demonstrate?
A) Collaboration and teamwork
B) Evidence-based practice
C) Patient-centered care
D) Patient safety
Q2) An adolescent patient who has acne is given a regimen of topical medications and an oral antibiotic that generally clears up lesions to fewer than 10 within 6 to 8 weeks.At a 2-month follow-up,the patient continues to have more than 25 lesions.The child's parent affirms that the child is using the medications as prescribed.Which evaluation statement is correct for this patient?
A) "Goal of fewer than 10 lesions in 6 to 8 weeks is not met."
B) "Goal that the medication will be effective is not met."
C) "Goal that the patient will take medications as prescribed is not met."
D) "Goal that the patient understands the medication regimen is not met."
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16 Verified Questions
16 Flashcards
Source URL: https://quizplus.com/quiz/23483
Sample Questions
Q1) Which is a violation of a nurse's right when administering medications?
A) A hospital policy for off-label drug uses
B) A medication preparation area at the unit secretary's desk
C) A multiple-dose drug vial requiring the nurse to calculate and measure the dose
D) A new drug ordered that the nurse must look up in a drug manual
Q2) The nurse is preparing to administer a chewable tablet to a preschool-age child.The child's parent reports always crushing the tablet and mixing it with pudding when giving it at home.What is the nurse's next action?
A) Ask the pharmacist if the drug may be crushed.
B) Crush the tablet and mix it with pudding.
C) Insist that the tablet must be chewed as ordered.
D) Request a liquid form of the medication from the pharmacy.
Q3) The pediatric nurse reviews a hand-written medication order,which reads,"09/16/2016,acetaminophen 160 mg (5 mL)PO q4h for fever." What will the nurse do next?
A) Administer the drug when indicated.
B) Ask the provider to confirm if the dose is correct for the patient's age.
C) Clarify the nursing assessments necessary for giving a dose.
D) Contact the provider to request patient allergy information.
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15 Verified Questions
15 Flashcards
Source URL: https://quizplus.com/quiz/23484
Sample Questions
Q1) A patient asks the nurse why the provider has ordered a transdermal form of a medication.How will the nurse respond?
A) "The patch can always be cut when dosage adjustments are needed."
B) "Drug levels fluctuate less with the patch."
C) "There are fewer systemic side effects with transdermal patches."
D) "There is less risk of toxicity when using a patch."
Q2) The nurse is demonstrating the Z-track injection technique to a nursing student on a patient who is receiving iron dextran.Which statement by the student indicates understanding of the teaching?
A) "This is necessary to prevent staining of the patient's skin."
B) "This technique allows slower, more sustained absorption."
C) "You may use the deltoid site when using this method."
D) "I should use a 27-gauge needle to minimize discomfort with this method."
Q3) A patient asks the nurse if an enteric-coated tablet can be crushed and put in pudding to make it easier to swallow.How will the nurse respond to the patient?
A) "Crushing the medication can lead to a possibly toxic medication dose."
B) "Crushing the medication is safe and can prevent gagging on pills."
C) "The tablet may be done if a small amount of pudding is used."
D) "The tablet may be dissolved in liquid but not crushed and put in food."
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Page 12
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22 Verified Questions
22 Flashcards
Source URL: https://quizplus.com/quiz/23485
Sample Questions
Q1) Serzone (nefazodone hydrochloride),PO: Day 1,200 mg in two divided doses; Day 8,400 mg in two divided doses.
Available: nefazodone hydrochloride 100 mg tablet
A) How many tablets will the patient receive on Day 1?
B) How many tablets will the patient receive per dose when ordered 100 mg in two divided doses?
C) How many tablets will the patient receive per dose when increased to 200 mg,b.i.d.?
Q2) doxycycline hyclate 100 mg,PO,first day q12h; then 100 mg,PO,daily
Available: doxycycline hyclate 100 mg tablets
A) How many tablet(s) will the patient receive the first day?
B) How many tablet(s) will the patient receive daily after the first day?
Q3) midazolam (Versed)3 mg,IM,STAT
Available: Versed 5 mg/1 mL
How many mL will be given?
Q4) trimethoprim-sulfamethoxazole (Bactrim) 160/800 mg, PO, b.i.d.
Available: Bactrim 80/400-mg tablets
How many tablets will be given per dose?
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25 Verified Questions
25 Flashcards
Source URL: https://quizplus.com/quiz/23486
Sample Questions
Q1) A patient is taking a thiazide diuretic and reports anorexia and fatigue.The nurse suspects which electrolyte imbalance in this patient?
A) Hypercalcemia
B) Hypocalcemia
C) Hyperkalemia
D) Hypokalemia
Q2) The nurse is caring for a patient who will receive 10% calcium gluconate to treat a serum potassium level of 5.9 mEq/L.The nurse performs a drug history prior to beginning the infusion.Which drug taken by the patient would cause concern?
A) Digitalis
B) Hydrochlorothiazide
C) Hydrocortisone
D) Vitamin D
Q3) A patient's serum osmolality is 305 mOsm/kg.Which term describes this patient's body fluid osmolality?
A) Iso-osmolar
B) Hypo-osmolar
C) Hyper-osmolar
D) Isotonic
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Page 14
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/23487
Sample Questions
Q1) A patient who spends most of the time indoors has been taking megadoses of vitamin D and is worried about vitamin D toxicity.The nurse will tell this patient to report which sign that may indicate vitamin D toxicity?
A) Blurred vision
B) Darkening of the skin
C) Nausea and vomiting
D) Palpitations
Q2) The nurse is caring for a patient who has a history of chronic alcohol abuse.The patient is confused and exhibits nystagmus and blurred vision.Which vitamin will the nurse expect to administer to this patient?
A) Nicotinic acid
B) Pyridoxine
C) Riboflavin
D) Thiamine
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15

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21 Verified Questions
21 Flashcards
Source URL: https://quizplus.com/quiz/23488
Sample Questions
Q1) The nurse is preparing to administer enteral nutrition to a patient.Which assessment finding would prompt the nurse to hold the nutrition and notify the patient's provider?
A) Blood pressure of 90/60 mm Hg
B) Decreased bowel sounds
C) A productive cough
D) A temperature of 37.8° C
Q2) The nurse is caring for a patient who is being treated with total parenteral nutrition (TPN).The patient is experiencing chest pain,and the nurse observes shortness of breath and coughing along with cyanosis.The nurse understands that this patient is most likely experiencing which condition?
A) Air embolism
B) Pneumonia
C) Pneumothorax
D) Pulmonary edema
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18 Verified Questions
18 Flashcards
Source URL: https://quizplus.com/quiz/23489
Sample Questions
Q1) The nurse is caring for a patient who has recently begun taking atenolol (Tenormin)to treat hypertension.The patient reports dizziness,nausea,vomiting,and decreased libido since beginning the medication.What will the nurse do?
A) Hold the next dose until the provider can be notified of these side effects.
B) Reassure the patient that these symptoms are common and not worrisome.
C) Recommend that the patient discuss these effects with the provider.
D) Suggest that the patient request a different beta-adrenergic blocker.
Q2) A patient is taking doxazosin mesylate (Cardura)1 mg/day to treat hypertension.The nurse notes a blood pressure of 110/72 mm Hg and a heart rate of 92 beats per minute.The nurse will contact the provider to discuss which change to the drug regimen?
A) Changing to a beta-adrenergic blocker
B) Decreasing the drug dose
C) Increasing the drug dose
D) Adding a diuretic
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18 Verified Questions
18 Flashcards
Source URL: https://quizplus.com/quiz/23490
Sample Questions
Q1) The nurse is preparing to administer the anticholinergic medication benztropine (Cogentin)to a patient who has Parkinson disease.The nurse understands that this drug is used primarily for which purpose?
A) To decrease drooling and excessive salivation
B) To improve mobility and muscle strength
C) To prevent urinary retention
D) To suppress tremors and muscle rigidity
Q2) The nurse is caring for a postoperative patient and notes that the patient received atropine sulfate preoperatively.Which assessment finding would prompt the nurse to notify the provider?
A) Absent bowel sounds
B) Drowsiness
C) Dry mouth
D) Heart rate of 78 beats per minute
Q3) Which cholinesterase inhibitor would be prescribed for a patient who has Alzheimer disease?
A) Ambenonium chloride (Mytelase)
B) Benztropine (Cogentin)
C) Donepezil HCl (Aricept)
D) Neostigmine methylsulfate (Prostigmin)
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13 Verified Questions
13 Flashcards
Source URL: https://quizplus.com/quiz/23491
Sample Questions
Q1) The parent of an adolescent who has taken methylphenidate 20 mg/day for 6 months for attention-deficit/hyperactivity disorder (ADHD)brings the child to clinic for evaluation of a recent onset of nausea,vomiting,and headaches.The parent expresses concern that the child seems less focused and more hyperactive than before.What will the nurse do next?
A) Ask the child whether the drug is being taken as prescribed.
B) Contact the provider to discuss increasing the dose to 30 mg/day.
C) Recommend taking the drug with meals to reduce gastrointestinal side effects.
D) Report signs of drug toxicity to the patient's provider.
Q2) The parent of a child who is taking amphetamine (Adderall)to treat attention-deficit/hyperactivity disorder (ADHD)asks the provider to recommend an over-the-counter medication to treat a cold.What will the nurse tell the parent?
A) "Avoid any products containing pseudoephedrine or caffeine."
B) "Never give over-the-counter medications with Adderall."
C) "Sudafed is a safe and effective decongestant."
D) "Use any over-the-counter medication from the local pharmacy."
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18 Verified Questions
18 Flashcards
Source URL: https://quizplus.com/quiz/23492
Sample Questions
Q1) A patient who has been taking butabarbital (Butisol)for several weeks reports being drowsy and having difficulty performing tasks at work most mornings.The nurse suspects that which drug effects have occurred?
A) Dependence
B) Hangover
C) Tolerance
D) Withdrawal
Q2) The nurse is caring for a patient in the post-anesthesia care unit and notes that the patient received isoflurane (Forane)to induce anesthesia.When will the nurse expect the patient to recover consciousness?
A) Immediately
B) In 15 to 30 minutes
C) In 1 hour
D) In hours
Q3) Children who experience nightmares have these during which stage of sleep?
A) Early morning sleep
B) Non rapid eye movement (NREM) sleep
C) Rapid eye movement (REM) sleep
D) Sleep induction
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Page 20
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21 Verified Questions
21 Flashcards
Source URL: https://quizplus.com/quiz/23493
Sample Questions
Q1) The nurse is providing teaching to the parents of a 5-year-old child who will begin taking phenytoin (Dilantin).What information will the nurse include when teaching these parents about their child's medication?
A) "Drug interactions are uncommon with phenytoin."
B) "There are very few side effects associated with this drug."
C) "The therapeutic range of phenytoin is between 15 and 30 mcg/mL."
D) "Your child may need a higher dose than expected."
Q2) A patient has recently begun taking carbamazepine (Tegretol)as an adjunct medication to treat refractory seizures.The patient has a serum carbamazepine level of 18 mcg/mL.What action will the nurse take?
A) Ask the patient about usual dietary preferences.
B) Reassure the patient that this is a therapeutic drug level.
C) Report a subtherapeutic drug dose to the provider.
D) Suspect a drug-drug interaction.
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21
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17 Verified Questions
17 Flashcards
Source URL: https://quizplus.com/quiz/23494
Sample Questions
Q1) An older patient exhibits a shuffling gait,lack of facial expression,and tremors at rest.The nurse will expect the provider to order which medication for this patient?
A) Carbidopa-levodopa (Sinemet)
B) Donepezil (Aricept)
C) Rivastigmine (Exelon)
D) Tacrine (Cognex)
Q2) A patient who has parkinsonism will begin taking selegiline HCl (Eldepryl)to treat symptoms.What information will the nurse include when teaching this patient about this drug?
A) "Avoid consuming foods that are high in tyramine."
B) "This drug will prevent the need to take levodopa."
C) "You may have red wine with dinner on occasion."
D) "You will not have serious drug interactions with this drug."
Q3) Which antiviral medication improves symptoms of Parkinson disease in some patients?
A) Acyclovir (Zovirax)
B) Amantadine HCl (Symmetrel)
C) Interferon (INF)
D) Zanamivir (Relenza)

22
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/23495
Sample Questions
Q1) Which muscle relaxant is used in surgery as a skeletal muscle relaxant?
A) Baclofen (Lioresal)
B) Chlorzoxazone (Parafon forte)
C) Pancuronium bromide (Pavulon)
D) Methocarbamol (Robaxin)
Q2) A patient reports weakness of the extremities and diplopia.The nurse knows that these symptoms are characteristic of which condition?
A) Cerebral palsy (CP)
B) Multiple sclerosis (MS)
C) Myasthenia gravis (MG)
D) Parkinson disease (PD)
Q3) The nurse is caring for a patient who has multiple sclerosis.The patient is experiencing an acute attack.Which drug does the nurse anticipate the provider will order?
A) Methylprednisolone (Solu-Medrol)
B) Mitoxantrone
C) Glatiramer acetate (Copaxone)
D) Interferon-B (IFN-B)
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18 Verified Questions
18 Flashcards
Source URL: https://quizplus.com/quiz/23496
Sample Questions
Q1) A family member of a patient who has been taking fluphenazine (Prolixin)for 3 months calls to report that the patient is exhibiting agitation and restlessness.The nurse learns that the patient's delusional thinking and hallucinations have stopped since taking the medication.The nurse will perform which action?
A) Reassure the family member that tolerance to these side effects will subside over time.
B) Remind the family member that complete drug effects may not occur for several more weeks.
C) Suggest that the family member contact the provider to discuss an order for a benzodiazepine.
D) Tell the family member to withhold the medication and notify the patient's provider.
Q2) The parent of a young adult who has schizophrenia is concerned that the patient spits out pills that are given.The nurse will suggest contacting the patient's provider to discuss which intervention?
A) Changing to a liquid form of the mediation
B) Providing a home health nurse to supervise medication administration
C) Teaching the patient the importance of taking the medication
D) Weekly intramuscular injections of the medication
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20 Verified Questions
20 Flashcards
Source URL: https://quizplus.com/quiz/23497
Sample Questions
Q1) A patient who has had a loss of interest in most activities,weight loss,and insomnia is diagnosed with a major depressive disorder and will begin taking fluoxetine (Prozac)daily.The patient asks about the weekly dosing that a family member follows.What will the nurse tell the patient about a weekly dosing regimen?
A) It can be used after daily maintenance dosing proves effective and safe.
B) It is used after a trial of tricyclic antidepressant medication fails.
C) It is not effective for this type of depression and its symptoms.
D) It will cause more adverse effects than daily dosing regimens.
Q2) A patient has been taking sertraline (Zoloft)20 mg/mL oral concentrate,1 mL daily for several weeks and reports being unable to sleep well.What will the nurse do next?
A) Ask the patient what time of day the medication is taken.
B) Counsel the patient to take the medication at bedtime.
C) Recommend asking the provider about weekly dosing.
D) Suggest that the patient request a lower dose.
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19 Verified Questions
19 Flashcards
Source URL: https://quizplus.com/quiz/23498
Sample Questions
Q1) A nursing student asks how nonsteroidal antiinflammatory drugs (NSAIDs)work to suppress inflammation and reduce pain.The nurse will explain that NSAIDs
A) exert direct actions to cause relaxation of smooth muscle.
B) inhibit cyclooxygenase that is necessary for prostaglandin synthesis.
C) interfere with neuronal pathways associated with prostaglandin action.
D) suppress prostaglandin activity by blocking tissue receptor sites.
Q2) The nurse is teaching a patient about taking colchicine to treat gout.What information will the nurse include when teaching this patient about this drug?
A) Avoid all alcohol except beer.
B) Include salmon in the diet.
C) Increase fluid intake.
D) Take on an empty stomach.
Q3) Which antigout medication is used to treat chronic tophaceous gout?
A) Allopurinol (Zyloprim)
B) Colchicine
C) Probenecid (Benemid)
D) Sulfinpyrazone (Anturane)
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18 Verified Questions
18 Flashcards
Source URL: https://quizplus.com/quiz/23499
Sample Questions
Q1) The nurse is evaluating a patient 2 hours after giving a dose of 30 mg of codeine with acetaminophen for postoperative pain after abdominal surgery.The patient reports a pain level of 7 on a scale of 1 to 10.The nurse notes a heart rate of 110 beats per minute,a respiratory rate of 28 breaths per minute,and a blood pressure of 180/90 mm Hg.Which action will the nurse take?
A) Administer the next dose of codeine 1 hour early.
B) Ask the provider if the codeine dose can be increased.
C) Contact the provider to ask if a dose of ibuprofen may be given now.
D) Request an order for oxycodone with acetaminophen (Percocet).
Q2) A postoperative patient has a history of opioid abuse.Which analgesic medication will the nurse expect the provider to order for this patient?
A) Buprenorphine (Buprenex)
B) Butorphanol tartrate (Stadol)
C) Naloxone (Narcan)
D) Pentazocine (Talwin)
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48 Verified Questions
48 Flashcards
Source URL: https://quizplus.com/quiz/23500
Sample Questions
Q1) The nurse is preparing to administer amoxicillin (Amoxil)to a patient and learns that the patient previously experienced a rash when taking penicillin.Which action will the nurse take?
A) Administer the amoxicillin and have epinephrine available.
B) Ask the provider to order an antihistamine.
C) Contact the provider to discuss using a different antibiotic.
D) Request an order for a beta-lactamase resistant drug.
Q2) A patient who is taking trimethoprim-sulfamethoxazole (TMP-SMX)calls to report developing an all-over rash.The nurse will instruct the patient to perform which action?
A) Increase fluid intake.
B) Take diphenhydramine.
C) Stop taking TMP-SMX immediately.
D) Continue taking the medication.
Q3) A patient is receiving high doses of a cephalosporin.Which laboratory values will this patient's nurse monitor closely?
A) Blood urea nitrogen (BUN), serum creatinine, and liver function tests
B) Complete blood count and electrolytes
C) Serum calcium and magnesium
D) Serum glucose and lipids
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27 Verified Questions
27 Flashcards
Source URL: https://quizplus.com/quiz/23501
Sample Questions
Q1) A patient who has AIDS is at risk to contract aspergillosis.The nurse will anticipate that which antifungal medication will be ordered prophylactically for this patient?
A) Metronidazole (Flagyl)
B) Micafungin (Mycamine)
C) Posaconazole (Noxafil)
D) Voriconazole (Vfend)
Q2) Which person should be treated with prophylactic antitubercular medication?
A) A child who attends the same school with a child who has tuberculosis
B) A nurse who is working in a hospital
C) An individual who is HIV-positive with a negative TB skin test
D) A patient who has close contact with someone who has tuberculosis
Q3) The patient has been ordered treatment with rimantadine (Flumadine).The patient has renal impairment.The nurse anticipates what change to the dose of medication?
A) Increased
B) Decreased
C) Unchanged
D) Held
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Source URL: https://quizplus.com/quiz/23502
Sample Questions
Q1) A patient is preparing to travel to a country with prevalent malaria.To prevent contracting the disease,the provider has ordered chloroquine HCl (Aralen).The nurse will instruct the patient to take this drug according to which schedule?
A) 500 mg weekly beginning 2 weeks prior to travel and continuing for 4 to 8 weeks after travel
B) 1000 mg weekly beginning 2 weeks prior to travel and continuing for 6 to 8 weeks after travel
C) 500 mg once followed by 500 mg per dose in 6 hours, 24 hours, and 48 hours
D) 1000 mg once followed by 500 mg per dose in 6 hours, 24 hours, and 48 hours
Q2) Which topical antifungal medication is used to treat vaginal candidiasis?
A) Haloprogin (Halotex)
B) Miconazole (Monistat)
C) Oxiconazole (Oxistat)
D) Terbinafine HCl (Lamisil)
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Source URL: https://quizplus.com/quiz/23503
Sample Questions
Q1) A patient who is HIV-infected takes 800 mg of indinavir (Crixivan),a protease inhibitor medication.The provider has ordered adding ritonavir (Norvir)to the regimen.The nurse will teach the patient that the addition of ritonavir
A) allows decreasing the dosing from 3 times daily to twice daily.
B) can lead to increased cholesterol and triglycerides.
C) may worsen insulin resistance.
D) will require increased dietary restrictions.
Q2) The nurse is caring for a patient who is HIV-positive and has been receiving antiretroviral therapy for several months.The nurse experiences a needlestick injury resulting in exposure to the patient's blood.The nurse asks the Occupational Health nurse if treatment is necessary.How will the Occupational Health nurse respond?
A) "No treatment is necessary since the patient is receiving antiretroviral therapy."
B) "We will treat you if the patient's VL is greater than 20 copies/mL."
C) "You will require 4 weeks of antiretroviral therapy."
D) "You will undergo HIV testing and will be treated if you are positive."
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6 Verified Questions
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Source URL: https://quizplus.com/quiz/23504
Sample Questions
Q1) The nurse is teaching a patient who will begin taking basiliximab in conjunction with a kidney transplant.The patient asks why this therapy is needed.The nurse will explain that with this therapy
A) the immune system is boosted.
B) the drug is taken by mouth before and after the transplant surgery.
C) nausea, vomiting, fever, and chills are common side effects.
D) it is safe to become pregnant.
Q2) A patient who has had an organ transplant is prescribed cyclosporine for maintenance therapy.Which statement by the patient indicates further teaching is needed?
A) "The provider may change the dose of the medication after getting the lab results."
B) "I can mix this medication with juice."
C) "I have to avoid getting the nasal spray FluMist."
D) "I will take the medication each morning at 8 A.M."
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Source URL: https://quizplus.com/quiz/23505
Sample Questions
Q1) The nurse is discussing vaccines with the mother of a 4-year-old child who attends a day care center that requires the diphtheria,tetanus,acellular pertussis (DTaP)vaccine.The mother,who is pregnant,tells the nurse that she does not want her child to receive the pertussis vaccine because she has heard that the disease is "not that serious" in older children.What information will the nurse include when discussing this with the mother?
A) If she gets the vaccine, both she and her 4-year-old child will be protected.
B) If the 4-year-old child contracts pertussis, it can be passed on to her newborn.
C) The vaccine will not be given to her child while she is pregnant.
D) Vaccinating the 4-year-old will provide passive immunity for her unborn child.
Q2) A 48-month-old child is scheduled to receive the following vaccines: MMR,Varivax,IPV,and DTaP.The child's parents want the child to receive two vaccines today and the other two in 1 week.To accommodate the parents' wishes,the nurse will administer
A) the DTaP and Varivax today and the MMR and IPV in 1 week.
B) the IPV and MMR today and the Varivax and DTaP in 1 week.
C) the MMR and DTaP today and the Varivax and IPV in 1 week.
D) the MMR and Varivax today and the DTaP and IPV in 1 week.
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Sample Questions
Q1) A patient who has cancer is about to begin chemotherapy.The patient asks the nurse why two chemotherapeutic agents are being used instead of just one.Which response by the nurse is correct?
A) "The drugs may be given in less toxic doses if two drugs are used."
B) "Two agents used together can have synergistic effects."
C) "Use of two drugs will increase tumoricidal activity in the G<sub>0</sub> phase of the cell."
D) "Using two agents will shorten the length of time chemotherapy is needed."
Q2) A patient who is about to begin chemotherapy asks the nurse when the risk of infection is highest.The nurse will tell the patient that infection risk is greatest at which point?
A) A week to 10 days after each chemotherapy dose
B) During the week immediately after chemotherapy
C) Immediately prior to each dose of chemotherapy
D) When the patient's temperature is elevated by 1° F
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Sample Questions
Q1) The nurse is performing a history on a patient who will begin taking bevacizumab (Avastin).Which aspect of the patient's history should be reported to the oncologist treating this patient?
A) History of hepatitis
B) Hypertension
C) Recent surgical history
D) Weight loss
Q2) A patient who is taking the tyrosine kinase inhibitor sunitinib (Sutent)calls to report red,painful,and swollen palms and soles of feet.The nurse will perform which action?
A) Notify the patient's provider of this adverse reaction.
B) Reassure the patient that these are common side effects.
C) Recommend taking acetaminophen for discomfort.
D) Suggest taking diphenhydramine to help with the swelling.
Q3) The patient asks the nurse what apoptosis means.The nurse will explain that apoptosis refers to
A) alteration of cellular functions.
B) inhibition of cell division.
C) prevention of cell phase progression.
D) slow, planned cellular death.
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Sample Questions
Q1) A patient is receiving bone marrow transplantation for cancer and receives filgrastim (Neupogen).The patient reports abdominal pain in the left upper quadrant.The nurse will perform which action?
A) Administer acetaminophen 650 mg.
B) Administer an antiemetic medication.
C) Report a potentially life-threatening event.
D) Request an order for cardiac enzyme levels.
Q2) A patient who has cancer will begin treatment with a colony-stimulating factor.The patient verbalizes understanding of this drug's action with which statement?
A) "This drug allows higher doses of chemotherapy."
B) "This drug has antitumor activity."
C) "This drug has cytotoxic effects."
D) "This drug has antiviral effects."
Q3) A patient with cancer is receiving aldesleukin.The patient reports black stools,which the nurse recognizes as
A) a sign of cancer metastasis.
B) an indication of gastrointestinal bleeding.
C) caused by inadequate hydration.
D) renal failure.
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Source URL: https://quizplus.com/quiz/23509
Sample Questions
Q1) A patient who has a nonproductive cough will begin taking guaifenesin to help with secretions.When teaching this patient about the medication,the nurse will provide which instruction?
A) "Avoid driving or using heavy machinery."
B) "Drink extra water while taking the medication."
C) "Monitor urine output closely."
D) "Take with an oral antihistamine for better effects."
Q2) A patient arrives in the emergency department after developing a rash,runny nose,and sneezing after eating strawberries.What action will the nurse expect to take first?
A) Administer diphenhydramine.
B) Administer epinephrine.
C) Assess for urinary retention.
D) Assess heart rate, respiratory rate, and lung sounds.
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Sample Questions
Q1) The nurse is teaching a patient who will begin taking oral theophylline (Theo-Dur)when discharged home from the hospital.What information will the nurse include when teaching the patient about this drug?
A) An extra dose should be taken when symptoms worsen.
B) Anorexia and gastrointestinal upset are unexpected side effects.
C) Avoid caffeine while taking this medication.
D) Food will decrease the amount of drug absorbed.
Q2) A patient will begin using an albuterol metered-dose inhaler to treat asthma symptoms.The patient asks the nurse about the difference between using an oral form of albuterol and the inhaled form.The nurse will explain that the inhaled form of albuterol
A) has a more immediate onset than the oral form.
B) may cause more side effects than the oral preparation.
C) requires an increased dose in order to have therapeutic effects.
D) will not lead to tolerance with increased doses.
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Source URL: https://quizplus.com/quiz/23511
Sample Questions
Q1) A patient who takes digoxin to treat HF will begin taking a vasodilator.The patient asks the nurse why this new drug has been ordered.The nurse will explain that the vasodilator is used to
A) decrease ventricular stretching.
B) improve renal perfusion.
C) increase cardiac output.
D) promote peripheral fluid loss.
Q2) A patient who has been taking nitroglycerin for angina has developed variant angina,and the provider has added verapamil (Calan)to the patient's regimen.The nurse will explain that verapamil is given for which purpose?
A) To facilitate oxygen use by the heart
B) To improve renal perfusion
C) To increase cardiac contractility
D) To relax coronary arteries
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Sample Questions
Q1) The nurse is caring for a patient who is to begin receiving a thiazide diuretic to treat heart failure.When performing a health history on this patient,the nurse will be concerned about a history of which condition?
A) Asthma
B) Glaucoma
C) Gout
D) Hypertension
Q2) The nurse notes a blood pressure of 160/90 mm Hg in a patient taking a thiazide diuretic.The patient reports taking an herbal medication that a friend recommended.Which herbal product is likely,given this patient's blood pressure?
A) Ginkgo
B) Hawthorne
C) Licorice
D) St. John's wort
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Source URL: https://quizplus.com/quiz/23513
Sample Questions
Q1) A patient is diagnosed with borderline hypertension and states a desire to make lifestyle changes to avoid needing to take medication.The nurse will recommend which changes?
A) Changing from weight bearing exercise to yoga
B) Decreased fluid intake and increased potassium intake
C) Stress reduction and increased protein intake
D) Weight reduction and decreased sodium intake
Q2) A 65-year-old patient has a blood pressure of 155/95 mm Hg.The nurse understands that with treatment,the goal for this patient's blood pressure is
A) 120/80 mm Hg
B) 130/89 mm Hg
C) 140/90 mm Hg
D) 150/90 mm Hg
Q3) The nurse is caring for a patient who experiences a rapid rise in blood pressure.The nurse will contact the provider to discuss administering which medication?
A) Amlodipine (Norvasc)
B) Nifedipine (Procardia)
C) Nifedipine extended release (Procardia XL)
D) Verapamil (Calan)
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18 Verified Questions
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Source URL: https://quizplus.com/quiz/23514
Sample Questions
Q1) The nurse is assessing a patient prior to administering thrombolytic therapy.Which is an important assessment for this patient?
A) Determining whether the patient has a history of diabetes
B) Finding out about a history of renal disease
C) Assessing which medications are taken for discomfort
D) Assessing whether the patient eats green, leafy vegetables
Q2) The nurse is caring for a postoperative patient who is receiving alteplase tPA (Activase)after developing a blood clot.The nurse notes a heart rate of 110 beats per minute and a blood pressure of 90/60 mm Hg.The nurse will perform which action?
A) Ask the patient about itching or shortness of breath.
B) Assess the surgical dressing for bleeding.
C) Evaluate the patient's urine output and fluid intake.
D) Recheck the patient's vital signs in 15 minutes.
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Sample Questions
Q1) A patient with high cholesterol is ordered to take atorvastatin (Lipitor).What information will be included in the patient teaching?
A) Dietary management is not a priority with this medication.
B) The medication should be taken on an empty stomach.
C) The medicine should be taken with a full glass of water.
D) The patient should watch for body aches or gastrointestinal upset as side effects.
E) The patient should have renal function tests frequently.
F) The patient should have liver function tests frequently.
Q2) A patient will begin taking rosuvastatin calcium (Crestor)to treat hyperlipidemia.The patient asks the nurse how to take the medication for best effect.Which statement by the nurse is correct?
A) "Increase your fluid intake while taking this medication."
B) "Stop taking the medication if you develop muscle aches."
C) "Take the medication with food to improve absorption."
D) "You may increase dietary fat while taking this medication."
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19 Verified Questions
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Source URL: https://quizplus.com/quiz/23516
Sample Questions
Q1) A patient asks the nurse about using loperamide (Imodium)to treat infectious diarrhea.Which response will the nurse give?
A) "Loperamide results in many central nervous system (CNS) side effects."
B) "Loperamide has no effect on infectious diarrhea."
C) "Loperamide is taken once daily."
D) "Loperamide may prolong the symptoms."
Q2) A child is brought to the emergency department after ingestion of a toxic substance.The child is alert and conscious and is reported to have ingested kerosene 20 minutes prior.The nurse will anticipate administering
A) activated charcoal.
B) an anticholinergic antiemetic.
C) gastric lavage.
D) syrup of ipecac.
Q3) An appropriate goal when teaching a patient who has diarrhea is that the patient
A) will have less frequent, more formed stools.
B) will not have a stool for 1 to 2 days.
C) will receive adequate intravenous fluids.
D) will receive appropriate antibiotic therapy.
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Source URL: https://quizplus.com/quiz/23517
Sample Questions
Q1) A patient reports experiencing flatulence and abdominal distension to the nurse.Which over-the-counter medication will the nurse recommend?
A) Alka-Seltzer
B) Maalox
C) Mylicon
D) Tums
Q2) A patient who has been instructed to use a liquid antacid medication to treat gastrointestinal upset asks the nurse about how to take this medication.What information will the nurse include when teaching this patient?
A) Take a laxative if constipation occurs.
B) Take 60 minutes after meals and at bedtime.
C) Take with at least 8 ounces of water to improve absorption.
D) Take with milk to improve effectiveness.
Q3) Which antacid is likely to cause acid rebound?
A) Aluminum hydroxide
B) Calcium carbonate
C) Magnesium hydroxide
D) Magnesium trisilicate
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Source URL: https://quizplus.com/quiz/23518
Sample Questions
Q1) The parent of a toddler asks the nurse what can be done to prevent otitis media.What will the nurse recommend?
A) Administer diphenhydramine when the child has a runny nose.
B) Give phenylephrine (Neo-Synephrine Ophthalmic) to prevent congestion.
C) Keep the child's immunizations up to date.
D) Remove cerumen with carbamide peroxide (Auro Ear Drops).
Q2) The nurse is administering timolol (Timoptic)eye drops to a patient who has glaucoma.To prevent bradycardia,the nurse will perform which action?
A) Apply pressure to the lacrimal ducts.
B) Have the patient sit up after instilling the drops.
C) Prepare to administer an alpha-adrenergic agonist.
D) Wait 5 minutes between drops.
Q3) The nurse administers proparacaine HCl (Ophthaine)drops to a patient prior to an eye examination.What sign will the nurse look for to determine when the examination can begin?
A) Absence of the blink reflex
B) Blurred vision
C) Drying of the corneal epithelium
D) Photophobia
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13 Verified Questions
13 Flashcards
Source URL: https://quizplus.com/quiz/23519
Sample Questions
Q1) The nurse is teaching a female patient who will begin taking isotretinoin (Amnesteem)to treat severe cystic acne.Which statement by the patient indicates understanding of the teaching?
A) "I may get a 3-month supply of the medication with each refill."
B) "I must abstain from intercourse while taking this drug."
C) "I should avoid strenuous exercise when I am taking this medication."
D) "I should take a vitamin A supplement while I am taking the medication."
Q2) The nurse is teaching a group of adolescents about sun protection.What information will the nurse include when teaching this group?
A) Effective sunscreens guard against melanoma and basal cell carcinoma.
B) SPF numbers indicate UVB protection, and UVA protection is assumed for all products.
C) SPF ratings are proportional to the amount of UVB radiation that they block.
D) Sunscreen products of all SPF ratings will protect for 2 hours if not exposed to moisture.
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Source URL: https://quizplus.com/quiz/23520
Sample Questions
Q1) The parents of an 11-year-old boy ask about growth hormone therapy for their child,who is shorter than his 10-year-old sister.The nurse will tell the parents that growth hormone
A) does not affect other hormones when given.
B) is available as an oral tablet to be taken once daily.
C) is given after tests prove that it is necessary.
D) may be given until the child's desired height is reached.
Q2) A patient is taking prednisolone and fludrocortisone (Florinef).When teaching this patient about dietary intake,the nurse will instruct the patient to consume a diet
A) high in carbohydrates.
B) high in fat.
C) high in protein.
D) low in potassium.
Q3) Which would be a contraindication for hormone therapy with somatropin (Genotropin)in a school-age child?
A) Asthma
B) Dwarfism
C) Enuresis
D) Prader-Willi syndrome

Page 48
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19 Flashcards
Source URL: https://quizplus.com/quiz/23521
Sample Questions
Q1) A 45-year-old patient who is overweight has had a diagnosis of type 2 diabetes for 2 years.The patient uses 20 units of insulin per day.The patient's fasting blood glucose (FBG)is 190 mg/dL.The patient asks the nurse about using an oral antidiabetic agent.The nurse understands that oral antidiabetic agents
A) cannot be used if the patient is overweight.
B) cannot be used once a patient requires insulin.
C) may be used since this patient meets criteria.
D) may not be used since this patient's fasting blood glucose is too high.
Q2) A patient who has insulin-dependent diabetes mellitus must take a glucocorticoid medication for osteoarthritis.When teaching this patient,the nurse will explain that there may be a need to
A) decrease the glucocorticoid dose.
B) decrease the insulin dose.
C) increase the glucocorticoid dose.
D) increase the insulin dose.
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Sample Questions
Q1) An older woman has urgent urinary incontinence related to an overactive bladder.Which medication does the nurse expect the provider to order?
A) Dimethylsulfoxide (DMSO)
B) Flavoxate (Urispas)
C) Phenazopyridine HCl (Pyridium)
D) Tolterodine tartrate (Detrol)
Q2) The nurse is caring for a hospitalized patient who has symptoms characteristic of pyelonephritis.Before administering the first dose of the intravenous antibiotic,the nurse will ensure that which action is performed?
A) An antipyretic is administered.
B) A dose of oral antibiotic is given.
C) A urinary analgesic is given.
D) A urine culture is obtained.
Q3) Which side effects are common to most urinary antiseptics?
A) Dyspnea and chest pain
B) Nausea and vomiting
C) Peripheral neuritis
D) Visual disturbances
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Source URL: https://quizplus.com/quiz/23523
Sample Questions
Q1) The nurse is caring for a woman who is in labor and has a blood pressure of 180/98 mm Hg with proteinuria of 400 mg/24 h.The woman is receiving magnesium sulfate.The woman becomes lethargic with slurring of her speech and decreased muscle tone.Her serum magnesium sulfate level is 11 mEq/L.The nurse recognizes which condition in this patient?
A) Abruptio placenta
B) Hypertensive crisis
C) Impending eclampsia
D) Magnesium toxicity
Q2) The nurse is teaching a woman who is pregnant about iron supplementation.Which statement by the woman indicates understanding of the teaching?
A) "I may take the iron with an antacid to reduce gastrointestinal upset."
B) "I should drink a glass of milk with iron to increase absorption."
C) "I should take the iron supplement with a glass of orange juice."
D) "I will stop taking the iron if my stools turn black and tarry."
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Source URL: https://quizplus.com/quiz/23524
Sample Questions
Q1) The nurse is caring for an infant who is 2 days postpartum and notes that the infant has a poor sucking response.The nurse reviews the delivery record and will likely note that which drug was given to the mother during labor?
A) Butorphanol tartrate (Stadol)
B) Fentanyl (Sublimaze)
C) Nalbuphine (Nubain)
D) Secobarbital (Seconal)
Q2) When teaching a postpartal patient about the use of mineral oil as a laxative,the nurse will explain that mineral oil
A) does not have serious side effects.
B) is safe to take with other laxatives.
C) may be taken with food.
D) should be mixed with juice or soda.
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Sample Questions
Q1) The nurse prepares to assist with beractant (Survanta)administration to an infant who is intubated and mechanically ventilated.After removing the drug from the refrigerator,the nurse will perform which action?
A) Heat the drug in a warmer.
B) Discard the vial if the product appears light brown.
C) Shake the vial and draw up the drug dose.
D) Warm the vial by hand for 8 min.
Q2) The nurse is caring for a newborn infant whose mother is HBsAg-negative.The nurse expects to give the infant
A) hepatitis B immune globulin.
B) hepatitis B immune globulin and hepatitis B vaccine 12 h later.
C) no vaccines.
D) recombinant hepatitis B vaccine.
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Source URL: https://quizplus.com/quiz/23526
Sample Questions
Q1) A woman who has menorrhagia is prescribed ibuprofen,and she asks the nurse how a pain medication can decrease uterine bleeding.The nurse will explain that this is most likely explained by ibuprofen's effects on
A) estrogen levels.
B) platelet aggregation.
C) prostaglandin production.
D) uterine endometrium.
Q2) A woman comes to the clinic for a Depo-Provera injection.The nurse reviews her medical record and notes that it has been 100 days since her last injection.What action will the nurse perform?
A) Administer Depo-Provera 150 mg IM
B) Give Depo-Provera 300 mg IM
C) Perform a pregnancy test
D) Suggest she wait until she has had a period.
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Sample Questions
Q1) The nurse provides teaching to a man who will begin using an Androderm testosterone patch.Which statement by the patient indicates understanding of the teaching?
A) "I may stop using Androderm when my serum testosterone is normal."
B) "I should apply this to any skin other than the scrotum or bony areas."
C) "I will apply two skin patches every morning after a shower."
D) "My serum testosterone will continue to rise with each day of use."
Q2) A patient will begin taking finasteride (Propecia)to treat benign prostatic hypertrophy (BPH)and asks the nurse how long the medication will be necessary.The nurse will tell the patient that he will need to take this medication for how long?
A) 6 months
B) 12 months
C) Indefinitely
D) Until symptoms resolve
Q3) The oral antiandrogen drug flutamide (Eulexin)is used to treat which condition?
A) Benign prostatic hypertrophy (BPH)
B) Breast cancer
C) Male-pattern baldness
D) Metastatic prostate cancer
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Source URL: https://quizplus.com/quiz/23528
Sample Questions
Q1) A woman is diagnosed with gonorrhea and asks the nurse about treatment.Which statement will the nurse include in teaching?
A) "Ceftriaxone IM is prescribed."
B) "Erythromycin ointment is prescribed."
C) "IM ceftriaxone and oral azithromycin are prescribed."
D) "Oral doxycycline is prescribed."
Q2) A woman is diagnosed with bacterial vaginosis and will begin taking metronidazole (Flagyl).What will the nurse teach the patient about this medication?
A) "Abstain from sexual intercourse while taking this medication."
B) "Do not consume alcohol while taking this drug and for 48 hours after finishing the prescription."
C) "Take this medication on an empty stomach to increase absorption."
D) "Topical preparations are ineffective for treating bacterial vaginosis."
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Source URL: https://quizplus.com/quiz/23529
Sample Questions
Q1) A patient with suspected myocardial infarction is seen in the emergency department.The nurse is preparing to administer 325 mg of aspirin.The nurse will perform which action?
A) Administer an enteric-coated tablet.
B) Ask the patient to chew the tablet.
C) Give the tablet with a small sip of water.
D) Place the tablet under the patient's tongue.
Q2) An 18-month-old toddler is in the emergency department with poor feeding and lethargy.The nurse assesses a rapid,thready pulse,which is too fast to count.The nurse will expect the provider to order which medication to treat this condition?
A) Adenosine
B) Albuterol
C) Atropine
D) Theophylline
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