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23 Cards in this Set

  • Front
  • Back
A 70-year-old woman who is on long-term ibuprofen therapy for osteoarthritis has returned to the clinic for her regular 6-month visit. In the last couple of months, she has been having increasing periods of abdominal pain. The nurse suspects that this pain may be related to:

A.


B. Peptic ulcer disease or gastritis


C.


D.

B. Peptic Ulcer Disease or Gastritis

A 70-year-old female presents with a hip fracture secondary to osteoporosis. This condition is caused by an increase in bone:

A.


B.


C.Resorption


D.

C. Resorption

The physician has ordered a change of prescription from rapid-acting insulin to an intermediate-acting type. Which of the following adverse effects must the nurse closely monitor for in the patient?

A.


B.


C. Hypoglycemia


D.


C. Hypoglycemia

A 34-year-old female was recently diagnosed with rheumatoid arthritis (RA). Physical examination revealed that inflammation started in the:

A.Synovial membrane


B.


C.


D.

A. Synovial Membrane

A 5-year-old female was diagnosed with seropositive juvenile rheumatoid arthritis (RA). The treatment option for this disease is termed:

A. Supportive


B.


C.


D.

A. Supportive

A 76-year-old female was diagnosed with osteoporosis by radiologic exam. She is at high risk for:

A.


B.


C. Pathologic bone fractures


D.

C. Pathologic Bone Fractures

A nurse recalls insulin has an effect on which of the following groups of electrolytes?

A.


B.


C.


D. Potassium, magnesium, phosphate

D. Potassium, Magnesium, Phosphate

A 30-year-old male is diagnosed with a hormone-secreting tumor of the pancreas alpha cells. Which of the following would the nurse expect to be most likely increased in this patient?

A.


B.Glucagon


C.


D.


B. Glucagon

A nurse is working with a 57-year-old man who is a former intravenous drug abuser. He has been prescribed a weekly dosage of methotrexate for his rheumatoid arthritis. Which of the following recommendations will the nurse include in her teaching plan for this patient?

A.


B.Drink plenty of water every day


C.


D.

B. Drink Plenty Of Water Every Day

A 65-year-old woman has an advanced form of rheumatoid arthritis. Her treatment includes a regular dosage of methotrexate. The nurse will advise her to take which of the following vitamin supplements while taking the drug?

A.


B.Vitamin B


C.


D.

B. Vitamin B

A 15-year-old female presents with breast discharge, dysmenorrhea, and excessive excitability. Tests reveal that all her pituitary hormones are elevated. What does the nurse suspect as the most likely cause for these assessment findings?

A. A pituitary adenoma


B.


C.


D.

A. A Pituitary Adenoma

A patient with diabetes has had a cough for 1 week and has been prescribed a cough syrup (an expectorant). What special instructions should the nurse include in the patient teaching for this situation?

A.


B.


C.Monitor glucose levels closely


D.

C. Monitor Glucose Levels Closely

A nurse has been invited to speak to a support group for persons with movement disorders and their families. Which of the following statements by the nurse addresses the chronic nature of these diseases and the relevant drug therapies?

A.


B.“Drugs do not cure these disorders; they instead enhance quality of life.”


C.


D.


A patient has been prescribed an oral drug that is known to have a high first-pass effect. Which of the following measures has the potential to increase the amount of free drug that is available to the body cells?


A. Giving the drug with food in order to delay absorption.


B. Administering the drug in small, frequent doses


C. Limiting the patient's protein intake and encouraging fluids


D. Administering the drug intravenously rather than orally




A nurse is caring for a patient who has recently moved from Vermont to south Florida. The patient has been on the same antihypertensive drug for 6 years and has had stable blood pressure and no adverse effects. Since her move, however, she reports dizzy spells and weakness and feels that the drug is no longer effective. The nurse suspects that the change in the effectiveness of the drug is related to:


A. The impact of the placebo effect on the patient's response


B. The cumulative effect of the drug if it has been taken for many years


C. The impact of the warmer climate on the patient's physical state


D. Problems with patient compliance with the drug regimen due to the move


A patient has been prescribed 1mg lorazepam (Ativan) sublingual prior to the scheduled insertion of a peripherally inserted central (PIC) line. How should the nurse direct the patient when administering this medication?


A. "Place this under your tongue and let it dissolve there."


B. "Try to hold the pill in your mouth as long as possible so that its effective"


C. "Make sure your don't swallow the pill since that could be dangerous"


D. "Chew up this pill, but then hold it in your mouth for a minute or two."


An elderly post-surgical patient has developed postoperative pneumonia in the days following abdominal surgery and is being treated with a number of medications. Which of the following medications that the nurse will administer has the slowest absorption?


A. A sublingual benzodiazepine that has been prescribed to help the patient sleep


B. An intravenous (IV) antibiotic that is being administered by IV piggyback at 150ml/hour


C. An oral antidepressant that the patient has been taking daily for several years


D. An intramuscular (IM) injection of an opioid analgesic


A patient has been prescribed several drugs and fluids to be given intravenously. Before the nurse starts the intravenous administration, a priority assessment of the patient will be to note the:


A. Heart rate


B. Body weight and height


C. Blood Pressure


D. Skin surrounding the potential IV site


Talwin given in combination with Vistaril diminishes the adverse effects of nausea caused by the Talwin. This drug interaction affecting the pharmacodynamics of the Talwin is:


A. An additive effect


B. A synergistic effect


C. A potentiated effect


D. An antagonistic effect


A patient has been receiving regular doses of an agonist for 2 weeks. Which of the following should the nurse anticipate?


A. The drug will decrease in effectiveness


B. The drug will increase in effectiveness


C. There will be a steady state with no anticipated changes


D. The drug will cause excessive therapeutic effects even when administered in small doses


A patient is being seen in the emergency department for a sprained ankle and is given a drug to relieve pain. When a second dose of the pain medication is given the patient develops redness of the skin, and itching, and swelling at the site of injection of the drug. The most likely cause of this response is:


A. A hepatotoxic response


B. An idiosyncratic response


C. A paradoxical response


D. An allergic response


Which of the following statements best defines how a chemical becomes termed a drug?


A. A chemical must have a proven therapeutic value or efficacy without severe toxicity or damaging properties to become a drug


B. A chemical becomes a drug when it is introduced into the body to cause a change


C. A chemical is considered a drug when the Food and Drug Administration (FDA) approves its release to be marketed


D. A chemical must have demonstrated therapeutic value to become a drug


A patient has a blood serum drug level of 50 units/mL.