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NUR 325 Quiz I Questions and Correct Answers
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  • NUR 325
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  • NUR 325

The client with seasonal allergic rhinitis is prescribed fluticasone (Flonase), an intranasal glucocorticosteroid. Which intervention should the nurse implement first? Assess the nares for excoriation or bleeding The nurse on a medical unit is providing discharge instructions to a client who is pr...

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  • September 3, 2024
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  • 2024/2025
  • Exam (elaborations)
  • Questions & answers

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  • nur 325 quiz i questions and correct answers
  • the client with seasonal allergic rhinitis is pres
  • the nurse on a medical unit is providing discharge

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  • NUR 325

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NUR 325 Quiz I Questions and Correct
Answers
The client with seasonal allergic rhinitis is prescribed fluticasone (Flonase), an
intranasal glucocorticosteroid. Which intervention should the nurse implement first?
✅Assess the nares for excoriation or bleeding

The nurse on a medical unit is providing discharge instructions to a client who is
prescribed fluticasone (aerobid), a glucocorticoid, and a metered-dose inhaler. Which
statement by the client would warrant intervention? ✅I will hold the medication in my
mouth for 10 seconds

Fluticasone action
- how to d/c
- what kind of subtances
- increase production of
- decreased activation of ✅- most potent natural antiinflammatory substance
- dampen activation of the inflammatory cells
- increase production of antiinflammatory mediators
- SHOULD NOT BE ABRUPTLY D/Cd

Fluticasone RN implications

- when to contact provider
- what happens during prolonged therapy ✅- resp status and lung sounds
- assess for s/sx of adrenal insuficciency (anorexia, nausea, weakness, fatigue,
hypotension, hypoglycemia) - if these s/sx appear contact HCP IMMEDIATELY
- withdrawal symptoms
- may caused decrease bone mineral density during prolonged therapy
- adrenal function tests
- increase in serum and urine glucose

Fluticasone RN implication
- when to administer when taking w/ a bronchodilator [albuterol]
- when to notify HCP ✅- use bronchodilator first, allow 5 min to elapse before
administering corticosteroids
- notify HCP if sore throat or moth
-

Albutero class ✅- beta 2 agonist

Albuterol asthma attack ✅- used during attacks because of fast action

,Which intervention should the nurse implement for the client experiencing
bronchospasms? ✅administer albuterol (bronchodilator) via a nebulizer

The client is prescribed albuterol (Ventolin), a sympathomimetic bronchodilator,
metered-dose inhaler. Which behavior indicates the teaching concerning the inhaler is
effective? ✅the client exhales and then squeezes the canister as the next inspiration
occurs

The 6-year-old child is experiencing an acute exacerbation of reactive airway disease.
The child passed out, and the parents brought the child to the emergency depart- ment.
Which intervention should the nurse implement first? ✅administer O2 to maintain O2
sat above 95%

Albuterol class and action ✅class
- beta adrenergic agonist
Action
- bronchodilation by producing camp

Albuterol RN implications
- VS
- lung.... And secretions....
- what if the pt has CV disease? ✅- BP, RR, HR
- lung sounds and character of secretions
- pts w/ Cardiovascular problems should be monitors for ECG changes and chest pain

Pt family teaching for albuterol
- what to encourage
- what to avoid, why?
- what env things to avoid
- how long to allow between albuterol and other meds? ✅- encourage light (2000
ml/day)
- avoid OTC cough, cold, breathing preapartion --> can increase side effects of
arrhythmia
- avoid smoking and other irritants
- use bronchodilator (Albuterol) first and allow 5 mins to elapse before adminitering
other meds

The 24-year-old client diagnosed with a traumatic brain injury is being transferred to a
rehabilitation unit. Which healthcare provider order should the nurse question?
1. Physical therapy to work on lower extremity strength daily.
2. Occupational therapy to work on cognitive functioning bid.
3. A soft diet with mechanical ground meats and thickening agent in fluids.
4. Methylprednisolone (Solu-Medrol), a steroid, IVP q 6 hours. ✅4
Client going to rehanb should not require an IV

, A client is receiving methylprednisolone (Solu-Medrol) 40 mg IV daily. The nurse
anticipates an increase in which laboratory value as the result of this medication?
✅serum glucose

The client with a head injury is admitted into the intensive care unit (ICU). Which health-
care provider medication order would the ICU nurse question?
1. Osmitrol (Mannitol), an osmotic diuretic.
2. Methylprednisolone (Solu-Medrol), a corticosteroid.
3. Phenytoin (Dilantin), an anticonvulsant.
4. Oxygen, 6 L via nasal cannula. ✅2

The nurse is administering methylprednisolone sodium succinate (Solu-Medrol), a
glucocorticoid, intravenous push to a client diagnosed with pericarditis. The client has a
saline lock in the left forearm. After the nurse reconstitutes the powdered medication in
the Act-O-Vial, which intervention should the nurse implement? ✅flush the saline lock
Administer the diluted med
Flush saline lock

The nurse is caring for a client newly diagnosed with immunohemolytic anemia. Which
medication should the nurse anticipate the HCP ordering? ✅methylprednisolone
(steroids)

The client diagnosed with chronic obstructive pulmonary disease is prescribed
methylprednisolone (Solu-Medrol), a glucocorticoid, IVP. Which laboratory data would
warrant immediate intervention by the nurse? ✅WBC count of 15 K (steroids mask
infections)

Methylprednisolone RN implications
- s/sx of adrenal insuficiency
- periods of stress require
- what to avoid (drink) ✅s/sx of adrenal insufficiency (hypotension, weight loss,
weakness, n/v, anorexia, lethargy, confusion, restlessness)
- periods of stress may require more steroids
- avoid grapefruit juice w/ therapy

Methylprednisolone pt teaching
- how not to stop
- what to avoud
- can mask s/sx of
- what to carry
- what kind of tests and exams? ✅- do not stop meds suddenly
- avoid grapefruit juic
- can mask symptoms of infection (avoid sick and report infection immediately)
- carry ID

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