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Nursing 1105 Powerpoint Questions With Complete Solutions
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Nursing 1105 Powerpoint Questions With Complete Solutions
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Nursing 1105 Powerpoint Questions With CompleteSolutions
A clinical judgment that a person is more susceptible to a
particular problem than others in the same situation is defined as
which type of nursing diagnosis?
A. Actual
B. Wellness
C. Risk/high risk
D. Syndrome Correct Answer Answer: C
Rationale: A risk/high-risk nursing diagnosis is supported by
risk factors that increase a patient's vulnerability beyond that of
the same population. The patient can be at risk or at high risk for
a particular problem.
A health care provider will not prescribe the oral hypoglycemic
agent tolbutamide (Orinase) to a patient who has an allergy to
which drug?
A. Insulin
B. Sulfa
C. Penicillin
D. Ibuprofen Correct Answer Answer: B
Rationale: If a patient is allergic to sulfa, then he or she would
not be prescribed tolbutamide because it is a first-generation oral
sulfonylurea drug. Taking the drug could cause a dangerous
allergic reaction.
A low-dose sedative-hypnotic agent may be prescribed for a
patient with which condition?
A. Dizziness
B. Combative behavior
,C. Hallucinations
D. Inability to sleep Correct Answer Answer: D
Rationale: Short-term sedative-hypnotic medications may be
useful for insomnia (inability to sleep), but general nursing
measures should always be used first. Patients experiencing
more serious symptoms such as combativeness or hallucinations
would require more aggressive medication therapy. Dizziness is
treated with antinausea or antihistamine drugs.
A nurse encounters a patient having a seizure. Which action is
correct?
A. Placing the patient's arms in restraints
B. Placing a padded towel under the patient's head
C. Placing the patient in a sitting position
D. Placing a padded tongue blade between the patient's teeth
Correct Answer Answer: B
Rationale: Placing a padded towel under the patient's head
protects the patient from injury. Placing restraints, sitting the
patient up, or placing a tongue blade in the mouth would
actually increase the risk for injury.
A nurse is attending a backyard picnic of an older neighbor
when the nurse notices the neighbor is holding the chest and
looking pale and diaphoretic. The neighbor is reaching for a
second nitroglycerin tablet from the bottle and places it under
the tongue. An ambulance has already been summoned, but the
location is a rural area. What other measure does the nurse
initiate?
A. Have the neighbor walk to the house to lie down.
B. Have the neighbor chew an aspirin tablet.
C. Perform a physical assessment.
,D. Have the neighbor take the cardiac prescription drugs that are
scheduled for that evening. Correct Answer Answer: B
Rationale: Nitroglycerin has the action of dilating narrowed
blood vessels to provide a greater amount of oxygenated blood
to the cardiac muscle. The patient may take one tablet
sublingually every 5 minutes for a total of three. In the
meantime, the event has activated an increase in the rate of
platelet aggregation. Aspirin decreases the rate of platelet
aggregation and possible clot formation, thereby further
decreasing the patient's risk for a heart attack.
A nurse is reviewing core measures in charts of patients who
have been discharged following an acute MI. The nurse should
ensure patients are discharged home with which medication?
A. Calcium channel blocker
B. Beta adrenergic blocker
C. Intravenous nitroglycerin
D. Amiodarone (Pacerone) Correct Answer Answer: B
Rationale: Beta-adrenergic blockers should be given to patients
who are discharged following an MI.
A nurse is seeing a 20-year-old female patient for a case of
severe acne, and she mentions that she is taking a prescribed
tetracycline antibiotic. Which statement indicates that the patient
is in need of more education?
A. "I make sure I take my tetracycline between meals."
B. "My boyfriend and I don't usually use protection when
having sex."
C. "I always wear sunscreen outdoors, and I don't stay in the
direct sun too long."
, D. "I was a little nauseated when I started the medication, but
now I feel fine." Correct Answer Answer: B
Rationale: Women who may become pregnant, are pregnant, or
are breastfeeding must not take tetracyclines due to the risk of
permanently staining the child's developing tooth enamel. An
effective form of birth control must be used. Tetracyclines may
interfere with the contraceptive activity of oral contraceptives,
so the patient should be encouraged to use an additional barrier
form of birth control. Because tetracyclines are affected by dairy
products, antacids, calcium, magnesium, and iron, doses must be
carefully spaced between meals. Mild nausea is fairly common,
but short-lived. Photosensitivity is common while taking this
drug, so skin must be protected.
A patient has a history of emphysema and has been coughing for
a prolonged period after waking in the morning. The patient is
having difficulty clearing the thickened mucus from the lungs.
Which type of medication does the nurse anticipate will be
ordered for this patient?
A. Diuretic
B. Antibiotic
C. Antitussive
D. Mucolytic Correct Answer Answer: D
Rationale: A mucolytic drug will cause the mucus in the
patient's lungs to separate and liquefy, thereby reducing
viscosity. This allows for easier removal of secretions by
coughing, percussion, and postural drainage. An antitussive
would only retain secretions and increase the risk of a
respiratory infection. There is no clear indication for the use of
antibiotics in this patient.
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