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Hurst Practice Exam 2 Questions and Answers 100% Solved

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Hurst Practice Exam 2 Questions and Answers 100% Solved A client has been prescribed vancomycin 1 gram IV every 12 hours for the treatment of methicillin-resistant staphylococcus aureus (MRSA). Which action by a new nurse when administering this medication would require intervention by the cha...

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  • October 25, 2024
  • 44
  • 2024/2025
  • Exam (elaborations)
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©JOSHCLAY 2024/2025. YEAR PUBLISHED 2024.
Hurst Practice Exam 2 Questions and

Answers 100% Solved


A client has been prescribed vancomycin 1 gram IV every 12 hours for the

treatment of methicillin-resistant staphylococcus aureus (MRSA). Which

action by a new nurse when administering this medication would require

intervention by the charge nurse? - ✔✔This dose of medication should be

delivered over at least 60 minutes to prevent hypotension and ototoxicity.

The nurse is caring for a client taking benazepril. Which symptoms would

be important for the nurse to report to the primary healthcare provider? -

✔✔Weight gain of 5 pounds in one week is a s/s of an adverse effect of

ACE inhibitor use. Weight gain is a sign of fluid retention.



Angioedema is an adverse effect of ACE inhibitors and can be life

threatening. This should be reported immediately to the healthcare

provider.

,©JOSHCLAY 2024/2025. YEAR PUBLISHED 2024.
The potassium level is too high. Hyperkalemia is an adverse effect of an

ACE inhibitor and needs to be reported.

The nurse is caring for a client taking spironolactone. Which dietary change

should the nurse teach the client to make when starting treatment with this

medication? - ✔✔Spironolactone is a potassium sparing diuretic. Salt

substitutes have potassium instead of sodium and should be avoided.

When assessing a client, the nurse finds that in response to painful stimuli

the upper extremities exhibit flexion of the arm, wrist, and fingers with

adduction of the limb, while the lower extremity exhibits extension, internal

rotation, and plantar flexion. How would the nurse accurately document this

finding? - ✔✔This describes decorticate posturing because they are

moving towards the core of the body.

Decerebrate posturing - ✔✔when the client is stimulated, and teeth clench

and the arms are stiffly extended, adducted, and hyperpronated.



The legs are stiffly extended with plantar flexion of the feet. Abnormal

extension occurs with lesions in the area of the brain stem.

A client being treated for osteoporosis with alendronate reports

experiencing slight heartburn after taking the medicine. What should the

,©JOSHCLAY 2024/2025. YEAR PUBLISHED 2024.
nurse suggest to reduce this side effect? - ✔✔Increased heartburn can be

reduced or prevented by drinking plenty of water, sitting upright following

the administration of the medication, and avoiding sucking on the tablet.

What precautions should be taken with computer monitors that display

client health information to ensure client's confidentiality? - ✔✔2. Have the

screen placed facing away from any visitor or client care area where

information could be viewed by unauthorized persons.

The nurse receives new healthcare provider prescriptions on a client

diagnosed with Addison's disease. Which prescriptions should the nurse

recognize as being inappropriately written and requiring clarification from

the prescriber? - ✔✔Use "daily" or "every day". QD is an unapproved

abbreviation.



T.I.W. stands for three times a week; however, it is an unapproved

abbreviation. Use "three times a week".

The client has just returned from electroconvulsive therapy (ECT) and is

very drowsy. What is the position of choice for the nurse to place the client

in until full consciousness is regained? - ✔✔When someone is very

, ©JOSHCLAY 2024/2025. YEAR PUBLISHED 2024.
sedated and not fully conscious, we want them on their side so the airway

remains open and the secretions can drain.

A client is hospitalized because of severe malnutrition related to anorexia

nervosa. What is the most important goal for this client? - ✔✔Until

appropriate weight is gained, the client continues to be at risk for major

health complications including hypotension, cardiac arrhythmias, poor

muscle tone, increased risk for infection, abnormal liver function, and

damaged kidneys.

A client comes to the clinic reporting palpitations, as well as nausea and

vomiting while taking metronidazole. The nurse notes that the client is

flushed and has a heart rate of 118 bpm. Based on this information, what is

the most important question for the nurse to ask the client? - ✔✔Flushing,

nausea and vomiting, palpitations, tachycardia, psychosis are signs of

disulfiram-type reaction seen when using products containing alcohol

(cologne, after shave lotion, or path splashes) or ingesting alcohol products

while taking metronidazole.



Antibiotic: take metronidazole on an empty stomach

What should a community health nurse include when planning a

presentation on prevention and early detection of colon cancer? - ✔✔A diet

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