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NUR 352 FINAL EXAM QUESTIONS AND CORRECT ANSWERS GRADED A+
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NUR 352 FINAL EXAM QUESTIONS AND CORRECTANSWERS GRADED A+
A client is receiving lidocaine as local anesthesia during a surgical procedure and
begins to exhibit tinnitus and a metallic taste in the mouth. The appropriate nursing
action is to:
A.
Tell the client that these are anticipated side effects that will subside quickly.
B.
Recognize the symptoms of systemic toxicity, notify hte prescriber, and prepare to
provide airway support if needed.
C.
A. Recognize the signs and symptoms of an allergic reaction and report them to the
prescriber. Prepare epinephrine for administration.
D.
Reassure the client that they are at risk of neither systemic toxicity nor allergic reaction
because their medication was administered topically. -ANSWER Recognize the signs
and symptoms of systemic toxicity, report to hte prescriber, prepare to provide airway
support if needed.
The nurse is providing care for a 46-year-old client who describes having constant
vaginal bleeding for the last 14 days. The client is not taking any medications and has
been postmenopausal for 2 years. Which statement by the client would provide
evidence that teaching was effective?
A.
"I will make an appointment for an ultrasound and biopsy."
B.
,"I will initiate my progesterone treatment."
C.
"I will resume my oral contraceptives."
D.
"I will call you if it happens next month." - ANSWER "I will schedule an appointment for
an ultrasound and biopsy."
A female patient with genital herpes simplex becomes pregnant. Which statement by the
patient about her prescribed acyclovir would indicate that teaching by the nurse has
been effective?
A.
"I will need to switch now to the topical form of this medication since I am pregnant
now."
B.
"I should only take this medication during an active outbreak of my herpes."
C.
"I may continue the acyclovir throughout the course of my pregnancy."
D.
"It is best to discontinue the use of this medication until I deliver the baby." - ANSWER "I
may continue the acyclovir throughout the course of my pregnancy."
The nurse is providing teaching to the palliative care client regarding the start of an
appetite stimulant. Which statement by the client reflects that the client has received
understanding from the teaching?
A.
"If the medication is not effective after a couple of weeks, I should just keep taking it."
B.
"This medication will enable me to gain back all the weight that I have lost."
C.
,"One should not take appetite stimulants because they are addictive."
D.
It's a medication to take for a short while just to improve my appetite. - ANSWER The
medication is a short-term measure to help me increase my appetite.
A client is admitted to the emergency department with the following signs/symptoms: BP
186/102, HR 144 beats/minute, temperature 102.8oF (39.3oC), oxygen saturation 99%.
The client reports he has had symptoms similar to the flu for a week and has a history of
hypertension and hyperthyroidism. Based on the above findings, which of the following
ordered actions is the priority nursing action?
A.
Perform an electrocardiogram.
B.
Administer oxygen via nasal cannula as needed.
C.
Propranolol 100 mg PO
D.
Administer propylthiouracil (PTU) 200 mg PO. - ANSWER Administer propylthiouracil
(PTU) 200 mg PO.
The client is receiving quetiapine for sleep and for agitation. Which assessment finding
would require immediate intervention by the nurse?
A.
Urinary output 30 mL over the past 2 hours
B.
Systolic blood pressure 98 mmHg
C.
A red, blistering rash
, D.
Heart rate 115 beats per minute - ANSWER A red, blistering rash
A client is admitted to the emergency department with chest pain. The ECG shows ST
segment elevation. The vital signs are as follows: BP 142/78 mmHg, pulse 98
beats/minute, respirations 18 breaths/minute, temperature 100.6oF, and oxygen
saturation 98%. The nurse should prepare to implement which of the following
interventions?
A.
Administer aspirin 325 mg PO
B.
Prepare to administer diltiazem IV.
C.
Administer 2 L oxygen via nasal cannula.
D.
Draw blood for laboratory studies.
E.
Administer sublingual nitroglycerin 3 tablets now. - ANSWER Administer aspirin 325 mg
PO
Draw blood for laboratory analysis.
A client is receiving a drug that has a narrow therapeutic index. What is the nurse's
priority?
A.
Notify the prescriber and request discussing the possibility of reducing the dose of the
medication.
B.
Request an immediate serum level of medication.
C.
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