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NURS 504 EXAM 4 QUESTIONS AND ANSWERS
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NURS 504 EXAM 4 QUESTIONS AND ANSWERS
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NURS 504 EXAM 4 QUESTIONS AND ANSWERSHyperuricemia causes crystals to precipitate in the synovial fluid. - Answers- An older
adult male patient has begun treatment for gout after an extensive diagnostic workup.
The nurse who is contributing to the patient's care should understand that gout is a
result of what pathophysiological process?
Excess purine intake initiates an autoimmune process that impairs joint function.
Hyperuricemia causes crystals to precipitate in the synovial fluid. Lack of joint mobility
causes impaired uric acid metabolism. Mechanical damage to the joints results in
increased release of uric acid.
Pain intensity, respiratory rate, and level of consciousness - Answers- A nurse is caring
for a patient who is in severe pain and is receiving an opioid analgesic. Which of the
following would be the nurse's priority assessments?
Respiratory rate, seizure activity, and electrolytes Pain intensity, respiratory rate, and
level of consciousness Liver function studies, pain intensity, and blood glucose level
Respiratory rate, pain intensity, and mental status
The client may begin to demonstrate symptoms of withdrawal. - Answers- The nurse is
caring for a postoperative client with a history of opioid abuse who has been ordered to
receive a dose of an opioid antagonist medication. Which issues should the nurse be
prepared to address?
During pain assessment, the client may report less pain. The client may begin to
demonstrate symptoms of withdrawal. Double the standard dosage of the medication
may be needed. Multiple doses may be needed to be therapeutic.
Therapeutic response is achieved and discomfort is reduced. An adequate breathing
pattern is maintained. Client reports decreased bowel movements. Client maintains
adequate nutritional status. Client reports decreased urinary output.
celecoxib - Answers- A nurse is reviewing a journal article about an NSAID that is
associated with an increased risk of cardiovascular thrombosis, myocardial infarction,
and stroke. The nurse is most likely reading about which drug?
celecoxib sulindac oxaprozin ketorolac
"Has your father consumed alcoholic beverages on a regular basis?" - Answers- A
patient is living with his daughter after major surgery. He states, "I see a dog around the
chair. Get rid of that dog. I hate dogs." The daughter tells the home care nurse there is
no dog behind the chair. What is the most important question the nurse should ask the
daughter?
, "Does you father have health care insurance for psychiatry?" "Has your father been
fearful of dogs in the past?" "Has your father consumed alcoholic beverages on a
regular basis?" "What type of foods or spices has your father consumed today?"
The patient has developed a psychological dependence for marijuana. - Answers- The
nurse is taking a history from a patient who states that she smokes marijuana daily. The
patient says, "It mellows me out and helps me to cope with the stresses of life. I go
sometimes without it and it doesn't bother me." What does the nurse determine is this
patient's issue with the substance?
The patient has developed a physical dependence on marijuana. The patient will soon
develop physical dependence on other substances in this class of drug. The patient has
developed a psychological dependence for marijuana. The patient is tolerant to the
effects of the marijuana.
acetaminophen and oxycodone (Percocet)
morphine sulfate (MS Contin)
hydromorphone (Dilaudid) - Answers- Which of the following medications requires that
naloxone (Narcan) be administered to counter the effects? Select all that apply.
acetaminophen and oxycodone (Percocet) morphine sulfate (MS Contin) aspirin
(Ecotrin) acetaminophen (Tylenol) hydromorphone (Dilaudid)
Increase in the client's pain rating - Answers- Although naloxone (Narcan) is given to
counter opioid medication side effects such as respiratory depression, what additional
issues (if any) may result from administration of an opioid antagonist?
Increase in the client's pain rating Decrease in the client's pain rating No change in the
client's pain rating None of these options
Binding to serotonin to produce vasoconstriction - Answers- A patient is suffering from a
migraine headache. What is the action of sumatriptan (Imitrex)?
Binding to phospholipids to diminish anxiety Interrupting the calcium intake in the
neuron Binding to serotonin to produce vasoconstriction Reducing inflammation in the
temporal arteries
Brain - Answers- As a school nurse, you are preparing to do a presentation on cannabis
and the long-term sequelae of its heavy use. To what body system or function do you
understand cannabis use can cause the most damage?
Blood pressure Cardiovascular Brain Liver
Confusion, hallucination, agitation, tremors - Answers- A patient is admitted to the
hospital for treatment of a stasis ulcer of the right leg. The patient's history indicates he
has abused alcohol in the past. He has consumed at least eight alcoholic beverages
daily. What symptoms should the nurse assess the patient for?
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