NURS MISC Comprehensive 1 ExamQuestionsand Answers Graded A+ Latest update2024/2025 A client with cancer has a history of alcohol abuse and is takingacetaminophen (Tylenol)for pain. Which organ function is most
important for the nurse to monitor?
Liver. Correct
Kidney. Sensory. Cardiorespirat...
NURS MISC Comprehensive 1 Exam Questions
and Answers Graded A+ Latest update
2024/2025
A client with cancer has a history of alcohol abuse and is taking
acetaminophen (Tylenol)for pain. Which organ function is most
important for the nurse to monitor?
Liver.
Correct
Kidney.
Sensory.
Cardiorespirator
y.
Acetaminophen and alcohol are both metabolized in the liver. This places
the client at risk for hepatotoxicity, so monitoring liver (A) function is the
most important assessment because the combination of acetaminophen
and alcohol, even in moderate amounts, can cause potentially fatal liver
damage. Other non-narcotic analgesics, such as n onsteroidal anti-
inflammatory drugs(NSAIDs), are more likely to promote adverse renal
effects (B). Acetaminophen does not place the client at risk for toxic
reactions related to (C or D).
The nurse obtains a heart rate of 92 and a blood pressure of 110/76
prior to administering a scheduled dose of verapamil (Calan) for a
client with atrial flutter. Whichaction should the nurse implement?
AGRADESTUVIA 1 CONFIDENIAL
,AGRADESTUVIA 2024/2025 AGRADESTUVIA STORE
Administer the dose as prescribed. Correct
Withhold the drug and notify the healthcare
provider.Give intravenous (IV) calcium
gluconate.
Recheck the vital signs in 30 minutes and then administer the dose.
Verapamil slows sinoatrial (SA) nodal automaticity, delays atrioventricular
(AV) nodal conduction, which slows the ventricular rate, and is used to
treat atrial flutter, so (A) should beimplemented, based on the client's heart
rate and blood pressure. (B and C) are not indicated.
(D) delays the administration of the scheduled dose.
A client is admitted to the hospital with a diagnosis of Type 2
diabetes mellitus and influenza. Which categories of illness should
the nurse develop goals for the client's planof care?
Two acute illnesses.
AGRADESTUVIA 2 CONFIDENIAL
,NURS MISC Comprehensive 1 Exam Questions
and Answers Graded A+ Latest update 2022/2023
Two chronic illnesses.
One chronic and one acute
illness. CorrectOne acute and
one infectious illness.
The plan of care should include goals that are specific for chronic and
acute illnesses. Adult- onset diabetes is a life-long chronic disease,
whereas influenza is an acute illness with a shortterm duration (C). (A, B,
and D) do not include the correct duration categories for this situation.
Awarded 1.0 points out of 1.0 possible points.
Following an emergency Cesarean delivery, the nurse encourages
the new mother tobreastfeed her newborn. The client asks why
she should breastfeed now. Which information should the nurse
provide?
Initiate the lactation
process. Prevent
neonatal hypoglycemia.
Stimulate contraction of the
uterus. CorrectFacilitate
maternal-infant bonding.
When the infant suckles at the breast, oxytocin is released by the posterior
pituitary to stimulates the "letdown" reflex, which causes the release of
colostrum, and contracts the uterus
, NURS MISC Comprehensive 1 Exam Questions
and Answers Graded A+ Latest update 2022/2023
(C) to prevent uterine hemorrhage. (A and B) do not support the client's
need in the immediateperiod after the emergency delivery. Although
maternal-newborn bonding (D) is facilitated by early breastfeeding, the
priority is uterine contraction stimulation.
Which intervention should the nurse include in the plan of care for
a female client withsevere postpartum depression who is admitted
to the inpatient psychiatric unit?
Full rooming-in for the infant and
mother.Restrict visitors who
irritate the client.
Supervised and guided visits with infant.
CorrectDaily visits with her significant
other.
Structured visits (C) provide an opportunity for the mother and infant to
bond and should be facilitated and encouraged according to the client's
pace of progress. (A) is unrealistic and maynot be safe for the baby or the
client. (B) is an unrealistic expectation. Although daily visits mayprovide
support, the significant other may not be able to be there every day (D)
based on otherfamily responsibilities.
A 16-year-old male client is admitted to the hospital after falling off a
bike and sustaining a fractured bone. The healthcare provider
explains the surgery needed to immobilize the fracture. Which action
should be implemented to obtain a valid informed consent?
Instruct the client sign the consent before giving medications.
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