Exam (elaborations)

Spring Hill College: NUR 302 Chapter 1-30 Questions and Answers,100% CORRECT

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NUR 302

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NUR 302

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spring hill college nur 302 chapter 1 30 questions and answers

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Spring Hill College: NUR 302 Chapter 1-30 Questions and Answers

1. The nursing student realizes that she has given a patient a double dose of an
antihypertensive medication. The tablet was supposed to be cut in half, but the
student forgot and administered the entire tablet. The patient’s blood pressure just
before the dose was 146/98 mm Hg. What should the student nurse do first?
-Notify the clinical faculty
-Rationale: The patient’s blood pressure will need to be monitored, but it was just taken,
and the medication dose will not have an immediate effect. The student should notify
the clinical instructor immediately.

2. The nurse is administering a drug that has been ordered as follows: “Give 10 mg on
odd-numbered days and 5 mg on even-numbered days.” When the date changes from
May 31 to June 1, what should the nurse do?
-Consult the prescriber to verify that the dose should alternate each day, no matter
whether the day is odd- or even-numbered
-Rationale: While option C seems reasonable, the nurse does not have prescriptive
authority to change the order. Therefore, the prescriber should be consulted to verify
the order, which can be written in clearer terms. The other options would result in a
change in the alternating dose schedule.

3. A patient with newly diagnosed type 1 diabetes mellitus has completed a diabetes
education program. One month later, the patient confesses at a follow-up
appointment that he “just didn’t feel like” giving himself the insulin injections. Which
nursing diagnosis will the nurse assign the patient?
-noncompliance
-Rationale: Deficient knowledge differs from noncompliance in that the latter occurs
when the patient does not take the medication as prescribed or at all—in other words,
the patient does not comply with or adhere to the instructions given about the
medication. Noncompliance (also called nonadherence) is usually a patient’s choice.

4. A nurse is providing patient teaching for a community health center that serves a
primarily Portuguese population. The nurse would best serve this patient population by
- Learning portugese
- Rationale: The nurse should communicate with the patient in the patient’s native
language if at all possible. If the nurse is not able to speak the patient’s native
language, then a professional translator should be hired. It is best to avoid family

, members as translators, if possible, because of issues with bias, misinterpretation,
and potential confidentiality issues.

5. After providing education regarding medications to a patient who has been newly
diagnosed with type 2 diabetes mellitus, the nurse would use which part of the
nursing process to assess whether the patient understands these new instructions?
-evaluation
-Rationale: The nurse would evaluate the effectiveness of the teaching session and look
for areas where the patient needs reinforcement.

,6. A 56-year-old man is taking over-the-counter antacids for relief of indigestion. He tells
the nurse that he consumes at least one bottle a week and has done so for over a
month because “it works for me.” The nurse’s main concern is that
A. -this self-treatment may be delaying treatment of a more serious problem.
B. Rationale: Normally, over-the-counter medications should be used only for
short-term treatment of common minor illnesses. Their use may postpone
effective management of chronic disease states and may delay treatment.

7. The nurse associates use of which over-the-counter medication with the
development of hepatotoxicity?
-Rationale: Acetaminophen (Tylenol) is associated with the development of
hepatotoxicity

8. A patient tells the nurse that he wants to stop taking his antilipemic drugs and start
taking garlic to lower his cholesterol. The nurse’s best reply would be:
A. -“Let’s explore the evidence that supports the use of garlic to lower your
cholesterol.”
B. The nurse can provide patient education regarding potential risks and adverse
drug reactions that are possible with herbal products.

9. Which statement regarding gene therapy is accurate?
-The majority of the world’s insulin supply has been produced by recombinant gene
technology.
-Rationale: The majority of the world’s medical insulin supply has been produced by
this method for well over a decade. Gene therapy is not commonly used. During
gene therapy, segments of DNA are injected into the patient’s body, and viruses are
used for gene transfer.

10.A patient’s daughter asks the nurse, “What did the test results show? I know they
were doing genetic testing on my mother.” How should the nurse respond?
-Remind the daughter that private information cannot be discussed without the
patient’s permission.
-Rationale: Nurses must protect against improper disclosure of information to
other family members, friends of the family, other health care providers, and
insurance providers. Nurses share the responsibility with other health care
providers to protect patients and their families against the misuse of the patients’
genetic information.

, 11.The nurse’s instructions to a patient who is to take an orally disintegrating tablet
would include which statement?
A. -“Place the tablet on the tongue, and let it dissolve there.”
-Rationale: Orally disintegrating medications, either in tablet or medicated strip
form, dissolve in the mouth without water in about a minute. These medications
are placed on the tongue, not under the tongue, as in the sublingual route. The
patient must be instructed to allow the medication to dissolve on the tongue and
not to chew or swallow the medication.

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Exam (elaborations)

Spring Hill College: NUR 302 Chapter 1-30 Questions and Answers,100% CORRECT

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