Exam (elaborations)
NUR 2214 Exam 3
- Module
- NUR 2214 Exam 3
- Institution
- NUR 2214 Exam 3
Exam of 21 pages for the course NUR 2214 Exam 3 at NUR 2214 Exam 3 (NUR 2214 Exam 3)
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NUR 2214 Exam 3The parents of a 4-year-old boy, who has sickle cell anemia disease, ask the
nurse what the best action is they can take to prevent him from having a
sickle-cell-crisis. How should the nurse respond?
A. Prevent outdoor activities
B. Try to avoid social interactions
C. Try to avoid stressful situations
D. Try not wear too many layers of clothing on a chilly day - -C. Try to avoid
stressful situations
-A nurse realizes a 22-year-old female patient was readmitted to hospital.
The woman was previously admitted because she suffered from
interpersonal violence. What should the nurse establish before asking if the
woman is still suffering from physical abuse?
A. Conduct a physical assessment before asking if the patient has
experienced any physical abuse
B. The nurse should determine if there is enough trust established between
them and the patient before investigating further
C. Determine if the patient still lives with their abuser
D. Ensure the authorities have already been involved - -B. The nurse should
determine if there is enough trust established between them and the patient
before investigating further
-A male patient is who has a history of anaphylaxis is instructed to inject his
EpiPen every time he suffers a severe allergic reaction. What action should
he take after successfully injecting the EpiPen?
A. The patient should immediately lie down and rest
B. The patient should continue to ambulate
C. The patient should seek follow-up care even if his symptoms subside
D. The patient should inject his second EpiPen about 12 hours later - -C. The
patient should seek follow-up care even if his symptoms subside
-A patient receives a blood transfusion and appears to be having a reaction.
What type of hypersensitivity reaction has the patient suffered from?
A. Type 1
B. Type 2
C. Type 3
D. Type 4 - -B. Type 2
,Rationale: A blood transfusion is good example of a type 2 hypersensitivity
reaction. This is why a Type and Screen needs to be performed on a patient
prior to receiving the transfusion.
-A pediatric patient appears to have stomatitis and is slightly underweight.
What teaching should the nurse include when educating the parents?
A. Make the child only eat foods that are hot
B. Do not force the child to eat food
C. Try to trick the child into eating vegetables
D. Recommend the child only eat cold foods - -B. Do not force the child to
eat food
-A patient's lab results reveal his platelets are less than 150,000. Which
medication is the HCP most likely to administer?
A. Neumega
B. Epogen
C. Mesnex
D. Neupogen - -A. Neumega
-A 29-year-old male patient with a history of alcoholism has been prescribed
Disulfiram (Antabuse). His girlfriend tells the nurse he gets "extremely sick"
(nausea and vomiting) every time he takes the medication. She says all
forms of alcohol (beer, wine, and liquor) have been removed from their
house. Furthermore, "his license has been revoked and his keys have been
confiscated. He is not able to drive to a liquor store." How should the nurse
respond?
A. Explain to the nurse that nausea and vomiting are normal side effects of
this medication but will eventually subside
B. Tell the girlfriend that he probably has other means of transportation to
the liquor store
C. Ask the girlfriend to consider other sources of alcohol such as mouthwash,
hand sanitizer, or other products that may be in their house
D. Explain to the girlfriend he might have an allergic reaction to the
medication and his HCP will be notified - -C. Ask the girlfriend to consider
other sources of alcohol such as mouthwash, hand sanitizer, or other
products that may be in their house
Rationale: Check all liquid forms of medications (read labels), look for fumes,
or even cleaning agents because these substances may contain alcohol
-A graduate nurse and their preceptor assess a kidney transplant patient.
The patient asks what is the purpose of being on immunosuppressants? How
should the nurse or preceptor respond?
, A. Immunosuppressants elevate WBCs
B. Immunosuppressants help prevent the body from rejecting the new organ
C. Immunosuppressants reduce allergic reactions
D. Immunosuppressants increase RBCs - -B. Immunosuppressants help
prevent the body from rejecting the new organ
-An 8-year-old male patient with leukemia receives chemotherapy
intravenously. What complication does the nurse need to monitor against?
A. A slight increase in temperature 99 degrees Fahrenheit
B. Jaundice
C. Fatigue
D. Extravasation - -D. Extravasation
Rationale: Assess the site every hour to ensure there is no sign of
extravasation
-A 50-year-old patient seeks care at a dermatology clinic because of some
yellowish spots that have formed on their forehead. The patient wants to
know what they can do to protect against skin cancer. What should the nurse
recommend?
A. Schedule yearly appointments with a dermatologist
B. Keep a body map to and record any changes
C. Have a full body MRI scan every 5 years
D. Only wear sunscreen between the hours of 11AM - 3PM - -B. Keep a body
map to and record any changes
Rationale: The body/lesion map will help the patient monitor for changes on
their skin. Sunscreen should always be worn, and sun exposure should be
avoided between the hours of 11AM - 3PM. Scheduling yearly visits with a
dermatologist may be necessary but does not constitute as "self-monitoring,"
which should always be encouraged. Scheduling MRI scans are not the most
effective way to monitor for cancer that originates in the skin.
-A 55-year-old female patient arrives at an outpatient oncology clinic for her
second round of chemotherapy. The first time the patient received
chemotherapy she complained of severe nausea and vomiting that lasted
several hours after the infusion. What intervention should the nurse use
before the patient has her second dose of therapy?
A. Explain to the patient these are normal side effects of chemotherapy
B. Offer the pill form of chemotherapy because there are less side effects
when chemotherapy is administered the PO route
C. Administer an antiemetic during the patient's chemotherapy session
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