NSG 318 Final Exam Questions With Collect Answers
A doctor orders atenolol for a patient with a history of acute bronchospasms. What action should the nurse take next?
a. Measure pts BP before administering
b. Give the next dose
c. Obtain a medical reconciliation
d. Question the HCPs order -...
A doctor orders atenolol for a patient with a history of acute bronchospasms. What
action should the nurse take next?
a. Measure pts BP before administering
b. Give the next dose
c. Obtain a medical reconciliation
d. Question the HCPs order - Answer-d. Question the HCPs order. Bronchospasm is a
contraindication because atenolol has a slight chance of stimulating Beta 2
/.A fatigued doctor frantically calls a nurse to discontinue Lasix for a patient on
sulfonamides because it is a contraindication. What action should the nurse take?
a. Stop the medication
b. Question the doctor
c. Find out if the patient is still on the sulfonamide
d. Report the fatigued HCP to the charge nurse - Answer-b. Question the doctor. The
HCP is mistaken. Hypersensitivity to sulfonamides is the actual contraindication.
Another contraindication is anuria
/.A new doctor prescribed a 8-year-old patient acyclovir. What action should the nurse
take?
a. Administer the dose
b. Withhold the dose
c. Question the doctor
d. Inform the ethics committee - Answer-c. Question the doctor. Young children, renal
impairment, seizure disorder and dehydration are cautions.
/.A new doctor wanted to order a mycostatin for a patient in her 3rd trimester. The nurse
questions the doctor's order but the doctor states this drug is only a contraindication in
the 1st trimester. What action should the nurse take?
a. Administer the dose
b. Withhold the dose
c. Correct the doctor
d. Inform the ethics committee - Answer-c. Correct the doctor. The contraindications is
pregnancy, lactation, DM and paraben hypersensitivity
/.A new doctor wants to prescribe a patient valsartan but cannot remember the cautions
of this medication. What are the cautions of this med? SATA
a. Vascular disease
b. Renal impairment
c. Smoking
d. Hepatic impairment
e. Priapism
,f. Hyperkalemia. - Answer-b. Renal impairment d. Hepatic impairment f. Hyperkalemia.
/.A new grad doctor asks the nurse what are the drug interactions for atenolol. What
should the nurse inform the doctor? - Answer-- Atropine and other anticholinergics bc it
increases absorption
- NSAIDS decreases the effects
- Insulin and sulfonylureas increase the risk of hypoglycemia
/.A new grad doctor is asking a senior nurse which antibiotic they can prescribe while a
patient is on Pletal therapy. Which drugs interact with this med? - Answer-
Clarithromycin and Erythromycin. Other drugs are Aspirin, Enoxaparin (Heparin), and
Warfarin
Hint: "Clari, Ery and the Ins"
/.A new grad doctor remembers learning that Crestor is contraindicated in a certain
population. What education should the nurse provide?
a. Native Americans
b. African Americans
c. Caucasians
d. Asians - Answer-d. Asians
/.A new nurse is going to administer alteplase but is unsure of the side effects and
adverse effects. What education should be provided to the nurse? - Answer-Bleeding,
infection, hypotension
Anaphylactic reaction, laryngeal edema, angioedema, HTN, cerebral edema,
rhabdomyolysis, and stroke
*Hint: Causes lots of edema*
/.A new nurse is going to administer diphenhydramine but is unsure what assessments
need to be done prior. What education should be provided to the new nurse? - Answer-
Signs of urinary dysfunction, CBC and assess cardiac & respiratory status
/.A new nurse is unsure what education to provide a patient who recently started
Crestor. What education should be provided to this nurse? - Answer-Monitor blood lipid
levels and liver enzymes
Take med w/ sufficient water or w/ meals to alleviate GI upset
Annual eye exam and report changes in visual acuity
Do NOT abruptly stop med as it can cause serious rebound effects leading to acute MI
and possible death
/.A new nurse was given orders to draw blood cultures but is unsure how to. What
education should be provided the the new nurse? - Answer-Draw when temp is rising
Collect BEFORE starting antibiotics
Do not draw specimen from an IV line
Draw 2 culture specimens from 2 different sites
Draw 10-15 ml of blood
, Send specimen to lab immediately
/.A nurse is caring for a patient with a history of emphysema, depression and DM. The
patient requests Robitussin. What action should the nurse take?
a. Administer the med
b. Contact the HCP
c. Educate the patient
d. Ignore the patient's requests - Answer-c. Educate the patient. Asthma/emphysema,
pregnancy and hepatic disease are contraindications of Robitussin
/.A patent is admitted with thrust caused by a candidiasis infection. Which medication
would likely by administered?
a. INH
b. Acyclovir
c. Chloroquine
d. Mycostatin - Answer-d. Mycostatin
/.A patient asks a nurse why they can only have 3 doses of nitroglycerin. What should
the nurse tell the patient? - Answer-The main side effect of this med is that it decreases
BP. With each dose the BP is decreasing. So with multiple doses, you will eventually
have no BP.
/.A patient asks the nurse how he should take hydrochlorothiazide when he is at home.
How should the nurse educate the patient? - Answer-- Take med early in the morning to
avoid nocturia
- Change positions slowly bc orthostatic hypotension
- Avoid increased intake of Ca
/.A patient asks the nurse if he can take antacids with his medications. What education
should the nurse provide? - Answer-Antacids should not be taken with other
medications. It should be taken 30 mins - 2 hours apart.
/.A patient asks the nurse what are the adverse effects of furosemide. What should the
nurse teach the patient? - Answer-Gout (SE: Hyperuricemia), Hearing Loss, Increased
BUN & Cr, Renal Failure, Hypokalemia, hyponatremia and hypomagnesemia
/.A patient asks the nurse what side effects they should look out for while on
nitroglycerin. What information should the nurse give to the patient? - Answer-Blurred
vision, palpitation to compensate for the low BP, tolerance, and orthostatic hypotension.
A life-threatening side effect is circulatory collapse which is when there is no BP if you
overdose
/.A patient beginning Tenormin would like to know what side effects to look out for. What
should the nurse teach the patient? - Answer-Normal side effects are depression, cool
extremities and ED. If you have any of the following side effects you should report it:
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