Exam (elaborations)
NUR 325 ( LATEST 2024 / 2025 ) QUIZ I | LATEST QUESTIONS WITH COMPLETE GRADE A++ ANSWERS
- Course
- Institution
NUR 325 ( LATEST 2024 / 2025 ) QUIZ I | LATEST QUESTIONS WITH COMPLETE GRADE A++ ANSWERS
[Show more]
Content preview
NUR 325 Quiz I1. The client with seasonal allergic rhinitis is prescribed fluticasone (Flonase), an intranasal
glucocorticosteroid. Which intervention should the nurse imple- ment first?
Answer
Assess the nares for excoriation or bleeding
2. The nurse on a medical unit is providing discharge instructions to a client who is prescribed
fluticasone (AeroBid), a glucocorticoid, and a metered-dose inhaler. Which statement by the
client would warrant intervention?
Answer
I will hold the medication in my mouth for 10 seconds
3. fluticasone action
- how to d/c
- what kind of subtances
- increase production of
- decreased activation of
Answer
- most potent natural antiinflammatory substance
- dampen activation of the inflammatory cells
- increase production of antiinflammatory mediators
- SHOULD NOT BE ABRUPTLY D/Cd
4. fluticasone RN implications
- when to contact provider
- what happens during prolonged therapy
Answer
- resp status and lung sounds
- assess for s/sx of adrenal insuficciency (anorexia, nausea, weakness, fatigue, hypotension,
hypoglycemia) - if these s/sx appear contact HCP IMMEDIATELY
,- withdrawal symptoms
- may caused decrease bone mineral density during prolonged therapy
- adrenal function tests
- increase in serum and urine glucose
5. fluticasone RN implication
- when to administer when taking w/ a bronchodilator [albuterol]
- when to notify HCP
Answer
- use bronchodilator first, allow 5 min to elapse before administering corticosteroids
- notify HCP if sore throat or moth
-
6. Albutero class
Answer
- beta 2 agonist
7. albuterol asthma attack
Answer
- used during attacks because of fast action
8. Which intervention should the nurse implement for the client experiencing bronchospasms?
Answer
administer albuterol (bronchodilator) via a nebulizer
9. The client is prescribed albuterol (Ventolin), a sympathomimetic bron- chodilator, metered-
dose inhaler. Which behavior indicates the teaching con- cerning the inhaler is effective?
Answer
the client exhales and then squeezes the canister as the next inspiration occurs
10. The 6-year-old child is experiencing an acute exacerbation of reactive airway disease. The
child passed out, and the parents brought the child to the emergency depart- ment. Which
,intervention should the nurse implement first?
Answer
administer O2 to maintain O2 sat above 95%
11. albuterol class and action
Answer
class
- beta adrenergic agonist action
- bronchodilation by producing cAMP
12. albuterol RN implications
- VS
- lung.... and secretions....
- what if the pt has CV disease?
Answer
- BP, RR, HR
- lung sounds and character of secretions
- pts w/ Cardiovascular problems should be monitors for ECG changes and chest pain
13. pt family teaching for albuterol
- what to encourage
- what to avoid, why?
- what env things to avoid
- how long to allow between albuterol and other meds?
Answer
- encourage light (2000 ml/day)
- avoid OTC cough, cold, breathing preapartion --> can increase side effects of arrhythmia
- avoid smoking and other irritants
- use bronchodilator (Albuterol) first and allow 5 mins to elapse before adminitering other
meds
14. The 24-year-old client diagnosed with a traumatic brain injury is being transferred to a
rehabilitation unit.Which healthcare provider order should the nurse question?
1. Physical therapy to work on lower extremity strength daily.
2. Occupational therapy to work on cognitive functioning bid.
, 3. A soft diet with mechanical ground meats and thickening agent in fluids.
4. Methylprednisolone (Solu-Medrol), a steroid, IVP q 6 hours.
Answer
4 client going to rehanb should not require an IV
15. A client is receiving methylprednisolone (Solu-Medrol) 40 mg IV daily.The nurse
anticipates an increase in which laboratory value as the result of this medication?
Answer
serum glucose
16. The client with a head injury is admitted into the intensive care unit (ICU). Which health-
care provider medication order would the ICU nurse question?
1. Osmitrol (Mannitol), an osmotic diuretic.
2. Methylprednisolone (Solu-Medrol), a corticosteroid.
3. Phenytoin (Dilantin), an anticonvulsant.
4. Oxygen, 6 L via nasal cannula.
Answer
2
17. The nurse is administering methylprednisolone sodium succinate
(Solu-Medrol), a glucocorticoid, intravenous push to a client diagnosed with pericarditis. The
client has a saline lock in the left forearm. After the nurse reconstitutes the powdered
medication in the Act-O-Vial, which intervention should the nurse implement?
Answer
flush the saline lock
administer the diluted med flush saline lock
18. The nurse is caring for a client newly diagnosed with immunohemolytic anemia. Which
medication should the nurse anticipate the HCP ordering?
Answer
- methylprednisolone (steroids)
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller gradexam. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $16.99. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
78252 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now