A patient is admitted to the emergency room suffering from symptoms of
alcohol withdrawal. What symptom of withdrawal is the priority to
prevent?
a) Gastrointestinal bleeding
b) Hypotension
c) Bradycardia
d) Seizures - ANS ✓Seizures
When evaluating the plan of care for a client receiving opioid analgesics for
pain management, the nurse considers the plan successful when what
occurs? (Select all that apply.)
a) Client reports decreased urinary output.
b) An adequate breathing pattern is maintained.
c) Client reports decreased bowel movements.
d) Client maintains adequate nutritional status.
e) Therapeutic response is achieved and discomfort is reduced. - ANS
✓Client maintains adequate nutritional status.
An adequate breathing pattern is maintained.
Therapeutic response is achieved and discomfort is reduced.
NURS 504
, 2
NURS
Which of the following NSAIDs is associated with an increased risk of
cardiovascular thrombosis, myocardial infarction, and stroke?
a) Ketorolac (Toradol)
b) Sulindac (Clinoril)
c) Oxaprozin (Daypro)
d) Celecoxib (Celebrex) - ANS ✓Celecoxib (Celebrex)
A patient is living with his daughter after major surgery. He states, "I see a
dog around the chair. Get rid of that dog. I hate dogs." The daughter tells the
home care nurse there is no dog behind the chair. What is the most
important question the nurse should ask the daughter?
a) "What type of foods or spices has your father consumed today?"
b) "Does you father have healthcare insurance for psychiatry?"
c) "Has your father been fearful of dogs in the past?"
d) "Has your father consumed alcoholic beverages on a regular basis?" -
ANS ✓"Has your father consumed alcoholic beverages on a regular basis?"
The nurse is taking a history from a patient who states that she smokes
marijuana daily. The patient says, "It mellows me out and helps me to cope
with the stresses of life. I go sometimes without it and it doesn't bother me."
What does the nurse determine is this patient's issue with the substance?
a) The patient has developed a psychological dependence for marijuana.
b) The patient will soon develop physical dependence on other substances
in this class of drug.
c) The patient has developed a physical dependence on marijuana.
d) The patient is tolerant to the effects of the marijuana. - ANS ✓The patient
has developed a psychological dependence for marijuana.
NURS 504
, 3
NURS
Which of the following medications requires that naloxone (Narcan) be
administered to counter the effects? Select all that apply.
a) acetaminophen (Tylenol)
b) hydromorphone (Dilaudid)
c) morphine sulfate (MS Contin)
d) acetaminophen and oxycodone (Percocet)
e) aspirin (Ecotrin) - ANS ✓hydromorphone (Dilaudid)
morphine sulfate (MS Contin)
acetaminophen and oxycodone (Percocet)
The nurse is talking with a patient who is in the hospital from
complications related to alcoholism. The patient states, "My father and
grandfather were alcoholics. Do you think this is why I am?" What is the
best response by the nurse?
a) "There is no proof that alcoholism is hereditary."
b) "Many studies say that certain genes can cause alcoholism."
c) "You are an alcoholic because you choose to drink."
d) "Whatever the reason for your alcoholism, you need to quit drinking. It
will kill you at this rate." - ANS ✓"Many studies say that certain genes can
cause alcoholism."
Although naloxone (Narcan) is given to counter opioid medication side
effects such as respiratory depression, what additional issues (if any) may
result from administration of an opioid antagonist?
a) Decrease in the client's pain rating
b) No change in the client's pain rating
c) None of these options
NURS 504
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