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Med-Surg Nursing III Theory Questions With Complete Solutions
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Med-Surg Nursing III Theory Questions With Complete Solutions
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Med-Surg Nursing III Theory Questions With CompleteSolutions
A client reports having dry mouth and asks for some liquid to
drink. The nurse reasons that this symptom can most likely be
attributed to a common adverse effect of which of the following
medications?
a. Digoxin
b. Esomeprazole
c. Famotidine
d. Promethazine Correct Answers d. Promethazine
A common adverse effect of promethazine, an antihistamine
antiemetic agent, is dry mouth; another is blurred vision.
A client with a history of peptic ulcer disease has presented to
the emergency department with symptoms of severe abdominal
pain and a rigid, boardlike abdomen, prompting the health care
team to suspect a perforated ulcer. Which of the following
actions should the nurse anticipate?
a. Providing IV fluids and inserting a nasogastric tube
b. Administering oral bicarbonate and testing the client's gastric
pH level
c. Performing a fecal occult blood test and administering IV
calcium gluconate
d. Starting parenteral nutrition and placing the client in a high
Fowler's position Correct Answers a. Providing IV fluids and
inserting a nasogastric tube
A perforated peptic ulcer requires IV replacement of fluid losses
and continued gastric aspiration by NG tube. Nothing is given
by mouth, and gastric pH testing is not a priority. Calcium
gluconate is not a medication directly relevant to the client's
,suspected diagnosis and parenteral nutrition is not a priority in
the short term.
After administering a dose of promethazine to a client with
nausea and vomiting, the nurse explains that which of the
following may be experienced as a common temporary adverse
effect of the medication?
a. Drowsiness
b. Reduced hearing
c. Sensation of falling
d. Photosensitivity Correct Answers a. Drowsiness
Although being given to this client as an antiemetic,
promethazine also has sedative and amnesic properties. For this
reason, the client is likely to experience drowsiness as an
adverse effect of the medication.
Following administration of a dose of metoclopramide to the
client, the nurse determines that the medication has been
effective when which of the following is noted?
a. Decreased blood pressure
b. Absence of muscle tremors
c. Relief of nausea and vomiting
d. No further episodes of diarrhea Correct Answers c. Relief of
nausea and vomiting
Metoclopramide is classified as a prokinetic and antiemetic
medication. If it is effective, the client's nausea and vomiting
should resolve.
The client has a prescription for phenytoin 100 mg q8hr IV.
Available is a phenytoin injection containing 50 mg/mL. How
, many millilitres of solution should the nurse draw up for the
dose?
a. 0.5
b. 2
c. 5
d. 20 Correct Answers b. 2
100 mg / 50mg/mL = 2
The nurse administered a dose of metoclopramide to a client and
the client has symptoms of nausea. The nurse would teach the
client to report which of the following potential adverse effects?
a. Tremors
b. Constipation
c. Double vision
d. Numbness in the fingers and nose Correct Answers a.
Tremors
Extrapyramidal adverse effects, including tremors and
dyskinesias, may occur as a result of metoclopramide
administration.
The nurse determines that a client has experienced the beneficial
effects of medication therapy with famotidine when which of the
following symptoms is relieved?
a. Nausea
b. Belching
c. Epigastric pain
d. Difficulty swallowing Correct Answers c. Epigastric pain
Famotidine is an H2-receptor antagonist that inhibits parietal
cell output of HCl acid and minimizes damage to gastric mucosa
related to hyperacidity, thus relieving epigastric pain.
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