The nurse is conducting a medication reconciliation of a new resident of a long-term care facility. The nurse notes that the resident takes allopurinol on a daily basis for the treatment of gout. What is the primary purpose of this drug?
During long-term desmopressin therapy in a 48-year-old woman...
the nurse is conducting a medication reconciliation of a new resident of a long term care facility the nurse notes that the resident takes allopurinol on a daily basis for the treatment of gout what
QUESTION 1
A 33-year-old man has developed acute gouty arthritis. He has been prescribed colchicine. When
developing a care plan for this patient, which factor will be most important for the nurse to consider?
A.
Ethnicity
B.
Typical daily fluid intake
C.
Dietary habits
D.
Work environment
1 points Saved
QUESTION 2
A 40-year-old woman with a diagnosis of fibromyalgia has been prescribed cyclobenzaprine (Flexeril) as an adjunct to her existing drug regimen. What nursing diagnosis should the nurse prioritize when updating the nursing care plan for this patient?
A.
Risk for Injury related to CNS depressant effects
B.
Altered Nutrition, Less than Body Requirements, related to appetite suppression
C.
Diarrhea related to anticholinergic effects
D.
Impaired Swallowing related to increased muscle tone
1 points Saved
QUESTION 3
During long-term desmopressin therapy in a 48-year-old woman, it will be most important for the nurse to assess which of the following?
A.
The patient's environment
B.
The patient's diet
C.
The condition of the patient's nasal passages
D.
The condition of the patient's skin
1 points Saved
QUESTION 4
A 43-year-old woman was diagnosed with multiple sclerosis 2 years ago and has experienced a recent exacerbation of her symptoms, including muscle spasticity. Consequently, she has been prescribed Dantrolene (Dantrium). In light of this new addition to her drug regimen, what teaching point should the woman's nurse provide?
A.
“This will likely relieve your muscle spasms but you'll probably develop a certain amount of dependence on the drug over time.”
B.
“You might find that this drug exacerbates some of your muscle weakness while it relieves your spasticity.”
C.
“We'll need to closely monitor your blood sugar levels for the next week.”
D.
“There's a small risk that you might experience some hallucinations in the first few days that you
begin taking this drug.”
1 points Saved
QUESTION 5
A nurse is assessing a patient who has come to the emergency department complaining of back spasms. The patient states that he has a history of opioid addiction and does not want to take any drug that “puts me at risk of becoming physically dependent.” Which of the following medications would the nurse question, if ordered?
A.
Metaxalone (Skelaxin)
B.
Orphenadrine (Norflex)
C.
Cyclobenzaprine (Flexeril)
D.
Methocarbamol (Robaxin)
1 points Saved
QUESTION 6
A patient with type 1 diabetes has been admitted to the hospital for orthopedic surgery and the care team anticipates some disruptions to the patient's blood glucose levels in the days following surgery. Which of the following insulin regimens is most likely to achieve adequate glycemic control?
A.
Small doses of long-acting insulin administered four to five times daily
B.
Doses of basal insulin twice daily with regular insulin before each meal
C.
Large doses of rapid-acting insulin combined with long-acting insulin each morning and evening
D.
Divided doses of intermediate-acting insulin every 2 hours, around the clock
1 points Saved
QUESTION 7 A 34-year-old male patient is prescribed methimazole (MMI). The nurse will advise him to report which of the following immediately?
A.
Vertigo
B.
Intolerance to cold
C.
Epigastric distress
D.
Loss of appetite
1 points Saved
QUESTION 8
A nurse is caring for a patient who has been diagnosed with hypothyroidism. Levothyroxine (Synthroid) has been prescribed. Before the drug therapy is started, the nurse will assess for which of the following?
A.
Hirsutism
B.
History of taking anticoagulant drugs
C.
Allergy to seafood
D.
The patient's age
1 points Saved
QUESTION 9
A female patient with a diagnosis of type 1 diabetes mellitus has been experiencing increasing neuropathic pain in recent months, a symptom that has not responded appreciably to conventional analgesics. The patient's care provider has begun treatment with gabapentin (Neurontin). How is the addition of this drug likely to influence the management of the patient's existing drug regimen?
A.
The patient may be required to temporarily hold her other medications until a stable serum level of gabapentin is achieved.
B.
It is unlikely to influence the patient's other medications because gabapentin does not interact with other drugs.
C.
The patient's medication-related risk for renal failure must be assessed prior to the use of gabapentin.
D.
Gabapentin is contraindicated with the use of exogenous insulin.
1 points Saved
QUESTION 10
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