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Chapter 37: Corticosteroids Clayton/Willihnganz: Basic Pharmacology for Nurses, 17th Edition

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1. A patient has been on high-dose corticosteroid therapy for the treatment of lupus erythematosus. In addition to monitoring electrolyte levels, which laboratory studies will the nurse monitor? a. Complete blood count b. Partial thromboplastin time c. Liver function panel d. Blood glucose levels ANS: D Corticosteroid therapy may induce hyperglycemia, particularly in prediabetic or diabetic patients. All patients must be monitored for the development of hyperglycemia, particularly duri...

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Chapter 03: Medical-Surgical Patients: Individuals, Families, and Communities Linton: Medical-Surgical Nursing, 7th Edition

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1. What should be included in a patient’s care plan in consideration of cultural similarities? a. Family, educational background, and economic level should all be considered. b. Subtle communication involving languages should be considered. c. Families have strong patriarchal leaders. d. Culture is learned, shared, and expressed similarly among members. ANS: D Different cultures have some similarities and some differences. How the culture is expressed in health care settings will be div...

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Chapter 04: Health, Illness, Stress, and Coping Linton: Medical-Surgical Nursing, 7th Edition

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1. What is the traditional view of health? a. Promotes optimal function. b. Views health and illness as separate concepts. c. Defines health as an absence of illness. d. Emphasizes the prevention of disease. ANS: B Traditionally, health and illness have been viewed as separate entities with a focus on the illness and not in attaining the highest quality of life possible when a cure is not possible. DIF: Cognitive Level: Comprehension REF: pp. 41-42 OBJ: 1 TOP: Traditional View of Health...

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Chapter 60: Ear and Hearing Disorders Linton: Medical-Surgical Nursing, 7th Edition

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1. A 94-year-old patient is receiving gentamicin sulfate (Garamycin) in a continuous intravenous (IV) infusion. The nurse adds to the nursing care plan the patient problem “Potential injury.” What nursing action should be implemented? a. Pull side rails in place. b. Assist with ambulation. c. Measure intake and output. d. Provide for a possible seizure. ANS: C Reduced urine output would cause the drug to stay in the system rather than being excreted, which could result in a drug sat...

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Chapter 07: The Patient with Cancer Linton: Medical-Surgical Nursing, 7th Edition

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1. Which statement best defines concepts to be included in a teaching plan for a patient with cancer? a. Cancer is a group of diseases. The cancer cells are different from the cells in the tissue of its origin in both the growth and spreading of abnormal cells. b. Cancer is the third leading cause of death in the United States. Many hospitals have the highest number of patients with this diagnosis. c. Americans who have a diagnosis of cancer die within 1 year or less. d. When a person is ...

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Chapter 59: Eye and Vision Disorders Linton: Medical-Surgical Nursing, 7th Edition

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1. A 60-year-old patient who has had an enucleation asks when he can get his prosthesis fitted. In approximately how many weeks should this patient expect to be fitted? a. 2 b. 4 c. 8 d. 12 ANS: B After an enucleation, the patient is fitted with a prosthesis in 1 month. DIF: Cognitive Level: Knowledge REF: p. 1183 OBJ: 2 TOP: Enucleation KEY: Nursing Process Step: Implementation MSC: NCLEX: Psychosocial Integrity: Basic Care and Comfort 2. A patient with glaucoma is taking a beta-adre...

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Chapter 17: Surgery Linton: Medical-Surgical Nursing, 7th Edition

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1. A postoperative patient is complaining of incisional pain. An order has been given for morphine every 4 to 6 hours as needed (PRN). What should the nurse assess first? a. Assess for the presence of bowel sounds. b. Assess pupillary reaction. c. Ask the patient’s family if she is having pain. d. Determine when the patient last received pain medication. ANS: D Verifying the time of the last dose decreases the risk of a dose of medication being given too soon. DIF: Cognitive Level: Ap...

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Chapter 05: Immunity, Inflammation, and Infection Linton: Medical-Surgical Nursing, 7th Edition

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1. A patient in early labor says to the nurse, “I will pass on protection from diseases, and the baby will not ever need any shots.” What is the best response by the nurse? a. “Babies are born with innate (natural) immunity at birth.” b. “Babies are born with immunoglobulin E (IgE), an antibody that crosses the placenta, but it only briefly protects the baby.” c. “Yes, immediate antibody immunity from the mother is the first line of defense against disease for babies.” d. ...

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Chapter 08: Pain Linton: Medical-Surgical Nursing, 7th Edition

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. A patient with an extensive abdominal surgical procedure is assessed by the nurse as having predictable pain. How often should the nurse administer analgesics to this patient to be most effective? a. As needed (PRN) b. Once a day c. Twice a day d. Around the clock ANS: D Using a preventive approach for managing this patient’s pain management is the best plan for the nurse because the pain is predictable and major. DIF: Cognitive Level: Application REF: p. 143 OBJ: 8 TOP: Predictab...

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Chapter 10: The Older Adult Patient Linton: Medical-Surgical Nursing, 7th Edition

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How is aging recognized by gerontologists as a developmental process? a. Measured in chronologic years b. Directly related to heredity c. Related to behavioral characteristics d. Begins at the time of birth ANS: D Geriatrics is the science of old age and the application of knowledge related to the biologic, biomedical, behavioral, and social aspects of aging. DIF: Cognitive Level: Knowledge REF: p. 167 OBJ: 2 TOP: Definitions of Old Age KEY: Nursing Process Step: N/A MSC: NCLEX: N/A 3...

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