Practice Exam 3 1060
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Questions and Answers

A nurse is educating a patient who is prescribed warfarin and aspirin. What is the main concern with taking these medications together?

  • Increased risk of clot formation
  • Decreased effectiveness of warfarin
  • Increased risk of bleeding (correct)
  • Decreased absorption of aspirin

A nurse is monitoring a patient who is taking a hepatotoxic drug. Which laboratory values should the nurse monitor to assess for liver injury?

  • Blood Urea Nitrogen (BUN) and Creatinine (Cr)
  • Hemoglobin (Hgb) and Hematocrit (Hct)
  • Aspartate Aminotransferase (AST) and Alanine Aminotransferase (ALT) (correct)
  • Potassium and Magnesium

A nurse is the last person in a medication administration process. What is the nurse’s role in preventing medication errors?

  • Verifying the dose and medication order (correct)
  • Writing the prescription
  • Checking the storage of medications
  • Reporting medication errors to the FDA

Which of the following food items should a nurse advise a patient to avoid while taking tetracycline?

<p>Calcium-containing foods, such as milk (C)</p> Signup and view all the answers

An older adult patient is prescribed a medication that is metabolized by the liver. What is the nurse’s primary concern related to drug metabolism in this patient?

<p>Decreased hepatic metabolism due to organ degeneration (C)</p> Signup and view all the answers

A patient is prescribed ciprofloxacin, a fluoroquinolone antibiotic. What serious adverse reaction should the nurse educate the patient about, based on the black box warning?

<p>Tendonitis and tendon rupture (B)</p> Signup and view all the answers

A nurse is explaining pharmacogenomics to a patient. Which of the following statements best describes pharmacogenomics?

<p>It studies how genes affect individual drug responses. (B)</p> Signup and view all the answers

A nurse is preparing to administer atenolol to a patient with hypertension. Which assessment is a priority before administration?

<p>Heart rate and blood pressure (C)</p> Signup and view all the answers

When educating a patient on a new medication, which information should the nurse include?

<p>Drug name, dosage, adverse effects, and drug interactions (C)</p> Signup and view all the answers

A nurse administers a pain medication to a patient. To evaluate the effectiveness of the medication, which action should the nurse take?

<p>Assess the patient’s pain level (C)</p> Signup and view all the answers

A patient has PRN orders for both morphine sulfate and acetaminophen. They report mild pain (3/10). Which medication should the nurse administer first?

<p>Acetaminophen 325-650 mg orally every 4 hours PRN (B)</p> Signup and view all the answers

A nurse notices that a prescribed medication could potentially harm the patient due to a known allergy. What should the nurse do first?

<p>Contact the prescriber immediately (B)</p> Signup and view all the answers

A nurse is preparing to administer a new medication to an elderly patient with liver impairment. Which nursing action is a priority?

<p>Monitor liver function tests and assess for adverse effects (C)</p> Signup and view all the answers

The nurse is administering a medication with multiple indications. Which action should the nurse take before administration?

<p>Confirm the indication for use with the patient’s current diagnosis (B)</p> Signup and view all the answers

A nurse is preparing to give an injection to a patient and notices the medication label is partially torn and unreadable. What should the nurse do?

<p>Obtain a new, clearly labeled medication before administering (C)</p> Signup and view all the answers

Which of the following best describes the difference between antiseptics and disinfectants?

<p>Antiseptics are used on living tissue, and disinfectants are used on inanimate objects. (B)</p> Signup and view all the answers

A nurse is preparing to perform hand hygiene after contact with a patient who has a Clostridium difficile (C-Diff) infection. Which method is most appropriate?

<p>Wash hands with soap and water. (B)</p> Signup and view all the answers

Which action is most effective in preventing the spread of hospital-acquired infections?

<p>Performing hand hygiene before and after patient contact (C)</p> Signup and view all the answers

When should a healthcare provider avoid using an alcohol-based hand rub for hand hygiene?

<p>When hands are visibly soiled (A)</p> Signup and view all the answers

Why are systemic anti-infective drugs preferred over topical antiseptics for treating established local infections?

<p>Systemic drugs are more effective and do not damage inflamed tissue (B)</p> Signup and view all the answers

Why does the CDC recommend alcohol-based hand rubs for routine hand antisepsis in healthcare settings?

<p>They offer time savings, accessibility, and less skin damage. (C)</p> Signup and view all the answers

A nurse is assessing a patient with suspected fluid volume deficit (FVD). Which of the following assessment findings would most likely indicate fluid volume deficit rather than dehydration?

<p>Low blood pressure with rapid pulse (B)</p> Signup and view all the answers

A patient is admitted with severe dehydration and hypernatremia. Which IV fluid is most appropriate to help restore fluid balance?

<p>5% Dextrose in Water (D5W) (B)</p> Signup and view all the answers

An older adult is admitted with signs of dehydration. Which age-related factor contributes most significantly to the increased risk of fluid imbalance in this population?

<p>Increased fat content with decreased muscle mass (A)</p> Signup and view all the answers

A nurse is caring for a patient with diabetes insipidus who is producing large volumes of dilute urine. Which hormone imbalance should the nurse anticipate?

<p>Deficient antidiuretic hormone (ADH) (B)</p> Signup and view all the answers

A nurse is administering a hypertonic IV solution to a patient. Which cellular effect should the nurse anticipate?

<p>Water will move out of cells, causing them to shrink. (B)</p> Signup and view all the answers

A patient has been prescribed digoxin for heart failure. Given that the drug affects sodium-potassium pump activity, which electrolyte level should the nurse monitor closely?

<p>Potassium (C)</p> Signup and view all the answers

A nurse is educating a patient about insensible water loss. Which of the following statements indicates the patient understands insensible water loss?

<p>&quot;Insensible water loss is water I lose through my skin and lungs.&quot; (A)</p> Signup and view all the answers

A patient with cerebral edema requires an IV solution to draw fluid out of brain cells. Which solution should the nurse anticipate administering?

<p>3% Sodium Chloride (C)</p> Signup and view all the answers

A patient on a low-sodium diet presents with symptoms of confusion, muscle weakness, and low blood pressure. Laboratory results reveal a serum sodium level of 127 mEq/L. Which of the following fluids should the nurse expect to be ordered?

<p>0.9% Sodium Chloride (Normal Saline) (B)</p> Signup and view all the answers

A nurse is explaining osmosis to a nursing student. Which of the following statements indicates the student understands osmosis correctly?

<p>“Osmosis is the movement of water from a region of low solute concentration to high solute concentration.” (B)</p> Signup and view all the answers

Which electrolyte imbalance is most likely to occur if the sodium-potassium pump is not functioning correctly?

<p>Hypokalemia (C)</p> Signup and view all the answers

A patient presents with dehydration due to prolonged vomiting. The nurse understands that which type of IV solution is most appropriate for this patient to restore the extracellular fluid volume without altering the intracellular fluid?

<p>0.9% Sodium Chloride (B)</p> Signup and view all the answers

The nurse is caring for a patient receiving 3% Sodium Chloride for severe hyponatremia. Which of the following assessments should the nurse prioritize to monitor for potential complications?

<p>Lung sounds (D)</p> Signup and view all the answers

A patient has developed edema due to increased capillary hydrostatic pressure. Which condition is likely causing this change?

<p>Increased blood volume (C)</p> Signup and view all the answers

The nurse is administering a hypotonic solution to a patient. What is the nurse's priority assessment?

<p>Mental status (B)</p> Signup and view all the answers

A patient with chronic renal failure is at risk for fluid overload. The nurse knows that the kidneys play a critical role in fluid balance by which mechanism?

<p>Adjusting urine volume and selectively reabsorbing water and electrolytes (B)</p> Signup and view all the answers

The nurse is administering Lactated Ringer’s solution to a patient with burns. Which electrolyte is not included in Lactated Ringer’s?

<p>Magnesium (C)</p> Signup and view all the answers

A 78-year-old patient with dehydration is less likely to experience thirst due to:

<p>Altered function of osmoreceptors (C)</p> Signup and view all the answers

Flashcards

Warfarin + Aspirin

Increased risk of bleeding.

Hepatotoxic Drug Monitoring

Monitor AST and ALT levels to detect liver damage.

Last Person in Med Admin

Confirm dose and medication order accuracy.

Tetracycline & Calcium

Avoid calcium-containing foods with Tetracycline.

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Older Adult Drug Metabolism

Liver metabolism slows with age, increasing drug side effects.

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Ciprofloxacin Serious ADR

Tendonitis and rupture are serious risks.

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Pharmacogenomics

How genes influence drug responses.

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Atenolol Assessment

Check pulse and blood pressure before administering.

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Patient Medication Education

Include drug name, dosage, side effects, and interactions.

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Pain Medication Evaluation

Assess the patient's pain level to evaluate effectiveness.

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Pain Medication Priority

Acetaminophen priority over opioid for mild pain.

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Allergy-related Medication

Contact the prescriber immediately for potential harm alerts.

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Elderly Patient, Liver Impairment

Monitor liver function (LFTs) & assess for drug side effects.

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Multiple Indication Med Check

Confirm the drug's fit with the patient's condition.

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Torn Medication Label

Don't use it - get a new one before administering.

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Antiseptic vs Disinfectant

Antiseptics for living tissue, disinfectants for inanimate.

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C-Diff Hand Hygiene

Hand wash with soap and water necessary.

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Preventing Infections

Best prevention: hand hygiene before/after patient contact.

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Alcohol Rub Restriction

Avoid on visibly soiled hands; use soap and water.

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Systemic Anti-infective vs Topical Antiseptics

Systemic drugs better for established local infections.

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Alcohol-based Hand Rub Recommendation

Time-saving, accessible, less skin damage.

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Fluid Volume Deficit (FVD) vs Dehydration

FVD = Low blood pressure & rapid pulse; dehydration is wider.

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Dehydration IV Fluid

D5W (5% dextrose in water) often used for dehydration and hypernatremia.

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Older Adult Dehydration Risk

Less thirst due to receptor alterations, increased fat content, and reduced muscle.

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Diabetes Insipidus Hormone

Low antidiuretic hormone (ADH) leads to excess dilute urine.

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Hypertonic IV Effect

Water moves out of cells, shrinking them.

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