How can the nurse best respond to this patient concerns

Assignment Help Other Subject
Reference no: EM131113349

Question 1. A nurse who provides care on an acute medicine unit has frequently recommended the use of nicotine replacement gum for patients who express a willingness to quit smoking during their admission or following their discharge. For which of the following patients would nicotine gum be contraindicated?

A. A patient whose stage III pressure ulcer required intravenous antibiotics and a vacuum dressing

B. A patient with a history of angina who experienced a non-ST wave myocardial infarction

C. A patient who received treatment for kidney failure due to an overdose of acetaminophen

D. A patient whose pulmonary embolism was treated with a heparin infusion

Question 2. A patient who has been taking buspirone (BuSpar) for 1 week calls the clinic and reports to the nurse that the drug is not working. The patient informs the nurse that she is still having symptoms of anxiety. The nurse will tell the patient that

A. she will report this to the physician immediately.

B. it may take up to 6 months for the drug to relieve her anxiety.

C. optimum relief of anxiety usually occurs after 3 to 4 weeks of treatment.

D. the drug is not going to work for her and the medication needs to be changed.

Question 3. A patient has been admitted to the ICU because of multiple traumas due to a motor vehicle accident. The physician has ordered propofol (Diprivan) to be used for maintenance of sedation. Before administration of propofol, a priority assessment by the nurse would be to check for a history of

A. diabetic hyperlipidemia.

B. increased intraocular pressure.

C. seizure disorders.

D. low blood pressure.

Question 4. A 39-year-old patient who is having trouble sleeping is beginning drug treatment with zaleplon (Sonata). The nurse will be sure to ask the patient if she is taking

A. oxycodone (Percodan).

B. secobarbital (Seconal).

C. cimetidine (Zantac).

D. meperidine (Demerol).

Question 5. A nurse is caring for a patient who has been admitted with acute cocaine intoxication. Which of the following vital signs would the nurse expect to find initially when assessing the patient?

A. BP: 130/88, P: 92, R: 28

B. Blood pressure (BP): 98/50, pulse (P): 120, respirations (R): 40

C. BP: 170/98, P:110, R: 20

D. BP: 150/90, P: 80, R: 16

Question 6. A nurse is caring for a patient who abuses marijuana. The treatment for marijuana abuse consists mainly of

A. no nursing action unless the patient experiences a "bad trip."

B. nonpharmacologic interventions combined with an exercise program.

C. aggressive respiratory assistance

D. drug therapy with bromocriptine (Parlodel).

Question 7. A patient is suffering from acute inhalant intoxication. The priority nursing intervention will be to

A. assess the patient's psychosocial status.

B. administer oxygen therapy.

C. provide an emesis basin.

D. administer epinephrine.

Question 8. A 20-year-old man has begun treatment of the psychotic symptoms of schizophrenia using olanzapine (Zyprexa). Which of the following symptoms would be categorized as a negative symptom of schizophrenia?

A. Visual hallucinations

B. Auditory hallucinations

C. Delusional thinking

D. Lack of interest in normal activities

Question 9. A homeless man who is well known to care providers at the local hospital has been admitted to the emergency department after having a seizure outside a mall. The man is known to be a heavy alcohol user and is malnourished with a very low body mass index. How are this patient's characteristics likely to influence possible treatment with phenytoin?

A. The patient's heavy alcohol use will compete with phenytoin for binding sites and he will require a higher-than-normal dose.

B. The patient's protein deficit will likely increase the levels of the free drug in his blood.

C. Phenytoin is contraindicated within 48 hours of alcohol use due to the possibility of paradoxical effects.

D. The patient will require oral phenytoin rather than intravenous administration.

Question 10. The wife of a patient who is taking haloperidol calls the clinic and reports that her husband has taken the first dose of the drug and it is not having a therapeutic effect. An appropriate response by the nurse would be

A. "I'll ask the nurse practitioner if the dosage can be increased."

B. "Continue the prescribed dose. It may take several days to work."

C. "I'll ask the nurse practitioner if the haloperidol can be discontinued and another drug started."

D. "I'll report this to the nurse practitioner and see if he will add another drug to enhance the effects of the haloperidol."

Question 11. A patient who is experiencing acute alcohol withdrawal is being treated with intravenous lorazepam (Ativan). This drug achieves a therapeutic effect by

A. inhibiting the action of monoamine oxidase.

B. increasing the effects of the neurotransmitter GABA.

C. increasing the amount of serotonin available in the synapses.

D. affecting the regulation of serotonin and norepinephrine in the brain.

Question 12. A nurse will be prepared to administer naloxone (Narcan) to a patient who has had an overdose of morphine. Repeated doses of Narcan will be necessary because Narcan

A. has a shorter half-life than morphine.

B. has less strength in each dose than do individual doses of morphine.

C. causes the respiratory rate to decrease.

D. combined with morphine, increases the physiologic action of the morphine.

Question 13. A 4-year-old child is brought to the emergency department by her mother. The mother reports that the child has been vomiting, and the nurse notes that the child's face is flushed and she is diaphoretic. The mother thinks that the child may have swallowed carbachol drops. A diagnosis of cholinergic poisoning is made. Which of the following drugs would be administered?

A. Nicotine

B. Cevimeline

C. Atropine

D. Acetylcholine

Question 14. A patient with mild low back pain has been advised to take acetaminophen. The nurse will inform him that excessive intake of acetaminophen may result in

A. gastrointestinal distress.

B. cognitive deficits.

C. acute renal failure.

D. liver damage.

Question 15. A patient has been hospitalized for treatment of substance abuse after being arrested and jailed for the past 24 hours. The patient is experiencing severe muscle and abdominal cramps, seizures, and acute psychosis due to abrupt withdrawal. Which of the following drug classes is the most likely cause of these severe and potentially fatal withdrawal symptoms?

A. Amphetamines

B. Opioids

C. Benzodiazepines

D. Sedative-hypnotic drugs

Question 16. A 59-year-old woman has presented to a clinic requesting a prescription for lorazepam (Ativan) in order to treat her recurrent anxiety. Her care provider, however, believes that a selective serotonin reuptake inhibitor (SSRI) would be more appropriate. What advantage do SSRIs have over benzodiazepines in the treatment of anxiety?

A. SSRIs have a more rapid therapeutic effect.

B. SSRIs require administration once per week, versus daily or twice daily with benzodiazepines.

C. SSRIs generally have fewer adverse effects.

D. SSRIs do not require serial blood tests during therapy.
 
Question 17. A 64-year-old-patient has been prescribed lorazepam (Ativan) because of increasing periods of anxiety. The nurse should be careful to assess for

A. a history of current or past alcohol use.

B. a diet high in fat.

C. current nicotine use.

D. a diet high in carbohydrates.

Question 18. Which of the following would be an expected outcome in a patient who has been given atropine during a medical emergency?

A. Restoration of normal sinus rhythm

B. Resolution of respiratory acidosis

C. Reduction of severe hypertension

D. Increased level of consciousness

Question 19. A trauma patient has been receiving frequent doses of morphine in the 6 days since his accident. This pattern of analgesic administration should prompt the nurse to carefully monitor the patient's

A. bowel patterns.

B. urine specific gravity.

C. skin integrity.

D. core body temperature.

Question 20. A middle-aged patient was diagnosed with major depression after a suicide attempt several months ago and has failed to respond appreciably to treatment with SSRIs. As a result, his psychiatrist has prescribed phenelzine. When planning this patient's subsequent care, what nursing diagnosis should the nurse prioritize?

A. Risk for Injury related to drug-drug interactions or drug-nutrient interactions

B. Risk for Constipation related to decreased gastrointestinal peristalsis

C. Risk for Ineffective Peripheral Tissue Perfusion related to cardiovascular effects of phenelzine

D. Risk for Infection related to immunosuppressive effects of phenelzine
 
Question 21. A nurse works in a sleep disorder clinic and is responsible for administering medications to the patients. Which of the following patients would be most likely to receive zaleplon (Sonata)?

A. A 20-year-old woman who will take the drug about once a week

B. A 46-year-old man who receives an antidepressant and needs a sleep aid

C. A 35-year-old man who is having difficulty falling asleep, but once asleep can stay asleep

D. A 52-year-old woman who needs to fall asleep quickly and stay asleep all night
 
Question 22. A 26-year-old professional began using cocaine recreationally several months ago and has begun using the drug on a daily basis over the past few weeks. He has noticed that he now needs to take larger doses of cocaine in order to enjoy the same high that he used to experience when he first used the drug. A nurse should recognize that this pattern exemplifies

A. drug tolerance.

B. dependence.

C. addiction.

D. withdrawal.

Question 23. A postsurgical patient has been provided with a morphine patient-controlled analgesic (PCA) but has expressed her reluctance to use it for fear of becoming addicted. How can the nurse best respond to this patient's concerns?

A. "It is not uncommon to develop a dependence on pain medications, but this usually takes place over a long period and is not the same as addiction."

B. "You don't need to worry. It's actually not true that you can get addicted to the medications we use in a hospital setting."

C. "It's important that you accept that your current need to control your pain is more important than fears of becoming addicted."

D. "If you do become addicted, we'll make sure to provide you with the support and resources necessary to help you with your recovery."

Question 24. A patient has been prescribed zolpidem (Ambien) for short-term treatment of insomnia. Which of the following will the nurse include in a teaching plan for this patient? (Select all that apply.)

A. The drug does not cause sleepiness in the morning.

B. It is available in both quick-onset and continuous-release oral forms.

C. The drug should not be used for longer than 1 month.

D. It should be taken 1 hour to 90 minutes before going to bed.

E. One of the most common adverse effects of the drug is headache.

Question 25. A patient who is experiencing withdrawal from heavy alcohol use have developed psychosis and been treated with haloperidol. Which of the following assessment findings should prompt the care team to assess the patient for neuroleptic malignant syndrome?

A. The patient develops yellowed sclerae and intense pruritis (itchiness).

B. The patient demonstrates a significant increase in agitation after being given haloperidol.

C. The patient develops muscle rigidity and a sudden, high fever.

D. The patient complains of intense thirst and produces copious amounts of urine.

Question 26. A nurse is providing care for a patient who suffered extensive burns to his extremities during a recent industrial accident. Topical lidocaine gel has been ordered to be applied to the surfaces of all his burns in order to achieve adequate pain control. When considering this order, the nurse should be aware that

A. there is a risk of systemic absorption of the lidocaine through the patient's traumatized skin.

B. intravenous lidocaine may be preferable to topical application.

C. lidocaine must be potentiated with another anesthetic in order to achieve pain control.

D. pain relief is unlikely to be achieved due to the destruction of nerve endings in the burn site.

Question 27. Which of the following drugs used to treat anxiety would be appropriate for a patient who is a school teacher and is concerned about feeling sedated at work?

A. Lorazepam (Ativan)

B. Diazepam (Valium)

C. Alprazolam (Xanax)

D. Buspirone (BuSpar)

Question 28. A nurse is caring for a patient who is in severe pain and is receiving an opioid analgesic. Which of the following would be the nurse's priority assessments?

A. Liver function studies, pain intensity, and blood glucose level

B. Pain intensity, respiratory rate, and level of consciousness

C. Respiratory rate, seizure activity, and electrolytes

D. Respiratory rate, pain intensity, and mental status

Question 29. A male patient has been brought to the emergency department during an episode of status epilepticus. Diazepam is to be administered intravenously. The nurse will be sure to

A. administer after diluting the drug with gabapentin in intravenous solution.

B. inject very slowly, no faster than 100 mg/minute.

C. inject the diazepam very quickly, 15 mg in 10 to15 seconds.

D. avoid the small veins in the dorsum of the hand or the wrist.
 
Question 30. A 30-year-old woman is taking phenelzine (Nardil) 30mg PO tid. The nurse knows that at that dosage, the patient will need to be carefully monitored for

A. increased secretions.

B. facial flushing.

C. dizziness

Reference no: EM131113349

Questions Cloud

What do you do when a hospital worker that has access : It doesn't eliminate it, just points to those who have access. Now what do you do when a hospital worker that has access but shouldn't necessarily look at the case? Example a CT Tech has a Chest/Abdomen/Pelvis as a patient and the Manager looks ..
Determining the important terminology : Give a short overview of the topic(s) covered; include as many details as necessary to make the topic(s) clear. Explain any important terminology covered (including any terms that are new to you).
Compute the maximum value of the voltage : The coil is placed so that its axis of revolution is perpendicular to a uniform field, as shown in Figure P12.1.10. If the flux per pole is 0.02 Wb, and the coil, consisting of 2 turns, is revolving at 1800 r/min, compute the maximum value of the ..
Calculate the mass of fes formed : Calculate the mass of FeS formed when 9.42 g of Fe reacts with 8.50 g of S. Hydroxylamine nitrate contains 29.17 mass % N, 4.20 mass % H, and 66.63 mass % O. Determine its empirical formula.
How can the nurse best respond to this patient concerns : A patient who is experiencing withdrawal from heavy alcohol use have developed psychosis and been treated with haloperidol. Which of the following assessment findings should prompt the care team to assess the patient for neuroleptic malignant synd..
What is the interpretation of your results : Using Exhibit 5.4, calculate the one-, three-, and six-month forward premium or discount for the U.S. dollar versus the British pound using European term quotations. For simplicity, assume each month has 30 days. What is the interpretation of your re..
Discuss any three principles of communication : Take any English newspaper and discuss any three principles of communication with reference to any news item of at least 75 words
Increase the space in linux system : You have just been handed a new IDE hard disk to increase the space in your Linux system. Your goal is to install the IDE hard disk and configure it so it's the master drive on the secondary IDE channel.
Determine the frequency of the stator-induced voltage : The uniform air gap is of length 1 mm, while the armature diameter is 0.5 m, and the axial length of the machine is 1.5 m. The field winding carries a current of 1 A (dc) and the rotor is driven at 3600 r/min.

Reviews

Write a Review

 

Other Subject Questions & Answers

  Cultural values that influence communication

Of the six cultural values that influence communication (individualism-collectivism, preferred personality, view of human nature, human-nature value, power distance, and long-term versus short-term orientation), which two of these cultural values hav..

  Explain what is her basis for the house

In 2005 she paid $10,000 to add a room to the house. In 2007 she paid $625 to have the house painted and $800 for built-in bookshelves. As of January 1 of the current year, she has reduced the $48,000 mortgage to $44,300. What is her basis for the..

  Detailed description of the normal physiological features

ACMGAS205A ASSESSMENT - Provide a detailed description of the normal physiological features, normal vital signs and normal behaviour of the species of animal that you are observing

  Eliminated a lot of labor intensive jobs

What do you think of the impact of technology in that it has eliminated a lot of labor intensive jobs without necessarily creating new jobs?

  Explain how pilots practice stunts

How do air show pilots get practice? Do they practice at high altitudes? If that is the case, how do they practice stunts that by nature require low altitude, like Bob Hoover's waltzing landing?

  Interpretaton of a stratigraphy cross-section

Apply the scientific method to interpret geologic data/information in this exercise.  The student should review and the topics covered on rocks (igneous, sedimentary, and metamorphic rocks) and geologic time from your previous assignments

  Social psychology help

This solution offers ideas regarding the importance of early psychosexual development.

  Describe the potential hazards

Think of a job common to construction worksites (for example, hanging drywall). List the steps for the job. For one of the steps, describe the potential hazards and suggest some possible control measures

  Evaluating contemporary research in the field of psychology

For the article review, students will assume the role of an expert who is critically evaluating contemporary research in the field of psychology

  Biopsychosocial or the diathesis-stress models

Provide a brief overview of how culture is a factor determining the expression of psychopathology. Examine causes of psychopathology by using either the biopsychosocial or the diathesis-stress models.

  Goal of campus admissions

Do you think that diversity ought to be a goal of campus admissions? Or do you believe that only academic qualifications ought to count? Why?

  In an article appearing in todays health a writer states

1.which of the following values is not typically used for ?a.0.01b.0.10c.0.50d.0.052.a null hypothesis can only be

Free Assignment Quote

Assured A++ Grade

Get guaranteed satisfaction & time on delivery in every assignment order you paid with us! We ensure premium quality solution document along with free turntin report!

All rights reserved! Copyrights ©2019-2020 ExpertsMind IT Educational Pvt Ltd