Lesson 7 Chapter questions

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Fyrcracker
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Lesson 7 Chapter questions
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2013-10-24 12:50:52
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Chap 40 41 51 52
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Chapter questions
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  1. A client tells the nurse that he has started to take an OTC antihistamine, diphendyramine (benadryl).  In teaching him about s/e, what is most important?
    A. Do not take this drug at bedtime to avoid insomnia.
    B. Nightmares & nervousness are more likely in an adult.
    C. Limit use to 1-2 puffs/sprays 4-6 times per day to avoid rebound congestion.
    D. Avoid driving a motor vehicle until stabalized on the drug.
    D. Avoid driving a motor vehicle until stabalized on the drug.
    (this multiple choice question has been scrambled)
  2. The client complains of a sore throat & has been told it is due to beta-hemolytic streptococcal infection.  The nurse realizes this condition is called what?
    A. Acute Rhinitis
    B. Acute Sinusitis
    C. Acute Pharyngitis
    D. Acute Rhinorrhea
    C. Acute Pharyngitis
    (this multiple choice question has been scrambled)
  3. A client is prescribed the decongestant oxymetazoline (Affrin) nasal spary.  What should the nurse teach the client?
    A. Limit the drug to 5 days of use to prevent rebound nasal congestion.
    B. This drug may be cused in maintenance Tx for asthma.
    C. Take this drug at bedtime as a sleep aid.
    D. Direclty spray away from the nasal septum & gently sniff.
    A. Limit the drug to 5 days of use to prevent rebound nasal congestion
    (this multiple choice question has been scrambled)
  4. A client has been prescribed guaifenesin (Robitussin).  The nurse realizes that the purpose of the drug is to accomplish what?
    A. To Tx allergic Rhinitis & prevent motion sickness.
    B. To loosen bronchial secretions so they can be eliminated by coughing.
    C. To compete w/histamine for receptor sites, thus preventing a histamine response.
    D. To stimulate alpha-adrenergic receptors, thus producing vascular constriction of capillaries in nasal mucosa.
    B. To loosen bronchial secretions so they can be eliminated by coughing.
    (this multiple choice question has been scrambled)
  5. Beclomethasone (Beconase) has been prescribed for a client w/allergic rhinitis.  The nurse teaches the client that which is the most common s/e from continuous use?
    A. hallucinations
    B. dizziness
    C. rhinorrhea
    D. dry nasal mucosa
    D. dry nasal mucosa
    (this multiple choice question has been scrambled)
  6. The nurse is teaching a client about Benadryl.  Which are topics to include? (select all that apply)
    a. Take med w/food to <GI distress.
    b. Avoid alcohol & other CNS depressants.
    c. Notify Dr. if confusion or hypotension occurs.
    d. Take sugarless candy, gum or ice chips for temporary relief of dry mouth.
    e. Avoid handling dangerous equipment or performing dangerous activities until stabilized on the drug.
    • a. Take med w/food to <GI distress.
    • b. Avoid alcohol & other CNS depressants.
    • c. Notify dr. if confusion or hypotension occurs.
    • d. Take sugarless candy, gum or ice chips for temporary relief of dry mouth.
    • e. Avoid handling dangerous equipment or performing dangerous activities until stabilized on the drug.
  7. A client is diagnosed w/a pulmonary disorder that causes COPD.  Lung tissue changes are normally reversible w/this condition.  The nurse understand that which is the client's most likely diagnosis?
    A. Emphysema
    B. Chronic Bronchitis
    C. Bronchiectasis
    D. Asthma
    D. Asthma
    (this multiple choice question has been scrambled)
  8. A client w/COPD has an acute bronchospasm.  The nurse knows that which is the best medication for this emergency situation?
    A. Oxtriphylline-theophylline (Choledyl)
    B. Epinephrine (Adrenalin)
    C. Zafirlukast (Accolate)
    D. Dexamethasone (Decadron)
    B. Epinephrine (Adrenalin)
    (this multiple choice question has been scrambled)
  9. A client is taking Aminophylline-theophylline Ethylenediamine (Somophyllin).  For what should the nurse monitor the client?
    A. Hypoglycemia
    B. Drowsiness
    C. ^HR
    D. <WBC
    C. ^HR
    (this multiple choice question has been scrambled)
  10. A client is prescribed theophylline to relax the smooth muscles of the bronchi.  The nurse monitors the client's theophylline serum levels to maintain which therapeutic range?
    A. 1-10mcg/mL
    B. 20-30mcg/mL
    C. 30-40mcg/mL
    D. 10-20mcg/mL
    D. 10-20mcg/mL
    (this multiple choice question has been scrambled)
  11. A client w/COPD is taking a leukotriene antagonist, montelukast (singulair).  The nurse is aware that this med is given for which purpose?
    A. Tx of an acute Asthma attack
    B. Tx of inflammation in chronic bronchitis.
    C. Maintenance Tx of Asthma
    D. Reversing bronchospasms associated w/COPD
    C. Maintenance Tx of Astham
    (this multiple choice question has been scrambled)
  12. A client is receiving the growth hormone drug Somatrem (Protropin).  The nurse understands that the action of this drug is to do what?
    A. To stimulate growth in long bones at epiphyseal plates. 
    B. To promote water reabsorption from the renal tubules.
    C. To act as an anti-inflammatory agent.
    D. To ^metabolic rate & oxygen consumption
    A. To stimulate growth in the long bones at epiphyseal plates.
    (this multiple choice question has been scrambled)
  13. A client is given Desmopressin Acetate (DDAVP).  The nurse knows that this drug is to Tx which condition?
    A. Adrenal Insufficency
    B. Gigantism
    C. Diabetes Mellitus
    D. Diabetes Insipidus
    D. Diabetes Insipidus
    (this multiple choice question has been scrambled)
  14. A client is taking Levothyroxine (Synthroid).  For which adverse effect would the nurse montior the client?
    A. Constipation
    B. Weight gain
    C. Tachycardia
    D. Drowsiness
    C. Tachycardia
    (this multiple choice question has been scrambled)
  15. A client has just begun taking Dihydrotachysterol (DHT).  What is the nursing implications of this drug?
    A. To monitor the client's weight.
    B. To instruct the client to avoid persons w/respiratory infections
    C. To teach s/e of Alopecia & Petechiae.
    D. To monitor weekly calcium levels.
    D. To monitor weekly calcium levels.
    (this multiple choice question has been scrambled)
  16. A client is given Corticotropin (Acthar).  The nurse knows to monitor the client for which condition?
    A. Hyperkalemia
    B. Weight gain
    C. Hypoglycemia
    D. Hypercalcemia
    B. Weight gain
    (this multiple choice question has been scrambled)
  17. A nurse is administering prednisone (Deltasone) to a client newly admitted to the hospital who is taking multiple other drugs.  The nurse should consider which drug interactions w/prednisone? (Select all that apply)
    a. The cardiac & CNS actions are ^when taken w/adrenergic agents.
    b. Potassium-wasting diuretics ^potassium loss resulting in hypokalemia.
    c. The risk of GI bleeding & ulceration ^when taken w/aspirin & other NSAIDs.
    d. The action of prednisone is <when taken w/phenytoin (Dilantin) as phenytoin ^glucocorticoid metabolism.
    e. The risk of dysrhythmias & digitalis toxicity ^when taken w/cardiac glycosides.
    f. The dosage of antidiabetic agents may need to be ^when taken concurrently w/glucocorticoids.
    • b. Potassium-wasting diuretic ^K+ loss resulting in hypokalemia.
    • c. The risk of GI bleeding & ulceration ^when taken w/aspirin & other NSAIDs.
    • d. The action of prednisone is <when taken w/phenytoin (Dilantin) as phenytoin ^glucocorticoid metabolism.
    • e. The risk of dysrhythmias & digitalis toxicity ^when taken w/cardiac glycosides.
    • f. The dosage of antidiabetic agents may need to be ^when taken concurrently.
  18. The nurse is administering vasopressin (Pitressin) to a client.  The nurse realizes that nursing impliactions for this drug would include which implications? (Select all that apply).
    a. Record urinary output
    b. Observe the client's weight & note edema.
    c. Monitor the client for <BP
    d. Closely monitor the client's blood glucose levels.
    e. Monitor the client's pulse for ^HR
    f. Record the client's daily calcium levels.
    • c. Monitor the client for <BP
    • e. Monitor the client's pulse for ^HR
  19. A client is diagnosed w/Type 2 diabetes mellitus.  The nurse is aware that which statement is true?
    A. Heredity is a major causative factor.
    B. Viral infections contribute most to disease development.
    C. Client is most likely a teenager.
    D. Client is most likely a child younger than 10yrs.
    A. Heredity is a major causative factor.
    (this multiple choice question has been scrambled)
  20. Antidiabetic drugs are designed to control signs & symptoms of diabetes mellitus. The nurse primarily expects a <in which?
    A. Fat metabolism
    B. Glycogen storage
    C. Protein mobilization
    D. Blood glucose
    D. Blood glucose
    (this multiple choice question has been scrambled)
  21. A client is to receive insulin before breakfast, & the time of breakfast tray delivery is variable.  The nurse knows that which insulin should not be administered until the breakfast tray has arrived & the client is ready to eat?
    A. Humulin N
    B. Glargine (Lantus)
    C. Humulin R
    D. Lispro (Humalog)
    D. Lispro (Humalog)
    (this multiple choice question has been scrambled)
  22. A client is receiving a daily dose of Humulin N insulin at 0730.  The nurse expects the peak effect of this drug to occur at which time?
    A. 2300
    B. 1030
    C. 1700
    D. 0815
    C. 1700
    (this multiple choice question has been scrambled)
  23. When the client is prescribed Glipizide (Glucotrol), the nurse knows that which s/e or a/r may be expected? (select all that apply).
    a. Tachypnea
    b. Tachycardia
    c. ^alertness
    d. ^weight gain
    e. Visual disturbances
    f. Hungar
    • b. Tachycardia
    • e. Visual disturbances
    • f. Hungar
  24. A nurse who is teaching a client how to recognize s/s of hypoglycemia should include which s/s in the teaching? (select all that apply)
    a. HA
    b. Nervousness
    c. Bradycardia
    d. Sweating
    e. Thirst
    f. Sweet breath odor
    • a. HA
    • b. Nervousness
    • d. Sweating
  25. A client is newly diagnosed w/Type 1 DM & requires daily insulin injections.  Which instruction should the nurse include in the teaching of insulin administration?
    A. Instruct the client about the necessity for compliance w/prescribed insulin therapy.
    B. Instruct the client in the care of insulin container & syringe handling.
    C. Teach the family members to administer glucagon by injection if the client has a hyperglycemic reaction.
    D. Teach the client that hypoglycemic reactions are more likely to occur at the onset of the action time.
    A. Instruct the client about the necessity for compliance w/prescribed insulin therapy.
    (this multiple choice question has been scrambled)

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