NURS6521 QUIZ 5 WEEK 5 NURS6521 QUIZ BANK BEST EXAM SOLUTION LATEST UPDATE 2022/2023 RATED, Exams of Nursing

Download NURS6521 QUIZ 5 WEEK 5 NURS6521 QUIZ BANK BEST EXAM SOLUTION LATEST UPDATE 2022/2023 RATED and more Exams Nursing in PDF only on Docsity! NURS6521 QUIZ 5 WEEK 5 NURS6521 QUIZ BANK BEST EXAM SOLUTION LATEST UPDATE 2022/2023 RATED A+ 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 Sele cted Ans wer: Corr ect Ans wer: Resp onse Feed back : NURS6521 QUIZ 5 WEEK 5 NURS6521 QUIZ BANK BEST EXAM SOLUTION LATEST UPDATE 2022/2023 RATED A+ NURS6521 QUIZ 5 WEEK 5 NURS6521 QUIZ BANK BEST EXAM SOLUTION LATEST UPDATE 2022/2023 RATED A+ C. h a s a s h o r t e r h a lf-life than morphine. C. has a shorter half-life than morphine. The duration of the morphine may be longer than the duration of naloxone. Therefore, naloxone has a shorter half-life than morphine. Repeated doses may be necessary to maintain reversal of the opiate's effects. Naloxone does not increase the action of morphine, and it causes the respiratory rate to increase, not decrease. Dosage strength is not associated with drug duration. A middle-aged patient was diagnosed with major depression after a 1 out of 1 points suicide attempt several months ago and has failed NURS6521 QUIZ 5 WEEK 5 NURS6521 QUIZ BANK BEST EXAM SOLUTION LATEST UPDATE 2022/2023 RATED A+ NURS6521 QUIZ 5 WEEK 5 NURS6521 QUIZ BANK BEST EXAM SOLUTION LATEST UPDATE 2022/2023 RATED A+ Resp onse Feed back : B. inject the diazepam very quickly, 15 mg in 10 to15 seconds. A. avoid the small veins in the dorsum of the hand or the wrist. When diazepam is administered intravenously during status epilepticus, the small veins in the dorsum of the hand or the wrist should be avoided. It should be injected slowly, no faster than 5 mg in 1 minute. Diazepam should not be mixed or diluted with other solutions or drugs, either in the syringe or in intravenous solutions. A nurse works in a sleep disorder clinic and is responsible for 1 out of 1 points administering medications to the patients. Which of the following patients would be most likely to NURS6521 QUIZ 5 WEEK 5 NURS6521 QUIZ BANK BEST EXAM SOLUTION LATEST UPDATE 2022/2023 RATED A+ NURS6521 QUIZ 5 WEEK 5 NURS6521 QUIZ BANK BEST EXAM SOLUTION LATEST UPDATE 2022/2023 RATED A+ receive zaleplon (Sonata)? Sele cted Ans wer: Corr ect Ans wer: Resp onse Feed back : A. A 35-year-old man who is having difficulty falling asleep, but once asleep can stay asleep A. A 35-year-old man who is having difficulty falling asleep, but once asleep can stay asleep The nurse will most likely administer the zaleplon to the 35-year- old man who is having difficulty falling asleep, but once asleep can stay asleep. Zolpidem would most likely be administered to the 20-year- old who will take a sleep aid only once a week. Eszopiclone (Lunesta) will be given to the 52-year-old woman who needs to fall asleep quickly and has trouble staying asleep. The 46-year-old man will likely receive NURS6521 QUIZ 5 WEEK 5 NURS6521 QUIZ BANK BEST EXAM SOLUTION LATEST UPDATE 2022/2023 RATED A+ NURS6521 QUIZ 5 WEEK 5 NURS6521 QUIZ BANK BEST EXAM SOLUTION LATEST UPDATE 2022/2023 RATED A+ t razodone (Desyrel). This drug is given as a sleep aid for a patient who is taking an antidepressant. An elderly woman is slated for a hemiarthroplasty (hip replacement 0 out of 1 points surgery) after falling and breaking her hip on the stairs outside her home. The woman's pain in the time since her injury has been severe, and her care team has been treating it with morphine. Which of the following administration schedules is most likely to control the patient's pain? Selec ted Answ er: Corr ect Answer: Response Feedback: NURS6521 QUIZ 5 WEEK 5 NURS6521 QUIZ BANK BEST EXAM SOLUTION LATEST UPDATE 2022/2023 RATED A+ NURS6521 QUIZ 5 WEEK 5 NURS6521 QUIZ BANK BEST EXAM SOLUTION LATEST UPDATE 2022/2023 RATED A+ 1 out of 1 points 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 Selected C. Answer: NURS6521 QUIZ 5 WEEK 5 NURS6521 QUIZ BANK BEST EXAM SOLUTION LATEST UPDATE 2022/2023 RATED A+ NURS6521 QUIZ 5 WEEK 5 NURS6521 QUIZ BANK BEST EXAM SOLUTION LATEST UPDATE 2022/2023 RATED A+ Corr ect Ans wer: Resp onse Feed back: bowel patter ns. C. bowel patter ns. Morphine, like most opioid analgesics, creates a risk for constipation. The drug is unlikely to influence the patient's temperature, skin integrity, or urine specific gravity. 0 out of 1 points 1 out of 1 points A 4-year-old child is brought to the emergency department by her mother. The mother reports NURS6521 QUIZ 5 WEEK 5 NURS6521 QUIZ BANK BEST EXAM SOLUTION LATEST UPDATE 2022/2023 RATED A+ NURS6521 QUIZ 5 WEEK 5 NURS6521 QUIZ BANK BEST EXAM SOLUTION LATEST UPDATE 2022/2023 RATED A+ 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? Sele cted Ans wer: Corr ect Ans wer: Resp onse Feedback : NURS6521 QUIZ 5 WEEK 5 NURS6521 QUIZ BANK BEST EXAM SOLUTION LATEST UPDATE 2022/2023 RATED A+ NURS6521 QUIZ 5 WEEK 5 NURS6521 QUIZ BANK BEST EXAM SOLUTION LATEST UPDATE 2022/2023 RATED A+ Resp onse Feed back C. n o n p h a r m a cologic interventions combined with an exercise program. C. nonpharmacologic interventions combined with an exercise program. Treatment for marijuana abuse consists mainly of nonpharmacologic interventions combined with an exercise program to help deal with withdrawal symptoms and cravings for the drug. Treatment of LSD and PCP use is necessary only when the user experiences a “bad trip.” Parlodel is given for cocaine addiction. Patients with acute inhalant intoxication may need respirator assistance. A 62-year-old woman has been prescribed a fenta nyl trans derma l NURS6521 QUIZ 5 WEEK 5 NURS6521 QUIZ BANK BEST EXAM SOLUTION LATEST UPDATE 2022/2023 RATED A+ NURS6521 QUIZ 5 WEEK 5 NURS6521 QUIZ BANK BEST EXAM SOLUTION LATEST UPDATE 2022/2023 RATED A+ patch 1 out of 1 points for chronic cancer pain. The patient asks the nurse how long it will take for her to experience pain relief. The nurse will instruct the patient that she should feel pain relief in approximately Selec ted Answ er: Corr ect Ans wer: Resp onse Feedback: NURS6521 QUIZ 5 WEEK 5 NURS6521 QUIZ BANK BEST EXAM SOLUTION LATEST UPDATE 2022/2023 RATED A+ NURS6521 QUIZ 5 WEEK 5 NURS6521 QUIZ BANK BEST EXAM SOLUTION LATEST UPDATE 2022/2023 RATED A+ C. 24 hours. C. 24 hours. The nurse will instruct the patient that it will take approximately 24 hours for the full pain-relieving effect of a fentanyl transdermal patch to occur. 1 out of 1 points 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 NURS6521 QUIZ 5 WEEK 5 NURS6521 QUIZ BANK BEST EXAM SOLUTION LATEST UPDATE 2022/2023 RATED A+ NURS6521 QUIZ 5 WEEK 5 NURS6521 QUIZ BANK BEST EXAM SOLUTION LATEST UPDATE 2022/2023 RATED A+ B. P h e n y t o i n i s c o n t r aindicated within 48 hours of alcohol use due to the possibility of paradoxical effects. D. The patient's protein deficit will likely increase the levels of the free drug in his blood. A protein deficit puts the patient at greater risk for having greater amounts of free, active drug in the blood because less protein albumin is available for binding than would normally be expected. Alcohol does not compete with phenytoin for binding sites and the drug is not necessarily contraindicated with recent alcohol intake, though alcohol does influence the metabolism of phenytoin. Oral phenytoin would not significantly minimize the risk of adverse effects. NURS6521 QUIZ 5 WEEK 5 NURS6521 QUIZ BANK BEST EXAM SOLUTION LATEST UPDATE 2022/2023 RATED A+ NURS6521 QUIZ 5 WEEK 5 NURS6521 QUIZ BANK BEST EXAM SOLUTION LATEST UPDATE 2022/2023 RATED A+ 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? 1 out of 1 points Sele cted Ans wer: C. Pain intensity, respiratory rate, and level of NURS6521 QUIZ 5 WEEK 5 NURS6521 QUIZ BANK BEST EXAM SOLUTION LATEST UPDATE 2022/2023 RATED A+ NURS6521 QUIZ 5 WEEK 5 NURS6521 QUIZ BANK BEST EXAM SOLUTION LATEST UPDATE 2022/2023 RATED A+ Corr ect Ans wer: Resp onse Feed back : consciousness C. Pain intensity, respiratory rate, and level of consciousness The nurse must assess the patient's pain intensity before and after administering an opioid analgesic. The respiratory rate and level of consciousness need to be assessed because respiratory depression and sedation are two adverse effects of opioid analgesics. Seizure activity, electrolytes, liver function, blood glucose level, and mental status may need to be assessed during opioid analgesic therapy related to adverse effects, but they would not be the priority assessments. 1 out of 1 points NURS6521 QUIZ 5 WEEK 5 NURS6521 QUIZ BANK BEST EXAM SOLUTION LATEST UPDATE 2022/2023 RATED A+ NURS6521 QUIZ 5 WEEK 5 NURS6521 QUIZ BANK BEST EXAM SOLUTION LATEST UPDATE 2022/2023 RATED A+ Sele cted Ans wer: Corr ect Ans wer: Resp onse Feed back : D. decreasing the influx of sodium into neurons. D. decreasing the influx of sodium into neurons. Phenytoin reversibly binds to sodium channels while they are in the inactive state. This binding delays the return of the channel to an active state. Because sodium can enter the cell to initiate an action potential only when the channels are active, the time NURS6521 QUIZ 5 WEEK 5 NURS6521 QUIZ BANK BEST EXAM SOLUTION LATEST UPDATE 2022/2023 RATED A+ NURS6521 QUIZ 5 WEEK 5 NURS6521 QUIZ BANK BEST EXAM SOLUTION LATEST UPDATE 2022/2023 RATED A+ between action potentials is greatly lengthened, the neurons cannot fire at an excessive rate, and excessive muscle contractions that occur in grand mal-type seizures are prevented. Phenytoin does not directly affect the function of calcium channels or levels of GABA and glutamate. A 39-year-old patient who is having trouble sleeping is beginning drug 1 out of 1 points treatment with zaleplon (Sonata). The nurse will be sure to ask the patient if she is taking Sele cted Ans wer: Corr ect Answer: Response Feedback : NURS6521 QUIZ 5 WEEK 5 NURS6521 QUIZ BANK BEST EXAM SOLUTION LATEST UPDATE 2022/2023 RATED A+ NURS6521 QUIZ 5 WEEK 5 NURS6521 QUIZ BANK BEST EXAM SOLUTION LATEST UPDATE 2022/2023 RATED A+ A. c i m e t i d i n e ( Z a n tac). A. cimeti dine (Zanta c). The nurse will assess for cimetidine use. Cimetidine greatly increases the level of circulating zaleplon and could cause toxic effects in the patient. Secobarbital is a barbiturate, and oxycodone and meperidine are narcotics that would not be used with lorazepam because the combinations may depress respiratory drive, create severe hypotension or bradycardia, and substantially alter level of consciousness. 1 out of 1 points A patient is suffering from acute inhalant NURS6521 QUIZ 5 WEEK 5 NURS6521 QUIZ BANK BEST EXAM SOLUTION LATEST UPDATE 2022/2023 RATED A+ NURS6521 QUIZ 5 WEEK 5 NURS6521 QUIZ BANK BEST EXAM SOLUTION LATEST UPDATE 2022/2023 RATED A+ would need to provide the patient with an emesis basin, but it would not be the most important nursing intervention. 1 out of 1 points A nurse who works at an outpatient mental health clinic follows numerous clients who have schizophrenia, many of whom are being treated with olanzapine (Zyprexa). Which of the following clients likely has the highest susceptibility to the adverse effects of olanzapine? Sele cted Ans wer: Corr ect Ans wer: Response Feedback : NURS6521 QUIZ 5 WEEK 5 NURS6521 QUIZ BANK BEST EXAM SOLUTION LATEST UPDATE 2022/2023 RATED A+ NURS6521 QUIZ 5 WEEK 5 NURS6521 QUIZ BANK BEST EXAM SOLUTION LATEST UPDATE 2022/2023 RATED A+ D. A c l i e n t w h o h a s type 1 diabetes and who practices poor glycemic control D. A client who has type 1 diabetes and who practices poor glycemic control The use of olanzapine creates a significant risk of hyperglycemia. This is of particular concern in patients and clients who have diabetes mellitus. Smoking affects the pharmacodynamics of olanzapine, but this is less likely to result in serious adverse effects. Obesity, low BMI, and recent antibiotic use are not associated with a significantly increased risk of adverse effects. Which of the following would be an expected outcome in a patient who has been given atropine during a medical emergency? 1 out of 1 points Sele cted Answer: NURS6521 QUIZ 5 WEEK 5 NURS6521 QUIZ BANK BEST EXAM SOLUTION LATEST UPDATE 2022/2023 RATED A+ NURS6521 QUIZ 5 WEEK 5 NURS6521 QUIZ BANK BEST EXAM SOLUTION LATEST UPDATE 2022/2023 RATED A+ Corr ect Ans wer: Resp onse Feed back : D. Restoration of normal sinus rhythm D. Restoration of normal sinus rhythm Atropine is used to help restore normal sinus rhythm in emergency situations, such as symptomatic bradycardia, pulseless electrical activity, ventricular asystole, or cardiopulmonary resuscitation. It does not resolve acid-based imbalances or decreased level of consciousness and atropine increases, rather than decreases, blood pressure. 1 out of 1 points NURS6521 QUIZ 5 WEEK 5 NURS6521 QUIZ BANK BEST EXAM SOLUTION LATEST UPDATE 2022/2023 RATED A+ NURS6521 QUIZ 5 WEEK 5 NURS6521 QUIZ BANK BEST EXAM SOLUTION LATEST UPDATE 2022/2023 RATED A+ e replacement gum for patients who 1 out of 1 points express a willingness to quit smoking during their admission or following their discharge. For which of the following patients would nicotine gum be contraindicated? Sele cted Ans wer: Corr ect Ans wer: Resp onse Feedback : NURS6521 QUIZ 5 WEEK 5 NURS6521 QUIZ BANK BEST EXAM SOLUTION LATEST UPDATE 2022/2023 RATED A+ NURS6521 QUIZ 5 WEEK 5 NURS6521 QUIZ BANK BEST EXAM SOLUTION LATEST UPDATE 2022/2023 RATED A+ D. A p a t i e n t w i t h a history of angina who experienced a non-ST wave myocardial infarction D. A patient with a history of angina who experienced a non-ST wave myocardial infarction Nicotine in any dosage form should not be used in patients immediately after myocardial infarction, or in those with life- threatening arrhythmias or severe or worsening angina pectoris. Antibiotics, anticoagulants, and renal failure are not contraindications for the use of nicotine as an aid to smoking cessation. A 26-year-old professional began using cocaine recreationally several 1 out of 1 points 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 NURS6521 QUIZ 5 WEEK 5 NURS6521 QUIZ BANK BEST EXAM SOLUTION LATEST UPDATE 2022/2023 RATED A+ NURS6521 QUIZ 5 WEEK 5 NURS6521 QUIZ BANK BEST EXAM SOLUTION LATEST UPDATE 2022/2023 RATED A+ 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 Sele cted Ans wer: D. drug NURS6521 QUIZ 5 WEEK 5 NURS6521 QUIZ BANK BEST EXAM SOLUTION LATEST UPDATE 2022/2023 RATED A+ NURS6521 QUIZ 5 WEEK 5 NURS6521 QUIZ BANK BEST EXAM SOLUTION LATEST UPDATE 2022/2023 RATED A+ 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? Sele cted Ans wer: Corr ect Ans wer: Resp onse Feed back : NURS6521 QUIZ 5 WEEK 5 NURS6521 QUIZ BANK BEST EXAM SOLUTION LATEST UPDATE 2022/2023 RATED A+ NURS6521 QUIZ 5 WEEK 5 NURS6521 QUIZ BANK BEST EXAM SOLUTION LATEST UPDATE 2022/2023 RATED A+ B. Benz odiaz epin es A. S e d a t i v e – h y p n o tic drugs Abrupt withdrawal from long-term use of sedative–hypnotic drugs should never be attempted because withdrawal symptoms NURS6521 QUIZ 5 WEEK 5 NURS6521 QUIZ BANK BEST EXAM SOLUTION LATEST UPDATE 2022/2023 RATED A+ NURS6521 QUIZ 5 WEEK 5 NURS6521 QUIZ BANK BEST EXAM SOLUTION LATEST UPDATE 2022/2023 RATED A+ are serious and potentially fatal. Withdrawal symptoms include agitation, dysphoria, insomnia, vomiting, diarrhea, ataxia, hallucinations, acute psychosis, muscle and abdominal cramps, anorexia, and seizures. These symptoms may occur 12 to 72 hours after the last use of the drug and may last up to 14 days. The abrupt withdrawal of benzodiazepines, opioids, and amphetamines does not cause such severe and potentially fatal withdrawal symptoms. 0 out of 1 points A nurse is talking to an 18-year-old patient who has had a seizure disorder since she was 10 years old and is taking phenytoin (Dilantin). The nurse should suggest that she take which of the following? Sele cted Ans wer: NURS6521 QUIZ 5 WEEK 5 NURS6521 QUIZ BANK BEST EXAM SOLUTION LATEST UPDATE 2022/2023 RATED A+ NURS6521 QUIZ 5 WEEK 5 NURS6521 QUIZ BANK BEST EXAM SOLUTION LATEST UPDATE 2022/2023 RATED A+ A. The drug shoul d not be used for longe r than 1 mont h. B. I t i s available in both quick-onset and continuous- release oral forms. 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. B. It is available in both quick-onset and continuous- release oral forms. C. The drug does not cause sleepiness in the morning. E. One of the most common adverse effects of the drug is headache. Zolpidem generally is not used for more than 7 to 10 days at a time. It induces sleep rapidly and should be taken immediately NURS6521 QUIZ 5 WEEK 5 NURS6521 QUIZ BANK BEST EXAM SOLUTION LATEST UPDATE 2022/2023 RATED A+ NURS6521 QUIZ 5 WEEK 5 NURS6521 QUIZ BANK BEST EXAM SOLUTION LATEST UPDATE 2022/2023 RATED A+ b e f o r e g oing to bed. It is true that the drug does not seem to produce residual effects the next morning or cause prolonged rebound effects when it is discontinued. It is available in both quick-onset and continuous-release oral forms, and common adverse effects of the drug are headache, prolonged drowsiness, and dizziness. 1 out of 1 points NURS6521 QUIZ 5 WEEK 5 NURS6521 QUIZ BANK BEST EXAM SOLUTION LATEST UPDATE 2022/2023 RATED A+ NURS6521 QUIZ 5 WEEK 5 NURS6521 QUIZ BANK BEST EXAM SOLUTION LATEST UPDATE 2022/2023 RATED A+ 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? Sele cted Ans wer: Corr ect Ans wer: Resp onse Feedback : NURS6521 QUIZ 5 WEEK 5 NURS6521 QUIZ BANK BEST EXAM SOLUTION LATEST UPDATE 2022/2023 RATED A+ NURS6521 QUIZ 5 WEEK 5 NURS6521 QUIZ BANK BEST EXAM SOLUTION LATEST UPDATE 2022/2023 RATED A+ s umatriptan, not acetaminophen. 1 out of 1 points A 64-year-old-patient has been prescribed lorazepam (Ativan) because of increasing periods of anxiety. The nurse should be careful to assess for Sele cted Ans wer: B. a history of current or past alcohol use. NURS6521 QUIZ 5 WEEK 5 NURS6521 QUIZ BANK BEST EXAM SOLUTION LATEST UPDATE 2022/2023 RATED A+ NURS6521 QUIZ 5 WEEK 5 NURS6521 QUIZ BANK BEST EXAM SOLUTION LATEST UPDATE 2022/2023 RATED A+ Corr ect Ans wer: Resp onse Feed back : B. a history of current or past alcohol use. The patient who has history of alcohol or substance abuse may be a poor candidate for lorazepam because the patient is more likely to develop dependence on the drug. Alcohol will also have an additive effect with lorazepam. A diet high in fat and carbohydrates or nicotine use should not affect the use of lorazepam. 1 out of 1 points Morphine has been prescribed for a 28-year-old man with severe pain due to a back injury. The nurse will advise the patient to avoid Selec ted Answer: NURS6521 QUIZ 5 WEEK 5 NURS6521 QUIZ BANK BEST EXAM SOLUTION LATEST UPDATE 2022/2023 RATED A+ NURS6521 QUIZ 5 WEEK 5 NURS6521 QUIZ BANK BEST EXAM SOLUTION LATEST UPDATE 2022/2023 RATED A+ Corr ect Ans wer: Resp onse Feed back: D. alcoh ol. D. alcoh ol. The nurse should advise the patient to avoid alcohol and any other CNS depressants while taking morphine. These combinations can cause serious respiratory depression and sedation. Vitamin C, fatty foods, and dairy products are not known to interact with morphine. NURS6521 QUIZ 5 WEEK 5 NURS6521 QUIZ BANK BEST EXAM SOLUTION LATEST UPDATE 2022/2023 RATED A+ NURS6521 QUIZ 5 WEEK 5 NURS6521 QUIZ BANK BEST EXAM SOLUTION LATEST UPDATE 2022/2023 RATED A+ 1 points 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). 1 points 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 1 points Question 6 A nurse is caring for a patient who abuses marijuana. The treatment for NURS6521 QUIZ 5 WEEK 5 NURS6521 QUIZ BANK BEST EXAM SOLUTION LATEST UPDATE 2022/2023 RATED A+ NURS6521 QUIZ 5 WEEK 5 NURS6521 QUIZ BANK BEST EXAM SOLUTION LATEST UPDATE 2022/2023 RATED A+ 1 points Questio n 7 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). NURS6521 QUIZ 5 WEEK 5 NURS6521 QUIZ BANK BEST EXAM SOLUTION LATEST UPDATE 2022/2023 RATED A+ NURS6521 QUIZ 5 WEEK 5 NURS6521 QUIZ BANK BEST EXAM SOLUTION LATEST UPDATE 2022/2023 RATED A+ 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. 1 points 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 1 points 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 NURS6521 QUIZ 5 WEEK 5 NURS6521 QUIZ BANK BEST EXAM SOLUTION LATEST UPDATE 2022/2023 RATED A+ NURS6521 QUIZ 5 WEEK 5 NURS6521 QUIZ BANK BEST EXAM SOLUTION LATEST UPDATE 2022/2023 RATED A+ 1 points Question 12 C. increasing the amount of serotonin available in the synapses. D. affecting the regulation of serotonin and norepinephrine in the brain. 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. 1 points 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 NURS6521 QUIZ 5 WEEK 5 NURS6521 QUIZ BANK BEST EXAM SOLUTION LATEST UPDATE 2022/2023 RATED A+ NURS6521 QUIZ 5 WEEK 5 NURS6521 QUIZ BANK BEST EXAM SOLUTION LATEST UPDATE 2022/2023 RATED A+ 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 1 points 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. 1 points 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 NURS6521 QUIZ 5 WEEK 5 NURS6521 QUIZ BANK BEST EXAM SOLUTION LATEST UPDATE 2022/2023 RATED A+ NURS6521 QUIZ 5 WEEK 5 NURS6521 QUIZ BANK BEST EXAM SOLUTION LATEST UPDATE 2022/2023 RATED A+ 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 1 points 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 NURS6521 QUIZ 5 WEEK 5 NURS6521 QUIZ BANK BEST EXAM SOLUTION LATEST UPDATE 2022/2023 RATED A+ NURS6521 QUIZ 5 WEEK 5 NURS6521 QUIZ BANK BEST EXAM SOLUTION LATEST UPDATE 2022/2023 RATED A+ prioritize? 1 points 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 NURS6521 QUIZ 5 WEEK 5 NURS6521 QUIZ BANK BEST EXAM SOLUTION LATEST UPDATE 2022/2023 RATED A+ NURS6521 QUIZ 5 WEEK 5 NURS6521 QUIZ BANK BEST EXAM SOLUTION LATEST UPDATE 2022/2023 RATED A+ 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 1 points 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. NURS6521 QUIZ 5 WEEK 5 NURS6521 QUIZ BANK BEST EXAM SOLUTION LATEST UPDATE 2022/2023 RATED A+ NURS6521 QUIZ 5 WEEK 5 NURS6521 QUIZ BANK BEST EXAM SOLUTION LATEST UPDATE 2022/2023 RATED A+ B. dependence. C. addiction. D. withdrawal. 1 points 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.” 1 points NURS6521 QUIZ 5 WEEK 5 NURS6521 QUIZ BANK BEST EXAM SOLUTION LATEST UPDATE 2022/2023 RATED A+ NURS6521 QUIZ 5 WEEK 5 NURS6521 QUIZ BANK BEST EXAM SOLUTION LATEST UPDATE 2022/2023 RATED A+ achieve pain control. D. pain relief is unlikely to be achieved due to the destruction of nerve endings in the burn site. 1 points 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) 1 points 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 NURS6521 QUIZ 5 WEEK 5 NURS6521 QUIZ BANK BEST EXAM SOLUTION LATEST UPDATE 2022/2023 RATED A+ NURS6521 QUIZ 5 WEEK 5 NURS6521 QUIZ BANK BEST EXAM SOLUTION LATEST UPDATE 2022/2023 RATED A+ D. Respiratory rate, pain intensity, and mental status 1 points 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. 1 points 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 NURS6521 QUIZ 5 WEEK 5 NURS6521 QUIZ BANK BEST EXAM SOLUTION LATEST UPDATE 2022/2023 RATED A+ NURS6521 QUIZ 5 WEEK 5 NURS6521 QUIZ BANK BEST EXAM SOLUTION LATEST UPDATE 2022/2023 RATED A+ A. increased secretions. B. facial flushing. C. dizziness. D. diarrhea. NURS6521 QUIZ 5 WEEK 5 NURS6521 QUIZ BANK BEST EXAM SOLUTION LATEST UPDATE 2022/2023 RATED A+ NURS6521 QUIZ 5 WEEK 5 NURS6521 QUIZ BANK BEST EXAM SOLUTION LATEST UPDATE 2022/2023 RATED A+ : The nurse will inform the patient that it will likely take 3 to 4 weeks of treatment before she notices consistent relief of her anxiety. However, some improvement is often seen within 7 to 10 days of starting therapy. Since the patient had only been taking the drug 1 week, there is no need to inform the physician. The nurse would not make the assumption that the medication is not going to work for the patient nor would she tell her that it would take up to 6 months to see therapeutic results. • Question 3 0 out of 1 points NURS6521 QUIZ 5 WEEK 5 NURS6521 QUIZ BANK BEST EXAM SOLUTION LATEST UPDATE 2022/2023 RATED A+ NURS6521 QUIZ 5 WEEK 5 NURS6521 QUIZ BANK BEST EXAM SOLUTION LATEST UPDATE 2022/2023 RATED A+ 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 Respo nse Feedb ack : Propofol is relatively contraindicated in patients with a history of seizure disorders because they are at risk of developing convulsions during the recovery phase. This drug should be used with caution in patients with low blood pressure because it can aggravate this condition. Also, it should be used with caution in patients with increased intraocular pressure because it can cause a substantial reduction in cerebral perfusion. Because disorders of lipid metabolism can be aggravated by the emulsion vehicle in which propofol is delivered, it should be NURS6521 QUIZ 5 WEEK 5 NURS6521 QUIZ BANK BEST EXAM SOLUTION LATEST UPDATE 2022/2023 RATED A+ NURS6521 QUIZ 5 WEEK 5 NURS6521 QUIZ BANK BEST EXAM SOLUTION LATEST UPDATE 2022/2023 RATED A+ u se d with caution in patients with diabetic hyperlipidemia. A 26-year-old professional began using cocaine recreationally several 1 out of 1 points 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 Respo nse Feedb ack: With drug use over time, tolerance develops. Tolerance occurs when the body develops a natural resistance to the drug's physical or euphoric effects, making it necessary to take increasing doses more frequently to achieve the NURS6521 QUIZ 5 WEEK 5 NURS6521 QUIZ BANK BEST EXAM SOLUTION LATEST UPDATE 2022/2023 RATED A+ NURS6521 QUIZ 5 WEEK 5 NURS6521 QUIZ BANK BEST EXAM SOLUTION LATEST UPDATE 2022/2023 RATED A+ 1 out of 1 points 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? Response Feedback : NURS6521 QUIZ 5 WEEK 5 NURS6521 QUIZ BANK BEST EXAM SOLUTION LATEST UPDATE 2022/2023 RATED A+ NURS6521 QUIZ 5 WEEK 5 NURS6521 QUIZ BANK BEST EXAM SOLUTION LATEST UPDATE 2022/2023 RATED A+ Neuroleptic malignant syndrome is characterized by fever, sweating, tachycardia, muscle rigidity, tremor, incontinence, stupor, leukocytosis, elevated creatinine phosphokinase levels, and renal failure. Agitation, pruritis, thirst, and increased urine output are not indicative of neuroleptic malignant syndrome. 1 out of 1 points 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 Response Feedback : NURS6521 QUIZ 5 WEEK 5 NURS6521 QUIZ BANK BEST EXAM SOLUTION LATEST UPDATE 2022/2023 RATED A+ NURS6521 QUIZ 5 WEEK 5 NURS6521 QUIZ BANK BEST EXAM SOLUTION LATEST UPDATE 2022/2023 RATED A+ Applying lidocaine preparations to severely traumatized mucosa (large skin abrasions, eczema, and burns) can increase its absorption, which in turn increases the risk of systemic toxicity. Intravenous lidocaine is not normally used for analgesia. The destruction of nerve endings in a burn site does not mitigate the need for topical pain control and lidocaine does not need to be potentiated with another anesthetic. 1 out of 1 points 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? Respo nse Feedb ack: Buspirone does not cause as much sedation and functional impairment as lorazepam, alprazolam, and diazepam. However, it can cause dizziness, nausea, headache, nervousness, lightheadedness, or excitement. NURS6521 QUIZ 5 WEEK 5 NURS6521 QUIZ BANK BEST EXAM SOLUTION LATEST UPDATE 2022/2023 RATED A+ NURS6521 QUIZ 5 WEEK 5 NURS6521 QUIZ BANK BEST EXAM SOLUTION LATEST UPDATE 2022/2023 RATED A+ The nurse must assess the patient's pain intensity before and after administering an opioid analgesic. The respiratory rate and level of consciousness need to be assessed because respiratory depression and sedation are two adverse effects of opioid analgesics. Seizure activity, electrolytes, liver function, blood glucose level, and mental status may need to be assessed during opioid analgesic therapy related to adverse effects, but they would not be the priority assessments. 1 out of 1 points 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 Respo nse Feedb ack : NURS6521 QUIZ 5 WEEK 5 NURS6521 QUIZ BANK BEST EXAM SOLUTION LATEST UPDATE 2022/2023 RATED A+ NURS6521 QUIZ 5 WEEK 5 NURS6521 QUIZ BANK BEST EXAM SOLUTION LATEST UPDATE 2022/2023 RATED A+ W h e n d i a z e pam is administered intravenously during status epilepticus, the small veins in the dorsum of the hand or the wrist should be avoided. It should be injected slowly, no faster than 5 mg in 1 minute. Diazepam should not be mixed or diluted with other solutions or drugs, either in the syringe or in intravenous solutions. 1 out of 1 points 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 Response Feedback : Th e nu rs e wil NURS6521 QUIZ 5 WEEK 5 NURS6521 QUIZ BANK BEST EXAM SOLUTION LATEST UPDATE 2022/2023 RATED A+ NURS6521 QUIZ 5 WEEK 5 NURS6521 QUIZ BANK BEST EXAM SOLUTION LATEST UPDATE 2022/2023 RATED A+ l closely monitor for the adverse effects of phenelzine related to the anticholinergic effect of the drug, such as dizziness that tends to be more pronounced at dosages above 45 mg/day. Dizziness is also a sign of a phenelzine drug overdose. Constipation and dry mouth are also adverse effects, not diarrhea and increased secretions. Facial flushing is not an identified adverse effect of phenelzine. A 39-year-old patient who is having trouble sleeping is beginning drug 1 out of 1 points treatment with zaleplon (Sonata). The nurse will be sure to ask the patient if she is taking Respo nse Feedb ack : NURS6521 QUIZ 5 WEEK 5 NURS6521 QUIZ BANK BEST EXAM SOLUTION LATEST UPDATE 2022/2023 RATED A+ NURS6521 QUIZ 5 WEEK 5 NURS6521 QUIZ BANK BEST EXAM SOLUTION LATEST UPDATE 2022/2023 RATED A+ marijuana abuse consists mainly of Respo nse Feedb ack : Treatment for marijuana abuse consists mainly of nonpharmacologic interventions combined with an exercise program to help deal with withdrawal symptoms and cravings for the drug. Treatment of LSD and PCP use is necessary only when the user experiences a “bad trip.” Parlodel is given for cocaine addiction. Patients with acute inhalant intoxication may need respirator assistance. 1 out of 1 points A patient is suffering from acute inhalant intoxication. The priority nursing intervention will be to Response Feedback : NURS6521 QUIZ 5 WEEK 5 NURS6521 QUIZ BANK BEST EXAM SOLUTION LATEST UPDATE 2022/2023 RATED A+ NURS6521 QUIZ 5 WEEK 5 NURS6521 QUIZ BANK BEST EXAM SOLUTION LATEST UPDATE 2022/2023 RATED A+ Patients suffering from acute inhalant intoxication may experience hypoxia from CNS depression; therefore, the patient will most likely be receiving oxygen therapy. Epinephrine is contraindicated because of possible cardiac stimulation. Arrhythmias may occur. Monitoring blood pressure and pulse is important; however, the patient could be short of breath due to the hypoxia. Therefore, monitoring respirations would be the priority. Nausea and vomiting could be present, and the nurse would need to provide the patient with an emesis basin, but it would not be the most important nursing intervention. A 20-year-old man has begun treatment of the psychotic symptoms of schizophrenia using olanzapine (Zyprexa). Which of the following 1 out of 1 points symptoms would be categorized as a negative symptom of schizophrenia? NURS6521 QUIZ 5 WEEK 5 NURS6521 QUIZ BANK BEST EXAM SOLUTION LATEST UPDATE 2022/2023 RATED A+ NURS6521 QUIZ 5 WEEK 5 NURS6521 QUIZ BANK BEST EXAM SOLUTION LATEST UPDATE 2022/2023 RATED A+ Respo nse Feedb ack : The negative symptoms of schizophrenia include flat or blunted emotions, lack of pleasure or interest in things (anhedonia), and limited speech. The positive symptoms of schizophrenia, and the most recognizable symptoms, include delusions (e.g., paranoia or distorted perceptions of other people's intentions) and hallucinations. 1 out of 1 points 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 NURS6521 QUIZ 5 WEEK 5 NURS6521 QUIZ BANK BEST EXAM SOLUTION LATEST UPDATE 2022/2023 RATED A+ NURS6521 QUIZ 5 WEEK 5 NURS6521 QUIZ BANK BEST EXAM SOLUTION LATEST UPDATE 2022/2023 RATED A+ M A OI s in hi bit monoamine oxidase and tricyclic antidepressants primarily affect serotonin and norepinephrine levels. SSRIs increase the availability of serotonin in the synapses. 1 out of 1 points 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 Respo nse Feedb ack : The duration of the morphine may be longer than the duration of naloxone. Therefore, naloxone has a shorter half-life than morphine. Repeated doses may be necessary to maintain NURS6521 QUIZ 5 WEEK 5 NURS6521 QUIZ BANK BEST EXAM SOLUTION LATEST UPDATE 2022/2023 RATED A+ NURS6521 QUIZ 5 WEEK 5 NURS6521 QUIZ BANK BEST EXAM SOLUTION LATEST UPDATE 2022/2023 RATED A+ reversal of the opiate's effects. Naloxone does not increase the action of morphine, and it causes the respiratory rate to increase, not decrease. Dosage strength is not associated with drug duration. 1 out of 1 points 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? Response Feedback : NURS6521 QUIZ 5 WEEK 5 NURS6521 QUIZ BANK BEST EXAM SOLUTION LATEST UPDATE 2022/2023 RATED A+ NURS6521 QUIZ 5 WEEK 5 NURS6521 QUIZ BANK BEST EXAM SOLUTION LATEST UPDATE 2022/2023 RATED A+ Acetylcholine and cevimeline are both cholinergic agonists, and, like carbachol, would be contraindicated in this patient. Administration of either of these drugs could be fatal. Nicotine is a direct-acting nicotinic agonist and is not indicated in cholinergic poisoning. Atropine is considered the antidote for cholinergic poisoning. The actions of atropine are a reduction in salivary, bronchial, and sweat gland secretions; mydriasis; cycloplegia; changes in heart rate; contraction of the bladder detrusor muscle and of the gastrointestinal smooth muscle; decreased gastric secretion; and decreased gastrointestinal motility. 1 out of 1 points 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 NURS6521 QUIZ 5 WEEK 5 NURS6521 QUIZ BANK BEST EXAM SOLUTION LATEST UPDATE 2022/2023 RATED A+