Rasmussen College: NUR 2407 Module 6 open book quiz, LATEST UPDATE 100% CORRECT RATED A+, Exams of Nursing

Download Rasmussen College: NUR 2407 Module 6 open book quiz, LATEST UPDATE 100% CORRECT RATED A+ and more Exams Nursing in PDF only on Docsity! Rasmussen College: NUR 2407 Module 6 open book quiz, LATEST UPDATE 100% CORRECT RATED A+ Rasmussen College: NUR 2407 Module 6 open book quiz, LATEST UPDATE 100% CORRECT RATED A+ Question 1 The nurse is providing client education after laboratory findings reveal an elevated thyroid stimulating hormone (TSH). How would the nurse best explain the implication of the laboratory findings to the client? Selected Answer: "Hypothyroidism can cause a decrease in TSH." Answers: "Hypothyroidism can cause a decrease in TSH." "The test probably is erroneous because you don't have a goiter." "TSH is not a good Rasmussen College: NUR 2407 Module 6 open book quiz, LATEST UPDATE 100% CORRECT RATED A+ Rasmussen College: NUR 2407 Module 6 open book quiz, LATEST UPDATE 100% CORRECT RATED A+ screening test for thyroid disease." "A high TSH implies the need for thyroid medication." Question 2 When metronidazole (Flagyl) is a component of the H. Pylori treatment regimen, what instructions should the client receive? Selected Answer: Avoid any alcoholic beverages. Answers: Avoid foods containing tyramine. Take the drug before eating. Rasmussen College: NUR 2407 Module 6 open book quiz, LATEST UPDATE 100% CORRECT RATED A+ Rasmussen College: NUR 2407 Module 6 open book quiz, LATEST UPDATE 100% CORRECT RATED A+ During an eye infection Answers: During an eye infection After cataract surgery After a corneal abrasion After a chemical eye splash Question 5 Parent's bring their child to the clinic because they suspect the child has pinworms. What education is the most important for the nurse to provide to the parents? Rasmussen College: NUR 2407 Module 6 open book quiz, LATEST UPDATE 100% CORRECT RATED A+ Rasmussen College: NUR 2407 Module 6 open book quiz, LATEST UPDATE 100% CORRECT RATED A+ Selected Answer: "Everyone in the family should be treated." Answers: "One dose of mebendazole (Vermox) will eradicate the infestation." "The infestation is not easily spread." "Everyone in the family should be treated." "The treatment should be limited to symptomatic infestations." Question 6 A steroid dependent client has a blood glucose level of 249 mg/dL. Rasmussen College: NUR 2407 Module 6 open book quiz, LATEST UPDATE 100% CORRECT RATED A+ Rasmussen College: NUR 2407 Module 6 open book quiz, LATEST UPDATE 100% CORRECT RATED A+ Her blood pressure is 178/99 and she is complaining of muscle aches and weakness. Her face appears very round and puffy. What would the nurse suspect? What type of advocacy does the client need? Selec ted Answ er: Diuretics and glucose control may be needed. Cushing's syndrome presents this way. Answers: Advocacy for a TSH level is needed because these symptoms indicate Graves' Rasmussen College: NUR 2407 Module 6 open book quiz, LATEST UPDATE 100% CORRECT RATED A+ Rasmussen College: NUR 2407 Module 6 open book quiz, LATEST UPDATE 100% CORRECT RATED A+ Lantus insulin (glargine) is prescribed for a hospitalized patient who is diabetic. When will the nurse administer this drug? Selected Answer: Once daily at bedtime. Answers: Approximately 15-30 minutes before each meal. In the morning and at 4 pm. Rasmussen College: NUR 2407 Module 6 open book quiz, LATEST UPDATE 100% CORRECT RATED A+ Rasmussen College: NUR 2407 Module 6 open book quiz, LATEST UPDATE 100% CORRECT RATED A+ Once daily at bedtime. After meals and at bedtime. Question 9 An elderly client who lives alone in the community is concerned about recent exposure to the flu and asks for an influenza vaccination. What client education should the nurse provide? Selec ted Answ er: Rasmussen College: NUR 2407 Module 6 open book quiz, LATEST UPDATE 100% CORRECT RATED A+ Rasmussen College: NUR 2407 Module 6 open book quiz, LATEST UPDATE 100% CORRECT RATED A+ "Protection against the flu should begin about 1-2 weeks after the injection." Answers: "Because exposure has already occurred, the injection will not be of any use to you." "Protection against the flu should begin about 1-2 weeks after the injection." "A person should not receive the vaccine unless direct contact has been confirmed." "The vaccine is given only if the exposure has been verified as type A influenza." Question 10 Rasmussen College: NUR 2407 Module 6 open book quiz, LATEST UPDATE 100% CORRECT RATED A+ Rasmussen College: NUR 2407 Module 6 open book quiz, LATEST UPDATE 100% CORRECT RATED A+ "Apply cream once over body, including the head, wrap with gauze, and rinse after 8-12 hours." "Apply cream once, cover yourself from head to toe and rinse after 10 minutes." "Shampoo your hair with Permethrin. Cover with a shower cap. Leave in place for 16 hours." Question 12 The nurse manages care for a client with diabetes who takes metformin (Glucophage). Which laboratory result would cause the nurse to question the prescription? Rasmussen College: NUR 2407 Module 6 open book quiz, LATEST UPDATE 100% CORRECT RATED A+ Rasmussen College: NUR 2407 Module 6 open book quiz, LATEST UPDATE 100% CORRECT RATED A+ Selected Answer: Elevated creatinine. Answers: Elevated creatinine. Decreased hemoglobin. Decreased platelets. Rasmussen College: NUR 2407 Module 6 open book quiz, LATEST UPDATE 100% CORRECT RATED A+ Rasmussen College: NUR 2407 Module 6 open book quiz, LATEST UPDATE 100% CORRECT RATED A+ Increased iron. Question 13 What advice should the nurse offer a client who is being started on a significant amount of Prednisone? Selec ted Answ er: Answ ers: Consult your doctor if nausea prevents you from taking this drug. Don't stop it abruptly. Rasmussen College: NUR 2407 Module 6 open book quiz, LATEST UPDATE 100% CORRECT RATED A+ Rasmussen College: NUR 2407 Module 6 open book quiz, LATEST UPDATE 100% CORRECT RATED A+ Question 15 A client with type 1 diabetes who takes insulin reports taking propranolol for hypertension. Why would this cause the nurse to be concerned? Selected Answer: The beta blocker can mask the symptoms of hypoglycemia. Answers: The beta blocker can cause insulin resistance and hyperglycemia. Using the two agents together increases the risk of ketoacidosis. Propranolol increases insulin requirements because of receptor blocking. Rasmussen College: NUR 2407 Module 6 open book quiz, LATEST UPDATE 100% CORRECT RATED A+ Rasmussen College: NUR 2407 Module 6 open book quiz, LATEST UPDATE 100% CORRECT RATED A+ The beta blocker can mask the symptoms of hypoglycemia. Question 16 A nurse is reinforcing instructions about the effects of diphenhydramine, an antihistamine. Which statement by the client indicates that this client needs further instruction? Selec ted Answ er: "I should only take this medication in the morning." Answers: "I should avoid driving or activities requiring Rasmussen College: NUR 2407 Module 6 open book quiz, LATEST UPDATE 100% CORRECT RATED A+ Rasmussen College: NUR 2407 Module 6 open book quiz, LATEST UPDATE 100% CORRECT RATED A+ alertness when taking this medicine." "I should use sugarless gum, candy, or oral rinses to decrease dry mouth." "I should avoid alcohol while taking this medication." "I should only take this medication in the morning." Question 17 The nurse is caring for a client who comes to the clinic with tinea corporis, ringworm, for which the Rasmussen College: NUR 2407 Module 6 open book quiz, LATEST UPDATE 100% CORRECT RATED A+ Rasmussen College: NUR 2407 Module 6 open book quiz, LATEST UPDATE 100% CORRECT RATED A+ Question 19 A client in ketoacidosis needs IV insulin. What should the nurse understand before giving IV insulin? Selec ted Answ er: Only regular insulin can be administered IV. It is given in smaller increments. Answers: Either aspart or glargine insulin can be administered IV, so the nurse should ask Rasmussen College: NUR 2407 Module 6 open book quiz, LATEST UPDATE 100% CORRECT RATED A+ Rasmussen College: NUR 2407 Module 6 open book quiz, LATEST UPDATE 100% CORRECT RATED A+ which one to give. It is customary to administer the same dose IV that would be given subcutaneously per sliding scale. Insulin should never be given IV, so this order should be questioned. Only regular insulin can be administered IV. It is given in smaller increments. Question 20 The nurse is giving an injection to a client with suspected Hepatitis B. Rasmussen College: NUR 2407 Module 6 open book quiz, LATEST UPDATE 100% CORRECT RATED A+ Rasmussen College: NUR 2407 Module 6 open book quiz, LATEST UPDATE 100% CORRECT RATED A+ After the injection the nurse suffers a dirty needle stick. What is the most important thing the nurse should do for self- protection? Selec ted Answ er: Receive hepatitis immune globulin injections and begin hepatitis B vaccines (if not already completed). Answers: Have repeated titers to determine exposure to Hepatitis B. Receive hepatitis immune globulin injections and begin hepatitis B vaccines (if not already completed). Start antibiotic therapy immediately. Go on sick leave until all screening tests are negative.