The nurse is teaching a client with an ankle sprain about the drug ibuprofen? (Advil). What should be included in the ?teaching?
Report any unusual bruising to the health care provider.
Avoid the use of alcohol while taking ibuprofen.
Do not take aspirin and ibuprofen together.
Use sunscreen and protective clothing when outdoors.
The pediatric nurse is assessing a child in the clinic who has tested positive for an influenza virus. Assessment vital signs reveal a temperature of 102.4?�F ?(39.4?�?C). Which medication does the nurse anticipate will be ordered for the? client? Select
Ibuprofen (advil)
acetaminophen (tylenol)
The nurse on a surgical unit is assessing the incision of a client who underwent an exploratory laparotomy. Which incision description indicates a normal inflammatory? response?
Pink? skin, separation, and pain
?Drainage, pallor, and pain
?Odor, necrosis,
?Redness, edema, and warmth to touch
The nurse is reviewing the use of acetylsalicyclic acid? (aspirin [Bayer]) in the client population. Which clients could benefit from the use
A client with mild back pain after a fall
An adult client with a fever
A client with inflammatory arthritis
.
A c
A client with mild back pain after a fall
An adult client with a fever
A client with inflammatory arthritis
A client with primary dysmenorrhea
The nurse is assessing a client with tonsillitis. The client asks the nurse why the tissues in the neck seem swollen. Which nursing response is best?
?"Your lymph nodes and tissues sometimes swell in attempts to fight? infection."
?"The swelling is a dire
?"Your lymph nodes and tissues sometimes swell in attempts to fight? infection.
The nurse is reviewing the orders of a client admitted with a diagnosis of gastrointestinal? (GI) bleeding. Which order would the nurse? question?
Ibuprofen? (Advil) 200? mg, 2 tablets PO every 6 hours as needed for pain
Arrange the steps of an initial acute inflammatory response in the correct order.
1. pathogen invades
2. chemical mediators are released
3. nearby blood vessels dilate
4. capillaries become permeable
5. proteins enter affected area
6. pathogen is destroyed
7. damage is repaired
Which nonspecific body defenses are considered the first line against ?infection?
Select all that apply.
Cilia
Phagocytes
Lymph node
Mucous membranes
Skin
Cilia
Phagocytes
Mucous membranes
Which signs are associated with aspirin? (Bayer) toxicity?
Select all that apply.
Tinnitus
Decreased hearing
Stomach discomfort
Inflammation of joints
Blood clots
tinnitus
decreased hearing
stomach discomfort
Identify the type of immune response based on the description.
cell-mediated immune response OR
humoral immune response?
t cells produce cytokines
b lymphocytes become plasma cells
cytokines kill antigens
plasma cells produce immunoglobulins
t lymphocytes
Type
Description
Cell-Mediated Immune Response
T cells produce cytokines
Humoral Immune Response
B lymphocytes become plasma cells
Cell-Mediated Immune Response
Cytokines kill antigens
Humoral Immune Response
Plasma cells produce immunoglobulins
Cell-Medi
When administering a recommended dose of acetaminophen? (Tylenol) to an adult? client, what results can you? expect?
Reduction of pain
Few adverse effects
No progression of inflammation
Reduction of inflammation
Reduction of fever
reduction of PAIN
few adverse effects
reduction of FEVER
Prostaglandins provide several beneficial effects. Which beneficial effects are reduced when aspirin? (Bayer) is? used?
Select all that apply.
Protection from stomach acid
Blood flow to the kidneys
Clotting of blood
Reduction of inflammation
Maintenance o
Maintenance of bronchial smooth muscle
Protection from stomach acid
Blood flow to the kidneys
Clotting of blood
Which? anti-inflammatory drug inhibits only one type of? cyclooxygenase?
Ecotrin
Nuprin
Motrin
Celebrex
celebrex
What instructions should you give to a client who is taking? enteric-coated ?aspirin?
Select all that apply.
Take with 240 mL of water or milk.
Avoid alcoholic beverages.
Stop medication 2 days before dental work.
Report pregnancy.
Do not crush or chew th
Avoid alcoholic beverages.
Report pregnancy.
Do not crush or chew the medication.
What is the most common physical issue related to Nonsteroidal Antiinflammatory Drug? (NSAID) therapy that the nurse should assess for before and during? administration?
Migraine
Gastrointestinal? (GI) bleeding
Autoimmune disorder
Dysrhythmia
Gastrointestinal? (GI) bleeding
Rosa? Dillon, a? 10-year-old client, is in the hospital following a car accident. She has sustained two broken? ribs, along with cuts and bruises. As you clean and dress her? wounds, Rosa worries because they are so swollen. As her? nurse, what should you
Explain how inflammation helps her body heal.
Tommy Powell and his mother have come to your clinic. Tommy is a? 6-year-old who presents with symptoms of chickenpox. What is the drug of choice for controlling? Tommy's fever and? pain?
Aspirin? (Bayer)
Celecoxib? (Celebrex
Acetaminophen? (Tylenol)
Morp
Acetaminophen? (Tylenol)
Your? client, Mrs. Valya? Nelson, has been taking celecoxib? (Celebrex) for three years for rheumatoid arthritis. She recently? self-medicated with 800 mg of ibuprofen? (Advil) twice a day for pain. Mrs. Nelson reports being chronically tired. Her eyes an
Liver dysfunction
A client admitted with gastric discomfort and peptic ulcer disease has a temperature of 102.8?�F ?(39.65?�?C). Which ordered medication does the nurse select to? administer?
Acetylsalicylic acid? (aspirin)
Ketoprofen? (Orudis)
Acetaminophen? (Tylenol)
Ibu
Acetaminophen? (Tylenol)
TYLENOL DOES NOT CAUSE GASTRIC IRRITATION OR BLEEDING
The nurse on the orthopedic unit is caring for a client with bone infection secondary to an open fracture of the right leg. The client was found in a field following a tornado injury. Which best explains the cause of the? infection?
The introduction of ba
The break in the skin caused by the? open-fracture injury
The nurse is assessing a recently admitted male client who has osteoarthritis and hypertension. The record indicates that the client has been taking? high-dose aspirin. Which client comment causes the nurse the most? concern?
Click the three Exhibit links
?"I have been having trouble hearing for the past 2? weeks."
THIS IS AN ADVERSE EFFECT
The nurse is caring for a child with pneumonia and fever of 100?�F ?(38.1?�?C). The child?'s parent asks the? nurse, "Why doesn?'t the doctor have something ordered for the temperature before it gets to 101? degrees?" Which is the nurse?'s best? response?
?"A low-grade fever can aid in defense and repair of the? body.
A client with arthritis has been prescribed acetylsalicylic acid? (aspirin [Bayer]). Which information should the nurse teach the client about the ?drug?
Select all that apply.
Swallow the aspirin with a full glass of? water, milk, or food.
Use ear plugs
Swallow the aspirin with a full glass of? water, milk, or food.
Avoid using alcohol while taking aspirin.
Stop using aspirin 7 to 14 days prior to any scheduled surgery.
RATIONALE:
Aspirin should be administered with adequate amounts of? water, milk, or f
The nurse is assessing a client with abdominal pain and a history of daily nonsteroidal antiinflammatory drug? (NSAID) use for 6 months. Which assessment finding causes the nurse the most? concern?
Nausea related to the intake of food
Dry mucous membranes
Bright red blood in the stools
rationale: could have an active bleed in the GI tract
The nurse is assessing the skin of a newly admitted? 70-year-old client when a rash is noted on the trunk of the body. What? condition, caused by a virus but preventable by? vaccination, does the nurse? suspect?
Psoriasis
Rheumatoid arthritis
Shingles
Ato
Shingles
The nurse is reviewing the pathophysiology of the immune system. Which condition may occur in clients who have continual secretion of the immune response? chemicals?
Diabetes
Peptic ulcers
Hypertension
Rheumatoid arthritis
Rheumatoid arthritis
When administering a vaccination to a? client, what should the nurse ?consider?
Select all that apply.
Route of administration
Anaphylaxis and adverse reactions
Precautions and contraindications
Time of last food intake
Dose and timing
Route of administration
Anaphylaxis and adverse reactions
Precautions and contraindications
Dose and timing
The nurse is reviewing a hospital memo regarding the proper storage of monoclonal antibodies. Which drugs should be stored under the conditions prescribed in the ?memo?
Select all that apply.
Daclizumab? (Zenapax)
?Muromonab-CD3 (Orthoclone? OKT3)
Mycophe
Daclizumab? (Zenapax)
?Muromonab-CD3 (Orthoclone? OKT3)
Basiliximab? (Simulect)
Rationale
Basiliximab? (Simulect) is a monoclonal antibody and a preventive for kidney transplant rejection. Daclizumab? (Zenapax) is classified as an MAB and has immunosuppre
The nurse is preparing a presentation for a group of newly hired nurses to give an overview of immunostimulants and the immune response system. Which points would the nurse include in the ?presentation?
Select all that apply.
Cytokines are the chemicals t
Cytokines are the chemicals that help facilitate the body?'s immune response.
Immunomodulators are drugs that increase the immune response in the body.
The immune response protects the body against invading organisms or agents.
The nurse is caring for a client after a kidney transplant. Which drug does the nurse expect to administer to prevent rejection of the? kidney?
Cyclophosphamide? (Cytoxan)
Cyclosporine? (Neoral, Sandimmune)
Methotrexate sodium? (Rheumatrex)
Etanercept? (E
Cyclosporine? (Neoral, Sandimmune)
RATIONALE: cyclosporine is given to prevent kidney, liver, and heart transplant rejection
What? "triggers" an immune system? response?
?Redness/swelling at an injury site
Fever
Antibody entering the body
Antigen entering the body
Antigen entering the body
Identify the class of? anti-infectives based on the drug name.
?Instructions: Use the dropdown menus in the left column to select the class for each drug in the right column.
Class
Drug Name
Cephalosporins
Cefotaxime? (Claforan)
Aminoglycosides
Amikacin? (Amikin)
Cephalosporins
Cefepime? (Maxipime)
Aminoglycosides
Tobramycin? (Nebcin)
Carbepenum
Doripenem? (Doribax)
Macrolides
Azithromycin? (Zithromax)
Carbepenum
?Imipenem-cilastatin (Primaxi
Which of the following drugs are fluoroquinolones or ?quinolones?
Select all that apply.
Levofloxacin? (Levaquin)
Ciprofloxacin? (Cipro)
Cinoxacin? (Cinobac)
Telithromycin? (Ketek)
Moxifloxacin? (Avelox)
Levofloxacin? (Levaquin)
Ciprofloxacin? (Cipro)
Cinoxacin? (Cinobac)
Moxifloxacin? (Avelox)
Which symptoms are clinical manifestations of urinary tract ?infections?
Select all that apply.
Headache
Flank pain
Difficulty voiding
Increased urgency to void
Leg pain
Flank pain
Difficulty voiding
Increased urgency to void
Which drug is a? broad-spectrum antibacterial medication in the pharmacologic class of folic acid? inhibitors?
Nitrofurantoin? (Furadantin)
Methenamine mandelate? (Mandelamine)
Methenamine hippurate? (Hiprex)
?Sulfamethoxazole-trimethoprim (Bactrim)
?Sulfamethoxazole-trimethoprim (Bactrim)
Which diagnostic tests are used to identify and confirm? tuberculosis?
Select all that apply.
Amplified? DNA/RNA tests
Computed tomography
Sputum cultures
CBC with differential
Tuberculin skin test
Amplified? DNA/RNA tests
Sputum cultures
Tuberculin skin test
How long should clients who are diagnosed with tuberculosis expect to take antituberculosis? medications?
10 days
3 months
Remainder of life
6-24 months
6-24 months
Which categories of clients are often prescribed treatment for tuberculosis because they are considered high ?risk?
Select all that apply.
Military personnel
?School-age children
HIV clients
Incarcerated adults
Clients receiving chemotherapy
HIV clients
Incarcerated adults
Clients receiving chemotherapy
Which diagnostic? test(s) is essential for prescribing the correct antibiotic for a bacterial? infection?
CBC with differential
Baseline vital signs including temperature
Allergy assessment
Culture and sensitivity
Culture and sensitivity
When caring for a client who is prescribed a? sulfonamide, the nurse should assess for which adverse ?effects?
Select all that apply.
Photosensitivity
Hypoglycemia
Headache
Dehydration
Bleeding time
Photosensitivity
Hypoglycemia
Bleeding time
When caring for a client who is undergoing antituberculosis drug? therapy, the nurse should assess carefully for signs? of:
Difficulty swallowing
Increased intracranial pressure
Liver dysfunction
Esophageal reflux
Liver dysfunction
Sharon Carter presents to your clinic complaining of an injury to her right hand. Mrs. Carter states that she cut her hand on an unknown sharp object when planting flowers three days ago.
The partially healed laceration has significant? redness, swelling,
An infection is caused by a microorganism that may enter the body through a break in the skin.
Kako Yamamoto recently visited her hometown in rural Japan. She returned to the United States 3 weeks ago with a mild upper respiratory infection.? Today, she was admitted to the? medical-surgical unit with a persistent? cough, high? fever, chills, and lu
Carbapenems are used to treat infections from? gram-positive, gram-negative,? anaerobic, and aerobic? micro-organisms.
Gary Levoi is an? HIV-positive client who presents to the clinic for? follow-up after his sputum culture tested positive for Mycobacterium tuberculosis.
The health care provider prescribes isoniazid? (INH), 300 mg by mouth daily for 6? months; rifampin? (
The pathogen that causes tuberculosis has a very thick mycolic acid layer that makes penetration by antibiotics difficult.
Jeff Mitchell is a? 78-year-old male client who is being treated for a persistent sore throat with fever and cough. The health care provider prescribes penicillin G. Mr. Mitchell is instructed to avoid fruit juices for at least 1 hour before and after tak
Assess Mr. Mitchell for drug allergies and a history of hypersensitivity reactions.
The nurse is assessing an adult client before antibiotics are prescribed. What would be appropriate tasks for the nurse before initiating antibiotic ?therapy?
Select all that apply.
Only assess the area of complaint
Assess the client for allergies
Ensure
Assess the client for allergies
Ensure that ordered cultures have been obtained and sent to the lab
Ensure that the blood work includes a WBC count
Obtain a baseline set of vital signs and appropriate blood work
The nurse is reviewing the medication supplied by a pharmacy against the healthcare? provider's order for a quinolone antibiotic. Which medication in this group could be given either IV or? PO?
Ciprofloxacin? (Cipro)
Levofloxacin? (Levaquin)
The nurse has a specific responsibility to educate clients about antibiotic therapy. What specific instruction regarding fluid intake should be included when educating an adult client about? fluoroquinolones?
Take with milk
Take with a full glass of water
Take with a full glass of water
An antibiotic is usually effective against pathogens with similar classifications. Which characteristics can be used to classify ?bacteria?
Select all that apply.
Use of oxygen
Cell wall structure
Moisture
Color
Shape
Use of oxygen
Cell wall structure
Shape
The nurse is explaining to an adult client about the class of medications called? carbapenems, which are being? prescribed, and the side effects of the antibiotic vancomycin hydrochloride? (Vancocin). Which side effects will the nurse want to include in t
Rash
Nausea
?"Red Man? Syndrome"
Vaginitis and superinfection
Ototoxicity
The nurse is educating an older client who has been diagnosed with tuberculosis. What is the minimum time the client can expect to take antibiotic medications for this? illness?
6-12 months
The nurse is caring for an adult client who contracted lepromatous leprosy while on a mission trip. The client has a compromised immune system and will require pharmacotherapy. What side effects from the pharmacotherapy can be? expected?
Loss of digits
Pa
Further? immune-system suppression
The nurse is reviewing the description of? anti-infective drugs before giving a lecture to new nursing students. Which pathogens cause conditions that can be treated using ?anti-invectives?
Select all that apply.
Allergies
Fungi
Viruses
Parasites
Bacteria
Fungi
Viruses
Parasites
Bacteria
The client asks the nurse to teach him about cholesterol in more detail. Which responses will the nurse include in the ?teaching?
Select all that apply.
?"The body uses cholesterol to produce estrogen and progesterone hormones in women and testosterone in
?"The body uses cholesterol to produce estrogen and progesterone hormones in women and testosterone in? men."
?"There is no dietary need for cholesterol because the liver is able to synthesize? it."
?"Many people are surprised to learn that cholesterol is
A client asks the nurse to help him understand what a lipid profile is. What will the nurse include in the teaching regarding the types of lipids found in the ?body?
Select all that apply.
Phospholipids
Lipoproteins
?HMG-CoA reductase
Steroids
Triglycerid
Phospholipids
Steroids
Triglycerides
The nurse is teaching the client about the most common adverse effects associated with nicotinic acid? (Niacor, Niaspan) therapy. Which adverse effects should be included in the ?teaching?
Select all that apply.
Facial flushing and profuse sweating
Nausea
Facial flushing and profuse sweating
Nausea and vomiting
Loose stools
The client tells the nurse he knows his cholesterol has been very high despite taking his statin medication? regularly, eating a? low-fat/high-fiber diet, and trying to get more exercise. He questions why the health care provider prescribed colestipol hyd
?"Sometimes a second medication is needed to lower cholesterol to a safe level. The new medication will help your body get rid of cholesterol through your? stools.
The nurse plans to administer medications to a client with hyperlipidemia. Which nursing actions will be included in the ?assessment?
Select all that apply.
Assess effectiveness of the medication 30 to 60 minutes after administration.
Review liver functio
Review liver function tests and lipid profiles.
Review the? client's medical chart to clearly determine the? client's medical diagnosis.
Use several methods to accurately and appropriately identify the client.
Monitor baseline vital signs and weigh the cl
The nurse has properly administered statin therapy to a male client with hyperlipidemia and has provided education about common adverse effects of the medication. Which actions will the nurse carry out after administering the ?medication?
Select all that
Assess the client to determine if he has experienced any related adverse effects.
Teach the client about lifestyle changes that will enhance effectiveness of overall treatment.
Explain to the client that statins should be taken in the evening for greatest
What is the only type of lipid that serves as an energy? source?
Triglycerides
Cholesterol
Phospholipids
Steroids
triglycerides
Which statements about cholesterol are ?true?
Select all that apply.
There is no need for dietary? cholesterol, because the liver is able to synthesize it.
Cholesterol is a vital component of plasma membranes.
Cholesterol has a definite role in the develo
There is no need for dietary? cholesterol, because the liver is able to synthesize it.
Cholesterol is a vital component of plasma membranes.
Cholesterol has a definite role in the development of atherosclerosis.
Plant lipids cause the body to excrete cholesterol and lower LDL levels. Which of these foods are considered sources of plant ?lipids?
Select all that apply.
Corn
Nuts
Potatoes
Olive oil
Rice
Corn
Nuts
Olive oil
Rice
What is the primary action of a? statin?
Inhibit? HMG-CoA reductase, decreasing the? liver's production of cholesterol
Bind to bile? acids, increasing the excretion of cholesterol in the stool
Decrease VLDL levels
Prevent cholesterol from being absorbed
Inhibit? HMG-CoA reductase, decreasing the? liver's production of cholesterol
Place each adverse effect in the appropriate classification.
?Instructions: Use the dropdown menus in the left? column, to select the correct category for each statement in the right column.
Category
Statement
Bile Acid Resins
Constipation
Statins
Joint pain
Nicotinic Acid
Flushing
Statins
Fatigue
Bile Acid Resins
Potentiation of action of warfarin? (Coumadin)
Fibric Acid
Hot flashes
Statins
Muscle pain
Nicotinic Acid
Gout
Fibric Acid
Blurred vision
Bile Acid R
Which are characteristics of the drug class of cholesterol absorption ?inhibitors?
Select all that apply.
Includes many medications for prescription
Acts primarily in the small intestine
Contraindicated in clients with liver disease
Safe for pregnant wome
Acts primarily in the small intestine
Contraindicated in clients with liver disease
What should be assessed prior to the administration of a medication for? hyperlipidemia?
Urinalysis
Abdominal ultrasound
Complete blood count
Liver function tests
Liver function tests
What are the goals of pharmacotherapy for clients who are taking medications for high ?cholesterol?
Select all that apply.
Understanding? self-administration of the drug
Weight loss
Decreased levels of lipids
Knowledge of the? drug's adverse effects
Lack
Understanding? self-administration of the drug
Decreased levels of lipids
Knowledge of the? drug's adverse effects
Lack of adverse effects
What instructions should be included in the client education for? lipid-lowering agents?
Go to the emergency department if any adverse effects are experienced.
Diet and lifestyle modifications are unnecessary but encouraged.
Take these medications first t
See the health care provider for periodic lipid and liver profiles.
Ms. Riveria came to the clinic today to discuss her lab results of 2 weeks ago. Her cholesterol was 220? mg/dL and she had a triglyceride level of 344? mg/dL. As the? nurse, you explain that lifestyle changes can affect lipid levels. Which explanation abo
Increase your dietary soluble fiber and decrease your intake of fats.
Mrs. Simmons was admitted to the hospital for hyperglycemia. As you take a medication? history, she reports that she started taking? over-the-counter niacin supplements to reduce her cholesterol because it is cheaper than her prescription medication. As t
Can elevate blood glucose levels
Mr. Parker is prescribed a? lipid-lowering agent. As you write up the medication reconciliation? form, you notice that he is also taking several other medications. Which action is most important before Mr. Parker is? discharged?
Schedule a? follow-up lipi
Assess for possible? drug-drug interactions
When the immune system chronically produces? cytokines, what autoimmune conditions may ?result?
Select all that apply.
Malignant melanoma
Psoriasis
Rheumatoid arthritis
Hepatitis C
Crohn disease
Psoriasis
Rheumatoid arthritis
Crohn disease
If a client has a? fever, why may immunostimulant drug therapy have to be ?delayed?
Select all that apply.
Fever indicates the need for intravenous antibiotics to be added to the prescribed therapy.
Fever puts the client more at risk for drug adverse effe
Fever puts the client more at risk for drug adverse effects.
Fever makes it harder to distinguish adverse effects of drug therapy from effects of the infection.
Identify the class of immunosuppressants based on the drug name.
Immunosuppressant
Drug Name
Cytotoxic Agents and Antimetabolites
Azathioprine? (Azasan)
Calcineurin Inhibitors
Cyclosporine? (Neoral)
Monoclonal Antibodies
?Muromonab-CD3 (Orthoclone? OKT3)
...
Which category of immunosuppressants is developed by first injecting human T? cells, B? cells, or thymocytes into? animals?
Antimetabolites
Cytotoxic agents
Calcineurin inhibitors
Monoclonal antibodies
Monoclonal antibodies
Which immunosuppressants are used to treat rheumatoid ?arthritis?
Select all that apply.
Etanercept? (Enbrel)
Anakinra? (Kineret)
Thalidomide? (Thalomid)
Methotrexate sodium? (Trexall)
Interferon? alfacon-1 (Infergen)
Etanercept? (Enbrel)
Anakinra? (Kineret)
Methotrexate sodium? (Trexall)
When vaccinations are administered to prevent? disease, what is the result? called?
Active immunity
Immunoactivation
Immunosuppression
Passive immunity
Active immunity
Identify the category of immunizing agent for each condition.
?Instructions: Use the dropdown menus in the left column to select the correct category of immunizing agent for each condition in the right column.
Category
Condition
Immunoglobulins
Gammigard
Inactive Bacterial Toxins
Diphtheria
Viral Vaccines
Hepatitis A
Inactive Bacterial Toxins
Pneumococcus
Immunoglobulins
CytoGam
Inactive Bacterial Toxins
Pertussis
Viral Vaccines
Influenza
Inactive Bacterial Tox
What are the most common routes of administration for immunizing ?agents?
Select all that apply.
Subcutaneous
Rectal
Sublingual
Intranasal
Deltoid injection
Intranasal
Deltoid injection
Subcutaneous
Melanie Baxter is a? 56-year-old client who is being treated in your clinic for chronic hepatitis C. Ms. Baxter asks why she is prescribed interferon? alfa-2b (Intron? A) for hepatitis when this drug is used to treat different types of cancer. What is you
Interferon? alfa-2b (Intron? A) has a broad range of actions that help the immune system better fight both cancers and viruses.
When Ms. Baxter asks how often she will need to take interferon? alfa-2b (Intron? A), what should your response? be?
Once a week
Once a day
Three times per week
Once every other week
Three times per week
Hwong? Li, who had a kidney? transplant, is prescribed azathioprine? (Imuran). He asks how this medication works and why he needs to take it. You explain that azathioprine is? what?
A corticosteroid used to suppress the immune system and minimize transpla
An antimetabolite used to prevent the? body's rejection of transplanted tissue by suppressing? T-cell effects
Mr. Li asks if there is anything that he needs to be aware of while taking azathioprine? (Imuran). As the? nurse, what do you recognize as one of the most important clinical manifestations to watch? for?
Signs and symptoms of any infection
?Raised, red ra
Signs and symptoms of any infection
Your answer is correct.
Cheryl Jones brings her? 6-month-old infant to your clinic for a? well-child checkup and immunizations. Mrs. Jones asks if the baby will have any side effects from the immunizations. How should you? respond?
Many children experience? malaise, fever,? irri
Many children experience? malaise, fever,? irritability, and poor appetite.
A client presents to the clinic for a pelvic exam. The nurse notes multiple genital warts when preparing the client for the exam. Which medication does the nurse anticipate the health care provider will? prescribe?
Interferon? alfa-n3 (Alferon? N)
Interfe
Interferon? alfa-n3 (Alferon? N)
Rationale
Interferon? alfa-n3 (Alferon? N) is an interferon that has? antiviral, antineoplastic, and? anti-inflammatory actions; it is used to treat genital warts. Interferon? beta-1a (Avonex) is an interferon used for mul
The nurse is preparing a teaching plan for administering immunizing agents. What should the nurse include as teaching points for clients or ?caregivers?
Select all that apply.
Be aware of common side effects of the vaccine.
Report a temperature over 103de
Be aware of common side effects of the vaccine.
Report a temperature over 103degrees�F ?(39.4degrees�?C).
Comply with the vaccination schedule.
A mild pain reliever to minimize pain or other discomforts may be administered.
The nurse is observing a student who is administering medications. Which action requires intervention by the? nurse?
Instructing a client that the student will be giving methotrexate? (Rheumatrex) intramuscularly? (IM) as ordered
Drawing up etanercept? (E
Drawing up etanercept? (Enbrel) to administer intramuscularly? (IM)
Etanercept? (Enbrel) is given? subcutaneously; the nurse would need to intervene to prevent an error in administration of the drug if the student drew it up for IM injection. The student
The nurse is providing discharge teaching to a client prescribed steroids for? long-term use. Which adverse effects should the nurse include in the ?discussion?
Select all that apply.
Changes in mental status
Hypotension
Porous bones? (osteoporosis)
Obesi
Changes in mental status
Porous bones? (osteoporosis)
Obesity
Cataracts
A client is seen in the clinic after receiving a vaccination. Which reported clinical manifestation causes the nurse the most? concern?
Loss of appetite
Irritability
Malaise
Confusion
Confusion
A client on the oncology unit has received the drug filgrastim? (Neupogen). The nurse is reviewing the laboratory reports. Which laboratory value indicates that the drug has been? effective?
White blood cells? (WBCs) 5500 ?�L ?(normal: 4500 to? 10,000)
He
White blood cells? (WBCs) 5500 ?�L ?(normal: 4500 to? 10,000)
The nurse is caring for a client with a treated wound. What would the nurse be looking for as she assesses the? wound?
How the wound is immobilized
Redness and swelling
Location and extent of tissue damage
A foreign object
Redness and swelling
This is the correct answer.
The nurse assesses the skin of a newly admitted client. Findings include a 3 cm area with partial thickness dermis loss on the client?'s sacral area. Which documentation is an accurate description of the? assessment?
A stage IV ulceration 3 cm on sacral a
3 cm stage II pressure ulcer sacral area
The nurse is reviewing the record of a client who is at risk for skin breakdown. Which lab data would be of particular concern to the nurse who is concerned with skin? integrity?
Leukocyte level of? 6,000
Potassium level of 4.0? mEq/L
Hemoglobin level of
Hemoglobin level of 10.2? g/dL
The nurse sees a health care provider order to apply a hydrocolloid dressing to a client with an infected pressure ulcer. Which is the most appropriate nursing? action?
Apply a transparent dressing to the area instead of the hydrocolloid.
Implement the dr
Question the health care provider?'s order.
A nurse is evaluating skin care needs. Which client poses the greatest risk for skin? breakdown?
A? 36-year-old with coronary artery disease
An? 18-month-old with bronchitis
A? 20-year-old with a urinary tract infection
A? 74-year-old with a diagnosis of
A? 74-year-old with a diagnosis of diabetes
The nurse is developing a care plan to prevent skin breakdown. Which body fluid does the nurse recognize as the least likely to cause skin? excoriation?
Excessive saliva
Gastric juices
Perspiration
Tears
Tears
The orthopedic nurse educator is preparing a? post-conference seminar on osteomyelitis for a group of nurses. Which client is identified to have the greatest risk of developing this? condition?
?60-year-old with? full-thickness tissue loss and subcutaneou
?35-year-old paraplegic with tissue loss extending through the muscle
The nurse has performed client teaching on how to cleanse a wound. Which statement by the client indicates further instruction is? necessary?
?"I should cleanse the wound with a cotton? pad."
?"If the wound appears? clean, I will not have to clean it each
?"I should cleanse the wound with a cotton? pad.
Ms. Peterson has slid down toward the foot of her bed and is unable to move herself back up in the bed. You call the nursing assistant to help you move her back up to the top of the bed. If you try to move Ms. Peterson by? yourself, you will slide her bod
Shearing force
Ms. Wilson is too weak to move herself in? bed; she is immobile. Why is immobility a dangerous? condition?
Immobility causes damage to blood vessels and deep tissues in those areas that adhere to the bed linens.
Her skin and underlying tissues may become
Immobility causes pressure on skin? surfaces, leading to poor circulation and oxygenation of? tissues, and eventually to skin breakdown? (ulceration).
Mr.? Thompson, a? 53-year-old African American client with chronic uncontrolled? hypertension, was admitted to the hospital after a massive? stroke, which has left him immobile and unable to complete any activities of daily living? (ADLs) (e.g.? eating, b
Continence? (fecal and? urinary)
Skin? integrity, especially over bony prominences and common pressure areas
Level of nutrition and intake of? protein, carbohydrates,? fluids, vitamins, and other? nutrition-related issues
Mental status and his ability to
Mr.? Johnson, an? 89-year-old male, lives with his daughter and her family. Which of the following changes commonly associated with? aging, if present in Mr.? Johnson, may indicate a greater risk for skin ?breakdown?
Select all that apply.
Thinning of the
Thinning of the epidermis and decreased skin elasticity
Decreased pain sensation
Loss of lean body mass and a decrease in venous and arterial blood flow
Ms.? Glenn, a? 23-year-old female, was riding with her parents in their car when she was 5 years old. During a? collision, she was not restrained in a child seat and went through the windshield in the impact. She has been a paraplegic since the accident.
Stage of Ulcer
Characteristics
Stage I Pressure Ulcer
Red area warmer or cooler than surrounding skin
Stage II Pressure Ulcer
May have intact or ruptured? serum-filled blister
Stage III Pressure Ulcer
May have slough
Stage IV Pressure Ulcer
Full thickness
Ms. Glenn has a wound and quickly identifies what is happening with her skin. Sort the following examples and characteristics of the three different types of healing patterns.
Type of Healing
Characteristics
Primary Intention Healing
Minimal scarring
Secondary Intention Healing
Longest healing time
Tertiary Intention Healing
May have unresolved edema or infection
Primary Intention Healing
Wound closed with tissue adhesive
Secon
Mr.? Richards, a? 51-year-old client who is confined to a? wheelchair, has a large wound on his sacrum with full thickness tissue? loss; bone,? tendons, and muscle are? exposed; eschar is present on the lower half and proximal edges of the wound. What sta
Stage IV
Ms. Small was admitted for an emergency appendectomy 2 days ago. She no longer has a? dressing, and the wound is exposed to air. The nurse is assessing her abdomen. Which of the following will the nurse include in the wound ?assessment?
Select all that ap
Are the wound edges well? approximated?
Appearance of the? wound: Is it? healing, size,? drainage, swelling,? redness?
Inspect for presence of foul odor? (from wound) and assess for pain.
The nurse is developing a plan of care for a female? client, Ms.? Sate, who has a stage II pressure ulcer. Which of the following is an appropriate goal for Ms.? Sate?
Promote wound healing by secondary intention
Apply appropriate devices on the bed to ke
Promote wound healing by secondary intention
Mrs. Welsh is an? 84-year-old woman who is unable to ambulate and has been losing weight for the past 2 months. She has a red nonblanchable area on her left hip. Based on the? nurse's assessment, which of the following are priorities for Mrs.? Welsh?
Trea
Keep her off her left? hip; reposition her every 2 hr? (prevent further? breakdown).
Teach the importance of good? nutrition; encourage her to eat five to six small? meals/day.
Ms. Adams is a? 48-year-old female. She is being discharged after undergoing a hysterectomy. Her wound dehisced? (when a surgical wound bursts or splits open along the suture? line), and she had to go back to surgery to have the wound repaired. She will b
Need for increased fluid intake
Signs and symptoms of wound infection
Importance of hand hygiene and principles of asepsis with dressing changes
Nutritional? support, that? is, the need for adequate? protein, carbohydrates, and vitamins
Mr. Roberts needs to apply a cold compress to a wound on his knee. The nurse is teaching Mr. Roberts and his wife about the benefits of? cold, how to apply cold? treatment, and for what conditions cold is useful. Which of the following responses indicates
?"Ice helps to decrease? pain; it definitely helped while I was in the? hospital."
?"If I see that my knee becomes inflamed and? red, using ice will help relieve? it."
?"Putting ice on my knee will help decrease the? swelling.
Ms. Small was admitted for an emergency appendectomy 2 days ago. She no longer has a? dressing, and the wound is exposed to air. The nurse is assessing her abdomen. Which of the following will the nurse include in the wound ?assessment?
Select all that ap
Are the wound edges well? approximated?
Appearance of the? wound: Is it? healing, size,? drainage, swelling,? redness?
Inspect for presence of foul odor? (from wound) and assess for pain.
The nurse is developing a plan of care for a female? client, Ms.? Sate, who has a stage II pressure ulcer. Which of the following is an appropriate goal for Ms.? Sate?
Promote wound healing by secondary intention
Apply appropriate devices on the bed to ke
Promote wound healing by secondary intention
Your answer is correct.
Mrs. Welsh is an? 84-year-old woman who is unable to ambulate and has been losing weight for the past 2 months. She has a red nonblanchable area on her left hip. Based on the? nurse's assessment, which of the following are priorities for Mrs.? Welsh?
Trea
Keep her off her left? hip; reposition her every 2 hr? (prevent further? breakdown).
Teach the importance of good? nutrition; encourage her to eat five to six small? meals/day.
Mr. Warner is a? 72-year-old male. The nurse is educating Mr.? Warner, his? wife, and his daughter about normal changes that go along with aging which place an elderly person at risk for impaired skin integrity. Which of the following expected changes tha
Diminished pain perception
You are completing an admission assessment of your? client, Ms.? Dean, who is 31 years old. You note an open area on the skin over her left trochanter that measures 2 cm by 2 cm. The open area is a deep crater with undermining of adjacent tissue. There is
Stage III pressure ulcer
Mr.? Skinner, a? 33-year-old, fell when he was skiing and broke his left? tibia, requiring surgery to correct the fracture. He tells the nurse he wants to? learn, what he needs to do to heal efficiently and quickly so that he can return home because he do
Keep head of the bed no higher than 30 degrees to prevent? shearing, and also prevent friction.
Ms. Green is a? 68-year-old female. Her? sister, who is also her? caregiver, reports that Ms.? Green's skin has been increasingly dry and flaky. The sister asks the nurse to recommend care for the skin changes. She says she has been using powder to keep t
A moisturizing lotion or cream
The nurse is explaining the stages of pressure ulcers to a group of new RNs. Which area of the body is most likely to develop a stage III? ulcer?
Sacrum
Ankle
Buttocks
Patella
Buttocks
The nurse is evaluating why a wound is not healing. Which? medication, taken by the? client, can delay wound? healing?
Digoxin? (Lanoxin)
Esomeprazole? (Nexium)
Nebivolol? (Bystolic)
Dexamethasone? (Decadron)
Dexamethasone? (Decadron)
The nurse is caring for an emaciated older adult client who is immobile and is experiencing frequent watery stools. Which technique would the nurse use to protect the client?'s skin? integrity?
Wipe the soiled skin firmly with a towel.
Use a gel and foam
Use a gel and foam combination mattress.
The nurse is assessing the extent of tunneling of a pressure ulcer on a client admitted to the wound care unit. Which assessment technique is? appropriate?
Apply sterile gloves and insert a gloved index finger until the full extent of the tunneling is rea
Insert a sterile? cotton-tipped applicator to measure the involved area.
A client is complaining of stiffness and arthritic pain in the hands. Which application should the nurse expect to be included in the treatment? plan?
Ice glove
Cold pack
Heat pack
?Cool, moist compresses
Heat pack
The client has been taught nutrition needs for healthy skin. Which client diet selection best indicates to the nurse that understanding has taken? place?
A bowl of? chili, crackers, and a baked potato
A Caesar? salad, broth, and a chocolate chip cookie
Ha
Boiled? potatoes, steamed green? beans, baked? chicken, and fruit
A client sustained a? right-wrist strain following a fall. Prior to applying the order ACE? wrap, the nurse notes a superficial abrasion. Which nursing asessment should be completed prior to applying the ACE? wrap?
Pain on a scale from 1 to 10
Client?'s a
Wound drainage
A nurse is preparing a discharge plan for a client with a risk of skin breakdown. What would the nurse include in the discharge ?plan?
Select all that apply.
Turn and reposition at least every 2 hour.
Position to prevent pressure on bony prominences.
Diet
Turn and reposition at least every 2 hour.
Position to prevent pressure on bony prominences.
Diet should be adequate in? fluids, protein, vitamins B and? C, iron, and calories.
The nurse is preparing an oral dose of a sulfonamide antibiotic for an adult male client with a urinary tract infection. Which describes the action of sulfonamide? medications?
Sulfonamides only work on the kidney.
Sulfonamides are folic acid inhibitors.
Sulfonamides are folic acid inhibitors.
The nurse sent a wound specimen for culture and sensitivity? testing, after which the health care provider ordered? imipenem-cilastatin, an antibiotic from the carbapenem class. The client? asks, "I usually take penicillin. Why? aren't I taking that? now?
?"This class of antibiotic is a? broad-spectrum drug and is often used to treat infections until we can identify the specific organism that is causing the? infection.
The nurse is educating a female client who continues to have frequent urinary tract infections. When the nurse is explaining the anatomy of the urinary tract and why females get more UTIs than? males, which information should be included in client ?educat
The female urethra is considerably shorter compared to the male urethra.
The anus is in close proximity to the urethra.
The nurse is going over the side effects of penicillins with the parents of an infant who has a bacterial infection. Which side effects will the nurse include when educating the parents on possible allergic ?reactions?
Select all that apply.
Abnormal cryi
Delayed skin reaction
Fever
Urticaria
The nurse is assessing an adult client who has been prescribed antibiotics for an infection. What signs and symptoms of a superinfection will the nurse include when educating the client before ?discharge?
Select all that apply.
Fine red rash
White patches
White patches in mouth
Vaginal discharge
?Foul-smelling feces
Sore mouth
The nurse is reviewing with parents the expected outcomes of antibiotic therapy for their child. What are appropriate expected outcomes of antibiotic therapy for a ?child?
Select all that apply.
Report any increase in signs and symptoms related to superin
Report any increase in signs and symptoms related to superinfections.
Parents will verbalize an understand the side effects of the medications.
The client should finish all medications as prescribed.
Parents will report a decrease in signs and symptoms of
The nurse is assessing an adult client with signs of a serious bacterial infection. Which facts about the etiology of bacterial infections will guide the? nurse's assessment when looking for sources of ?infection?
Select all that apply.
Bacteria can be ge
Bacteria can be found in food products.
Bacteria can enter a break in the skin.
Bacteria can be inhaled.
Bacteria can enter the body through mucous membranes.
The charge nurse is giving a pharmacology lecture on bacterial infections to new employees. Which factors that affect a? microorganism's ability to cause infection could the nurse include in the ?discussion?
Select all that apply.
The? microorganism's inv
The? microorganism's invasiveness
How quickly the organism can multiply
The? organism's release of exotoxins
The ability of the microorganism to avoid the? body's defenses
In what ways can microorganisms enter the body.
Select all that apply.
Swimming in the ocean
Eating spinach containing Escherichia coli
Walking barefoot in the sand
Exposure to droplets through a coworker?'s cough
Through a laceration of the skin
Eating spinach containing Escherichia coli
Exposure to droplets through a coworker?'s cough
Through a laceration of the skin
Which two factors affect a ?micro-organism?'s ability to cause a bacterial? infection?
Pathogenicity and virulence
Susceptibility and immune response
Invasiveness and toxicity
Cellular structure and sensitivity
Pathogenicity and virulence
Classify bacteria according to the structure of their cell? wall, shape, or use of oxygen.
?Instructions: Use the dropdown menus in the left column to select the classification of bacteria for each description in the right column.
Classification
Descripti
Cellular shape classification
Spherical? (cocci)
Cell wall classification
?Gram-negative bacteria
Oxygen use classification
Aerobic
Cell wall classification
?Gram-positive bacteria
Cellular shape classification
Rod? (bacilli)
Oxygen use classification
Ana
What term is used for infections acquired in the? hospital?
Resistant
Mutated
Nosocomial
Transmitted
Nosocomial
Which? high-risk clients are often given? anti-infective agents to prevent ?infections?
Select all that apply.
Siblings of? HIV-positive clients
Clients exposed to tuberculosis
Clients who have early signs of an upper respiratory infection
Immunosuppresse
Clients exposed to tuberculosis
Immunosuppressed clients
Preoperative cardiovascular surgery clients
Which of the following types of antibiotics affect the bacterial cell ?wall?
Select all that apply.
Penicillins
Cephalosporins
Tetracyclines
Carbapenems
Aminoglycosides
Penicillins
Cephalosporins
Carbapenems
A client was diagnosed with hyperlipidemia one month ago. Which client actions indicate that the client has a good understanding of how to lower lipid? levels?
The client plans to lose at least? 10% to? 20% of her body weight within 6 months.
The client a
The client can verbally express how to? self-administer her own? medication, indicates the correct? dose, and describes the most common side effects of the drug.
The? 57-year-old client has been prescribed the? "drug of? choice" for treating her severe hypertriglyceridemia. A drug from which class has been? selected?
Fibric acid agents
Nicotinic acid? (Niacor, Niaspan), also called niacin
Cholesterol absorption in
Fibric acid agents
The client asks the nurse to teach him about lifestyle changes that will help lower his blood lipid levels. Which strategies will give the client clear guidance for reducing ?hyperlipidemia?
Select all that apply.
Teach the client how to read nutrition la
Teach the client how to read nutrition labels to make better choices based on? fat, cholesterol, and fiber content.
Teach the client the differences between soluble and insoluble fiber so that he can choose foods that will increase his soluble fiber intak
The? 58-year-old male client with? Crohn's disease? (chronic inflammation of the digestive? tract) was admitted because of hyperlipidemia. His nurse has provided education regarding his prescribed medications. Which client response indicates that more tea
?"I have to take this medication for the next 12? months, no matter? what, even if I have to begin taking the immunosuppressants again. I will just do? it.
The client tells the nurse that one health care provider told him that he has too much cholesterol in his blood. Another health care provider told him he has elevated lipids. The client asks the nurse to explain the meaning of these statements. Which will
Cholesterol levels in the bloodstream are an important measure of heart health. Some types of cholesterol are considered? "good" and some are considered? "bad."
Eating? wheat, corn,? oats, and olive oil will help reduce your cholesterol level.
Cholesterol
The? client, a? 35-year-old woman with a history of rheumatoid arthritis? (RA), was recently diagnosed with hypertriglyceridemia. A statin has been prescribed. When teaching the client about taking this? medication, which instructions will the nurse? incl
Take the statin medication in the evening for optimal results.
A client is admitted with sporotrichosis. On which body systems would the nurse focus when assessing this ?client?
Select all that apply.
Lungs
Skin
Brain
Lymph nodes
Blood vessels
Skin
Lymph nodes
A client who is scheduled to go to Ghana for several weeks is prescribed chloroquine phosphate? (Aralen) to prevent malaria. What would the nurse teach the client about this ?medication?
Select all that apply.
Changes in vision are expected effects of thi
Continue to take this medication for 4 weeks after you return home.
Take immediately before or after meals to minimize stomach upset.
Do not drink lemon juice while taking this medication.
Start this medication as prescribed 2 weeks before you leave.
A client is being treated for systemic mycosis. What does this infection suggest to the nurse about the client?'s health? status?
The client was exposed to unsanitary conditions.
The client has a cat in the house.
The? client's immune system is suppressed
The? client's immune system is suppressed.
The nurse is caring for an African exchange student who is diagnosed with malaria. What repeatedly occurring manifestations would the nurse observe in this ?client?
Select all that apply.
Diaphoresis
Weight loss
Fever
Aches
Chills and rigor
Diaphoresis
Fever
Chills and rigor
A client receiving antifungal medication has a bowel movement of? clay-colored stools. This finding is an indication of toxicity for which body? organ?
Kidneys
Brain
Liver
Heart
Liver
A client is diagnosed with a fungal infection. Before medications are started to treat this? infection, the nurse would need to do? what?
Obtain a specimen of the organism
Monitor for jaundice
Monitor intake and output? (I&O)
Assess for hypokalemia
Obtain a specimen of the organism
A client is diagnosed with a helminthic infection. What would the nurse ask this client when determining the origin of this? infection?
?"Have you recently been in a country or area with poor? sanitation?"
?"Have you recently experienced a mosquito or tic
?"Have you recently been in a country or area with poor? sanitation?
A pediatric client diagnosed with a helminthic infection is experiencing perianal itching during the night. The nurse explains to the? client's mother that this manifestation is associated with which type of? infection?
Ascariasis
Hookworms
Enterobiasis
T
Enterobiasis
Which sources may cause fungal ?infections?
Select all that apply.
AIDS
Soil
Yeasts
Molds
Mushrooms
Yeasts
Molds
Mushrooms
Identify the type of fungal infection based on the disease process.
?Instructions: Use the dropdown menus in the left column to select the type of fungal infection for each disease process in the right column.
Type
Disease Process
Opportunistic Infections
Mucormycosis
Community-Acquired Infections
Blastomycosis
Opportunistic Infections
Candidiasis
Community-Acquired Infections
Sporotrichosis
Opportunistic Infections
Aspergillosis
Community-Acquired Infections
Histoplasmosis
Opportu
Which adverse effects associated with antifungal therapy require notification of the health care ?provider?
Select all that apply.
Pruritus
Decreased urinary output
Sudden weight gain
Peripheral numbness
Edema
Pruritus
Decreased urinary output
Sudden weight gain
Edema
Which protozoan infection is acquired through cat feces and places a fetus at risk for stillbirth or? abortion?
Trypanosomiasis
Toxoplasmosis
Trichomoniasis
Leishmaniasis
Toxoplasmosis
Your answer is correct.
Which statement is true about? protozoa?
Protozoa are? single-celled organisms.
Protozoa do not usually cause death.
Protozoa are easily repelled by a healthy immune system.
Protozoa are all structured similarly.
Protozoa are? single-celled organisms.
Which pharmacologic agents are used to treat visceral ?leishmaniasis?
Select all that apply.
Amphotericin B? (Amphocin)
Primaquine phosphate? (Primaquine)
Pentamidine isethionate? (Pentam 300)
Chloroquine phosphate? (Aralen)
Sodium stibogluconate? (Pentos
Amphotericin B? (Amphocin)
Pentamidine isethionate? (Pentam 300)
Sodium stibogluconate? (Pentostam)
Identify the class of helminthic infections based on the description.
?Instructions: Use the dropdown menus in the left column to select the class of helminthic infections for each description in the right column.
Helminthic Infections
Description
Tapeworms
Acquired by eating raw? beef, pork, or fish
Roundworms
Ascaris lumbricoides
Hookworms
Enter through skin
Roundworms
Nematodes
Tapeworms
Cestodes
Roundworms
Most often seen in children aged? 3-8
Hookworms
Necator americanus
Tapeworms
May be asymp
Which location most accurately reflects where helminthic infections? thrive?
?Third-world countries
Areas with poor sanitation
Areas with? stagnant, standing water
Areas where raw meat is ingested
Areas with poor sanitation
Which characteristics pertain to an Enterobius vermicularis ?infection?
Select all that apply.
Afflicts mostly children
Worms as long as 7dash-25 meters
Symptoms include perineal itching
Causes insomnia
Most frequently diagnosed helminthic infection in th
Afflicts mostly children
Symptoms include perineal itching
Causes insomnia
Most frequently diagnosed helminthic infection in the United States
Which clinical manifestation is an early sign of hepatotoxicity related to systemic antifungal? therapy?
?Clay- or? orange-colored stools
Hypotension
Elevated BUN and creatinine levels
Petechiae
?Clay- or? orange-colored stools
Before administering an antifungal? agent, which nursing action should you? take?
Monitor intake and output
Collect a specimen of the organism
Monitor liver function studies
Change linens on the beds
Collect a specimen of the organism
Which nursing action is associated with ongoing antiprotozoan drug? therapy?
Monitoring daily weights
Monitoring for CNS toxicity
Obtaining C? & S test results
Conducting a complete health history
Monitoring for CNS toxicity
Ms. Riveria came to the clinic today to discuss her lab results of 2 weeks ago. Her cholesterol was 220? mg/dL and she had a triglyceride level of 344? mg/dL. As the? nurse, you explain that lifestyle changes can affect lipid levels. Which explanation abo
Increase your dietary soluble fiber and decrease your intake of fats.
Mrs. Simmons was admitted to the hospital for hyperglycemia. As you take a medication? history, she reports that she started taking? over-the-counter niacin supplements to reduce her cholesterol because it is cheaper than her prescription medication. As t
Can elevate blood glucose levels
Michelle Kane is a? 28-year-old client with a history of leukemia. She comes to your clinic seeking treatment for a recurring candidiasis infection of the mouth. Ms. Kane asks you why she cannot seem to get rid of this infection. What information should y
This may be related to the? chemotherapy.
Ms. Kane is prescribed clotrimazole? (Mycelex) lozenges for the oral candidiasis infection. When teaching her about the appropriate use of this? medication, what instruction should you? include?
Avoid drinking and eating for at least 30 minutes after oral
Avoid drinking and eating for at least 30 minutes after oral administration.
Joseph Hirschbaum is planning a trip to Africa to participate in an international meeting. His health care provider prescribes chloroquine phosphate? (Aralen) prior to his scheduled departure. When teaching Mr. Hirschbaum about the medication? regimen, wh
The medication should be taken? 1-2 weeks before travel and continued for at least 4 weeks after returning home.
Mr. Hirschbaum asks you how he will know if he contracts malaria. What common? symptom(s) do you describe in your? response?
Persistent? fever, nausea, and vomiting
Cyclic recurrence of? chills, rigor, and fever
Diuresis and weight loss
Difficulty sleepin
Cyclic recurrence of? chills, rigor, and fever
John Driscoll travels extensively for his work and was recently diagnosed with an acquired roundworm infection. The health care provider prescribes mebendazole. As Mr.? Driscoll's nurse, what information should you include in your? teaching?
Frequent hand
Frequent hand washing is key to preventing the spread of infection.
Samantha King is receiving an intravenous infusion of amphotericin B? (Amphocin) for a systemic fungal infection. For what serious adverse? effect(s) should you? monitor?
Hypokalemia and shock
Nausea and vomiting
Muscle pain
Topical rash at infusion site
Hypokalemia and shock
A client is experiencing manifestations of a nonmalarial protozoan infection. The nurse would prepare to administer which medication that is effective against all of the major types of nonmalarial protozoan? infections?
Metronidazole? (Flagyl)
Tinidazole?
Paromomycin sulfate
A client who is taking a prescription antiprotozoan medication is experiencing? vomiting, flushing, and a headache. What would the nurse ask when assessing this? client?
?"Are you washing your hands as? instructed?"
?"Are you skipping any doses of the? me
?"Are you drinking any? alcohol?
The nurse is caring for a client diagnosed with African trypanosomiasis. What manifestations of this infection would the nurse assess in this ?client?
Select all that apply.
Fever and chills
Aches
Extreme malaise
Irregular heart rhythm
Weight loss
Fever and chills
Aches
Extreme malaise
Weight loss
During the health? history, a client with a helminthic infection tells the nurse about routinely eating steak tartare. The nurse suspects the client is experiencing which type of? infection?
Ascariasis
Enterobiasis
Tapeworm
Hookworms
Tapeworm
A client is prescribed ivermectin? (Stromectol) for a helminthic infection. Of which adverse effects would the nurse instruct the client to be ?aware?
Select all that apply.
Headache
Fever
Pruritus
Abnormal liver function tests
Rash
Fever
Pruritus
Rash
Which client statement indicates that the teaching the nurse provided about newly prescribed antiprotozoan medication has been? effective?
?"I will take the medication until the symptoms? disappear."
?"I will keep a record of adverse reactions to the? med
?"I will take the complete course of the? medication.
A client is diagnosed with tinea pedis. Which antifungal medication is available to treat this client?'s superficial fungal? infection?
Clotrimazole? (Mycelex-G)
Terbinafine hydrochloride? (Lamisill)
Ketoconazole? (Nizoral)
Fluconazole? (Diflucan)
Terbinafine hydrochloride? (Lamisill)
A client is prescribed micafungin? (Mycamine) for a systemic fungal infection. When instructing the client about this? medication, what would the nurse include as possible adverse ?effects?
Select all that apply.
Nausea
Vomiting
Phlebitis
Headache
Pruritu
Nausea
Vomiting
Headache
Pruritus
The nurse is caring for an adult client who has type 2 diabetes mellitus. After reviewing the? client's chart, which? item(s) should concern the? nurse?
Select all that apply.
Client's comorbidity
Healthcare? provider's diet order for client
?Client's glu
Client's comorbidity
Healthcare? provider's choice of antidiabetic drug
?Client's medication to treat comorbidity
A young adult with a history of type 1 diabetes presents to the emergency room with complaints of abdominal? pain, nausea, and vomiting. A few days? ago, he reduced his insulin dose because flu symptoms caused a decrease in appetite. The? nurse's assessme
Diabetic ketoacidosis? (DKA)
The nurse asks a client with type 2 diabetes to explain what he should do if his? finger-stick blood glucose is 55? mg/dL on the sliding scale.? (The lowest blood glucose on the scale is 60? mg/dL.) Which client response indicates that further teaching is
?"I will inject three units of? insulin.
A client receives 15 units of isophane insulin? (Humulin N) at? 8:00 a.m. At? 3:00 p.m., the nurse observes that the client is? pale, diaphoretic,? anxious, and restless. What action should the nurse take? first?
Check the? client's vital signs.
Call the
Give the client 8 oz of skim milk.
The nurse administers 20 units of isophane insulin? (Humulin N) at? 7:00 a.m. to a client with? insulin-dependent diabetes mellitus. What time should the nurse observe the client for signs of? hypoglycemia?
?3:00 p.m.
?1:00 a.m.
?8:00 a.m.
?10:00 a.m.
?3:00 p.m.
The nurse in the emergency department is caring for a? 45-year-old client with a history of type 2 diabetes mellitus. Which clinical manifestations are consistent with those the nurse can expect to? observe?
Select all that apply.
?Client's report of incr
?Client's report of increased food intake
Fasting blood glucose 165? mg/dL
?Client's complaint of a? "pins and? needles" sensation in the upper extremities
The nurse is caring for a teenaged client who is newly diagnosed with type 1 diabetes mellitus. Which statement made by the client indicates that further teaching is? necessary?
?"I will have to take my pill just once a? day."
?"I will eat my meals before
?"I will have to take my pill just once a? day.
The nurse is preparing to administer tolazamide? (Tolinase) to a client with type 2? diabetes, as prescribed by the healthcare provider. For what adverse effect does the nurse need to? monitor?
Hypokalemia
Metallic taste
Hypoglycemia
Lactic acidosis
Hypoglycemia
One of your clients has just been diagnosed with type 1 diabetes mellitus. Which characteristics support this ?diagnosis?
Select all that apply.
Fasting blood sugar of 80? mg/dL
Family history of type 1 diabetes mellitus
Treated for mononucleosis 2 months
Family history of type 1 diabetes mellitus
Treated for mononucleosis 2 months ago
Eleven years of age
You have just finished explaining the disease process of type 2 diabetes mellitus to a newly diagnosed client. Which client statement indicates that your teaching was? successful?
"My pancreas has stopped producing insulin."
"I will have to monitor my wei
I will have to monitor my weight and diet to manage this disease.
Identify the type of drug action for each medication.
?Instructions: Use the dropdown menus in the left column to select the type of drug action for each dug name in the right column.
Drug Action
Drug Name
Rapid Acting
Insulin aspart? (NovoLog)
Short Acting
Insulin regular? (Humulin R)
Rapid Acting
Insulin lispro? (Humalog)
Long Acting
Insulin glargine? (Lantus)
Rapid Acting
Insulin glulisine? (Apidra)
Long Acting
Insulin detemir? (Levemir)
Intermediate Act
Which adverse effects are associated with? sulfonylureas, a group of oral hypoglycemic ?agents?
Select all that apply.
Dizziness
Hypoglycemia
Drowsiness
Nausea
Metallic taste
Dizziness
Hypoglycemia
Drowsiness
Nausea
Which statement is true regarding the administration of glucagon? (GlucaGen)?
Glucagon? (GlucaGen) comes in oral and injectable forms.
Glucagon? (GlucaGen) should only be given if the client is unable to swallow.
Liver function tests should be performed p
Glucagon? (GlucaGen) should only be given if the client is unable to swallow.
Before administering regular insulin? (Humulin R), you assess your client. Which finding is the most concerning to? you?
Episodes of vomiting
Fasting blood glucose of 120? mg/dL
Blood pressure? 130/80
Muscle cramps
Episodes of vomiting
identify the complication based on the sign or symptom.
?Instructions: Use the dropdown menus in the left column to select the correct complication for each sign or symptom in the right column.
Condition
Sign or Symptom
Hypoglycemia
Sudden moodiness
Hypoglycemia
Hunger
Hyperglycemia
Increased thirst
Hypoglycemia
Sweating
Hypoglycemia
Pale skin color
Hyperglycemia
Elevated sugar levels in urine
Hypoglycemia
Seizure
Hyperglycemia
Frequent urination
Hypoglycemia
Confusion
H
Which instructions should you give to clients who are taking ?insulin?
Select all that apply.
"You should carry a medical alert bracelet or card."
"Monitor your glucose more frequently if you get the flu."
"You should always keep a quick source of sugar o
You should carry a medical alert bracelet or card."
"Monitor your glucose more frequently if you get the flu."
"You should always keep a quick source of sugar on hand.
Identify the drugs that cause hyperglycemia or hypoglycemia.
?Instructions: Use the dropdown menus in the left column to select the effect of each drug in the right column.
Effect
Drug Name
May Cause Hyperglycemia
Corticosteroids
May Cause Hypoglycemia
ACE inhibitors
May Cause Hyperglycemia
Phenytoin? (Dilantin)
May Cause Hypoglycemia
Alcohol
May Cause Hyperglycemia
Diuretics
May Cause Hypoglycemia
?Beta-adrenergic blockers
Mrs. Maria? Gomez, a? 40-year-old Hispanic? woman, arrives at your clinic for her annual physical exam. She is 5 feet tall and weighs 170 pounds. Vital signs are BP? 130/80 mmHg, P 88? bpm, R 20 per? min, and T? 99�F (37.2�C). You suspect type 2 diabetes?
Poor skin turgor to the sternum
You interview Mrs. Gomez for additional signs and symptoms of diabetes. Which statement by the client most likely suggests that complications of this disease may be? present?
?"I have to get up all night because I have a dry? cough."
?"I haven't had much
?"I get pain in my calves when I walk up the? stairs.
Mr. Jerome? Johnson, a? 55-year-old African American? male, is diagnosed with diabetes and prescribed metformin? (Glucophage). Mr. Johnson? asks, "Will this medication make me feel? bad?" Which statement is a correct? response?
?"You may have a dry cough
?"The most common side effects are? diarrhea, flatulence, and? nausea, but taking the drug with food will? help.
Mrs. Dorothy? Washington, a? 65-year-old African American? female, comes to your clinic for a? follow-up visit. She has been taking an oral hypoglycemic drug for 90 days. You evaluate for drug effectiveness. Which result is an appropriate therapeutic? res
Normal hemoglobin A1c level
Mr. Donald? Walker, a? 53-year-old White? male, takes a? beta-adrenergic blocker. Because Mr. Walker is a newly diagnosed? diabetic, the healthcare provider adds glyburide? (DiaBeta) to the drug regimen. As the? nurse, what teaching should you? provide?
?
?"You should keep a quick source of sugar on? hand.
The nurse is assessing a diabetic client who has a blood glucose level of 799? mg/dL (normal:? 60-100 mg/dL), and is unresponsive. What finding leads the nurse to suspect diabetic? ketoacidosis?
Hypertension
Bradycardia
Decreased potassium level
?Rapid, d
?Rapid, deep respirations
The nurse is educating an adult client who is newly diagnosed with diabetes mellitus. The teaching includes information about substances that can raise blood glucose levels. Which? medication(s) can produce hyperglycemic? effects?
Select all that apply.
?
Phenytoin? (Dilantin)
Diuretics
Corticosteroids
In the emergency? department, the nurse is caring for an unconscious adult client with a blood glucose level of 37? mg/dL. (Normal blood glucose is? 60-100 mg/dL.) What medication does the nurse expect to see? ordered?
Glipizide? (Glucotrol)
Glyburide? (D
Glucagon? (GlucaGen)
During discharge? teaching, the nurse explains to a client diagnosed with type 2 diabetes that lab testing will be done to check his overall management of the disease. Which test does the nurse say to expect in about? 8-12 weeks?
Random blood glucose
Fast
HbA1C? (hemoglobin A1C)
The clinic nurse receives a? mid-morning telephone call from the mother of a? 7-year-old child who was recently diagnosed with type 1 diabetes mellitus. The mother states that her? child's most recent? finger-stick blood glucose level is 54? mg/dL (normal
Irritability
The nurse is caring for an adult client with a history of type 2 diabetes mellitus. In the? past, the client has had multiple episodes of hyperglycemia.? Currently, the client is receiving insulin via infusion? pump, to be discontinued at bedtime. The? cl
Call to advise the healthcare provider of the most recent blood glucose level and discuss discontinuing the insulin infusion.
In the emergency? room, glucagon? (GlucaGen) is administered to an unresponsive client with severe hypoglycemia. What potential adverse effect is most critical for the nurse to? monitor?
Hyperglycemia
Nausea and vomiting
Hyperkalemia
Lactic acidosis
Hyperglycemia
The nurse is preparing to administer insulin to a client with type 1 diabetes mellitus. What? action(s) does the nurse recognize as important to do during? administration?
Select all that apply.
Check the? client's blood glucose level
Shake insulin prepar
Check the? client's blood glucose level
Monitor the? client's dietary intake
Rotate the site of administration
Which treatments would the nurse identify as most appropriate for this? client?
Ethinyl estradiol? (Estinyl)
Tretinoin? (Retin-A)
Education on face washing
Calcipotriene? (Dovonex)
Amcinonide? (Cyclocort)
Tretinoin? (Retin-A)
Education on face washing
What statement is most accurate about the administration of topical corticosteroids for a client with? psoriasis?
Notify the healthcare provider of any striae.
Creams and lotions should be left on for at least 24 hours.
After? application, do not apply an
Notify the healthcare provider of any striae.
Which statements about the use of permethrin? (Acticin, Elimite,? Nix) are ?accurate?
Select all that apply.
The medication must stay on the scalp for 10 minutes prior to rinsing.
When permethrin? (Acticin, Elimite,? Nix) is used? correctly, nit removal w
When rinsing the? hair, take care to avoid the eyes.
The medication must stay on the scalp for 10 minutes prior to rinsing.
What statement about the clinical manifestations of skin disorders is most? accurate?
?Erythema, urticaria, and pruritus are common adverse effects of systemic medications.
Redness definitively indicates an infectious process.
Pruritus is a definitive sym
Urticaria and pruritus can occur together in a hypersensitivity response.
Select all that apply.
Blood pressure
Weight gain
Odd sensations in extremities
Blood urea nitrogen? (BUN) and creatinine levels
Hair distribution
Blood pressure
Odd sensations in extremities
Blood urea nitrogen? (BUN) and creatinine levels
Hair distribution
Which skin disorders would the nurse classify as inflammatory ?conditions?
Select all that apply.
Contact dermatitis
Impetigo
Tissue injury
Psoriasis
Fever? blisters, or cold sores
Contact dermatitis
Tissue injury
Psoriasis
Which statement about the? nurse's role in the treatment of female alopecia is? accurate?
Treatment with PO finasteride? (Propecia, Proscar) is successful only for clients under 50 years of age.
Hormone levels should be assessed.
Minoxidil? (Loniten) PO i
Hormone levels should be assessed.
After reviewing this? client's chart, what statement about the? client's condition would the nurse identify as being most? accurate?
Click the three Exhibit links below for additional information about the client.
EXHIBIT
History LOADING...
Physical Asses
The likely causative agent is Staphylococcus aureus.
Which condition is a chronic form of dermatitis with a familial? tendency?
Alopecia
Eczema
Measles
Tinea cruris
Eczema
Which skin disorders are types of fungal ?infections?
Select all that apply.
Tinea capitis
Ringworm
Acne
Chickenpox
Athlete?'s foot
Tinea capitis
Ringworm
Athlete's foot
Classify integumentary system disorders.
Class
Disorder
Parasitic Infestations
Pediculosis
Bacterial Infections
Boils
Viral Infections
Rubella
Inflammatory Disorders
Rosacea
Viral Infections
Rubeola
Inflammatory Disorders
Dermatitis
Parasitic Infestations
Scabies
Inflammatory Disorders
Psoriasis
Identify the drugs used to treat different types of dermatologic infections.
?Instructions: Use the dropdown menus in the left column to select the type of infection for each drug in the right column.
Infection
Drug Name
Drugs for Fungal Infections
Fluconazole? (Diflucan)
Drugs for Parasitic Infections
Lindane? (Kwell)
Drugs for Fungal Infections
Miconazole nitrate? (Micatin)
Drugs for Bacterial Infections
Erythromycin? (Erygel)
Drugs for Fungal Infections
Clotrimazole? (
If your client is diagnosed with scalp ringworm? (tinea capitis), what medication would you expect to be included in the treatment? regimen?
Permethrin? (Acticin)
Acyclovir? (Zovirax)
Griseofulvin? (Fulvicin)
Gentamicin sulfate
Griseofulvin? (Fulvicin)
Which factor increases a client?'s risk for developing a fungal? infection?
Suppressed immune system
Break in skin integrity
?Pre-existing bacterial infection
Overexposure to sunlight
Suppressed immune system
Which medications are used to treat seborrheic ?dermatitis?
Select all that apply.
Ciclopiroxolamine? (Loprox)
Ketoconazole? (Nizoral)
Adapalene? (Differin)
Fluconazole? (Diflucan)
Azelaic acid? (Azelex)
Ciclopiroxolamine? (Loprox)
Ketoconazole? (Nizoral)
Fluconazole? (Diflucan)
Which topical and oral medications are used to treat? rosacea?
Tazarotene? (Avage) and etanercept? (Enbrel)
Dibucaine? (Nupercainal) and cyclosporine? (Neoral)
Azelaic acid? (Azelex) and isotretinoin? (Claravis)
Sulfacetamide sodium? (Cetamide) and isotre
Azelaic acid? (Azelex) and isotretinoin? (Claravis)
Which goal is the focus of pharmacotherapy for? psoriasis?
Controlled inflammation
Prevented eruptions
Decreased scarring
Decreased pain
Controlled inflammation
Which statements are appropriate to include in a teaching plan for a client with a parasitic ?infestation?
Select all that apply.
Seal items that cannot be washed in plastic for at least 2 weeks.
Apply eyedrops for dry eyes.
Wash linens in hot water.
Wash
Seal items that cannot be washed in plastic for at least 2 weeks.
Wash linens in hot water.
Vacuum frequently.
Which important teaching statement should you provide before a client starts a treatment regimen of isotretinoin? (Claravis)?
?"Be sure to notify the school nurse about your? treatment."
?"I am going to show you how to effectively use a nit? comb."
?"We n
?"We need to rule out pregnancy at least 14 days before treatment? starts.
Which pharmacologic agent is the only one available to treat a female client who is experiencing hair? loss?
Clotrimazole? (Lotrimin)
Isotretinoin? (Sotret)
Minoxidil? (Rogaine)
Finasteride? (Propecia)
Minoxidil? (Rogaine)
Jill Herman is a? 40-year-old client who presents with a persistent redness of her? face, diagnosed as rosacea. Which instruction should you include in the client education for Ms.? Herman?
Spend 20 minutes 3 times daily exposed to sunlight.
Rosacea is a
...
Jill Herman is a? 40-year-old client who presents with a persistent redness of her? face, diagnosed as rosacea. Which instruction should you include in the client education for Ms.? Herman?
Spend 20 minutes 3 times daily exposed to sunlight.
Rosacea is a
Avoid drinking hot liquids and alcoholic beverages.
Your? client, Karen? Larsh, is diagnosed with herpes zoster? (shingles). She is prescribed acyclovir? (Zovirax) as a topical ointment for treatment. Which common adverse effect of the medication may? occur?
Conjunctivitis
Alopecia
Nausea
Fever
Nausea
Samantha King is evaluated for a severe? flare-up of psoriasis. She is taking oral cyclosporine? (Neoral) in addition to her topical agent. Which common adverse effect do you recognize will be important to monitor her? for?
Hypotension
Nephrotoxicity
Hypo
Nephrotoxicity
Matthew Logan is a? 16-year-old client who is undergoing treatment with isotretinoin? (Claravis) for severe postulated acne. Which instruction should you include in your client education for? Matthew?
Do not discontinue the medication unless advised.
Wash
Do not discontinue the medication unless advised.
Which statements about rosacea are ?accurate?
Select all that apply.
Rosacea is classified as an infectious condition.
Clients with rosacea often report itching and redness.
The rhinophyma that often occurs with rosacea can be distressing to clients.
Rosa
The rhinophyma that often occurs with rosacea can be distressing to clients.
Rosacea is more common in women than in men.
Which statement by the client with pediculus humanis capitis indicates understanding of the nurse?'s ?instructions?
?"If I am unable to wash an? item, I can spray it with an? insecticide."
?"The other members of the household do not need to be inspected a
?"Although lice live for only 24? hours, I should continue inspecting for reinfection since nits can hatch after the first 24? hours.
Which statements about the treatment of herpes simplex virus with acyclovir? (Zovirax) are ?accurate?
Select all that apply.
The ointment should be applied directly to the open lesion with a glove.
PO acyclovir? (Zovirax) is indicated for treatment of acu
The ointment should be applied directly to the open lesion with a glove.
The client should report any? headaches, as they may be an adverse reaction.
What client would the nurse anticipate to be prescribed fluconazole? (Diflucan)?
Client with acne and tinea capitis
Asthma client with tinea pedis and ingrown toenail
Client with a history of asthma with oral candidiasis
Client with HIV with oral candidia
Client with HIV with oral candidiasis
Before administering isotretinoin? (Amnesteem, Claravis,? Sotret), what client education will the nurse ?perform?
Select all that apply.
Submitting to pregnancy tests prior to and during treatment is required.
Notify your healthcare provider of any mood c
Submitting to pregnancy tests prior to and during treatment is required.
Notify your healthcare provider of any mood changes.
When going? outside, wear sunscreen.
The nurse has been educating a client who will receive isotretinoin? (Amnesteem, Claravis,? Sotret). What statement indicates that the client understands the? treatment?
?"I will have to get my blood sugar? checked, as my medication can cause it to? incre
?"I must use two reliable forms of birth control while taking my? medication.
The nurse has a client with a new onset of a skin disorder. Which assessments would the nurse perform to aid in determining the cause of the ?condition?
Select all that apply.
Review hemoglobin and hematocrit levels.
Assess legs for color of? skin, warmth
Assess legs for color of? skin, warmth, and hair distribution.
Assess the color of the? sclera, skin, and mucous membranes.
Review the BUN and creatinine levels.
Palpate the abdomen.
For which conditions is benzocaine? (Americaine, Anbesol) ?indicated?
Select all that apply.
Infant teething pain
Abscess or boils
?Second-degree burns
Canker sores
Mosquito bites
Second-degree burns
Canker sores
Mosquito bites
The nurse is caring for an older adult client who is receiving total parenteral nutrition? (TPN). What should the nurse assess to minimize ?complications?
Select all that apply.
Feeding tube placement
Weight and lab results
Intake and output
Vital signs
C
Weight and lab results
Intake and output
Vital signs
Catheter placement
The nurse is caring for an older adult client who is diagnosed with inflammatory bowel? disease, and receiving enteral nutrition therapy to rest the bowel. The nurse should watch for which complications of enteral ?nutrition?
Select all that apply.
Thromb
Dehydration
Nausea
Aspiration
An adult client diagnosed with Crohn disease is receiving total parenteral nutrition? (TPN). The nurse will need to monitor for which mechanical? complication?
Thromboembolism
Bone demineralization
Refeeding syndrome
Fluid volume overload
Thromboembolism
The nurse is caring for a client with swallowing difficulties who is expected to require enteral nutrition for 6dash-8 weeks. What type of tube would the nurse expect to be used for this? client?
Nasoduodenal tube
Nasogastric tube
Percutaneous endoscopic
Percutaneous endoscopic gastrostomy tube
Which condition does the nurse know is an indication for enteral nutrition? therapy?
Inability to absorb nutrients
Inadequate oral intake
Complete bowel obstruction
Intractable vomiting
Inadequate oral intake
Total parenteral nutrition? (TPN) is ordered for an adult client with a severe gastrointestinal disorder. The nurse expects that the solution will contain which ?nutrients?
Select all that apply.
Lipids
Antibiotics
Trace minerals
Electrolytes
Amino acids
Lipids
Trace minerals
Electrolytes
Amino acids
The nurse is caring for a client who is receiving enteral therapy through a gastrostomy tube. Which interventions by the nurse will reduce the risk of? aspiration?
Select all that apply.
Check for proper tube placement.
Elevate the head of the bed 30degre
Check for proper tube placement.
Elevate the head of the bed 30degrees� during feeding.
Check for gastric residual volumes.
Check for signs of respiratory? distress, abnormal lung? sounds, or frothy sputum.
The nurse is caring for a teenage client who has been diagnosed with anorexia nervosa. The nurse should be concerned with which potential complications of ?malnutrition?
Select all that apply.
Delayed wound healing
Death
Insufficient immunity
Excessive mu
Delayed wound healing
Death
Insufficient immunity
Muscle wasting
Which? health-related issues may require administration of supplemental ?nutrition?
Select all that apply.
Malnutrition
Bulimia
Weakened immune status
Major trauma
Pneumonia
Malnutrition
Bulimia
Weakened immune status
Major trauma
Which are serious health consequences that can result from lack of proper ?nutrients?
Select all that apply.
Risk for infection
Severe diarrhea
Nausea and vomiting
Muscle wasting
Decreased wound healing
Risk for infection
Muscle wasting
Decreased wound healing
Identify the use for each type of feeding tube.
?Instructions: Use the dropdown menus in the left column to select the use of each feeding tube in the right column.
Use
Feeding Tube
Tubes for Short-Term Use
Nasogastric
Tubes for Long-Term Use
Percutaneous endoscopic jejunostomy
Tubes for Short-Term Use
Nasoduodenal
Tubes for Long-Term Use
Percutaneous endoscopic gastrostomy
Tubes for Short-Term Use
Nasojejunal
Enteral feedings delivered over an? 8- to? 16-hour period of time are? called:
Intermittent feedings
Cyclic feedings
Bolus feedings
Continuous infusion feedings
Cyclic feedings
Which types of nutrients are administered to provide energy for the body and to maintain normal glucose? levels?
Carbohydrates
Proteins
Vitamins
Lipids
Carbohydrates
Which complications can occur during the administration of enteral ?nutrition?
Select all that apply.
Drug and food interactions
Clogged feeding tubes
Muscle wasting
Nausea and vomiting
Aspiration
Drug and food interactions
Clogged feeding tubes
Nausea and vomiting
Aspiration
What is one important difference between peripheral parenteral nutrition and central parenteral? nutrition?
Only peripheral infusion requires an infusion pump.
Central vein administration has fewer risks.
Peripheral vein solutions have a lower osmolality.
Peripheral vein solutions have a lower osmolality.
Which are mechanical complications associated with parenteral ?nutrition?
Select all that apply.
Catheter malposition
Infection
Cardiac arrhythmias
Fluid volume overload
Hemothorax
Catheter malposition
Cardiac arrhythmias
Hemothorax
Which are appropriate nursing actions for the client receiving enteral feeding who has the complication of ?diarrhea?
Select all that apply.
Add fiber to the nutritional supplement.
Dilute the feeding.
Decrease the use of? opioids, to slow down the digest
Add fiber to the nutritional supplement.
Dilute the feeding
Slow down the infusion.
What is a critical nursing action to prevent aspiration when administering enteral? feedings?
Dilute the feeding.
Elevate the head of the bed 30 degrees.
Give metoclopramide? (Reglan) to delay gastric motility.
Assess for refeeding syndrome.
Elevate the head of the bed 30 degrees.
Which nursing actions are taken to decrease the risk for infection at the parenteral administration ?site?
Select all that apply.
Change the IV site of a peripheral line every 48 hours.
Leave the site open to the air.
Clean the insertion site area with an
Change the IV site of a peripheral line every 48 hours.
Clean the insertion site area with an antimicrobial solution.
Use the TPN catheter only for TPN.
Eva Gonzales is a? 35-year-old woman who is admitted for nutritional evaluation. She had a bilateral mastectomy 3 months prior to this hospital admission.
Ms. Gonzales recently completed a combination treatment regimen of radiotherapy and chemotherapy. He
If she has any mechanical problems that will prevent the administration of enteral nutrition
Maxine Carlson is a? 73-year-old woman who was admitted to the hospital after suffering a cerebrovascular accident. Her deficits include? right-side paralysis, inability to? swallow, and global aphasia.
Mrs. Carlson has a nasogastric tube inserted and beg
Aspiration
David? Flores, a? 68-year-old carpenter, has a long history of irritable bowel syndrome and ulcerative colitis. He was recently admitted to the hospital with a severe exacerbation of his colitis that required parenteral nutrition therapy.
?Initially, a pe
Infection and phlebitis
Shan Jung recently had a radical neck resection for throat cancer. He has a nasogastric tube and is receiving bolus enteral feedings.
Mr. Jung complains of nausea and bloating. He asks you if there is anything that can be done to relieve the discomfort th
Slow the rate of administration.
What does the nurse need to know before administering oral enteral ?nutrition?
Select all that apply.
That the client will need less direct nursing supervision
That the client is able to swallow
That the client will adhere to the feeding plan
That a centr
That the client will need less direct nursing supervision
That the client is able to swallow
That the client will adhere to the feeding plan
The nurse is preparing to administer total parenteral nutrition? (TPN) to an older adult client. Because TPN is a hypertonic? solution, where must the catheter tip of the central venous line be? positioned?
Select the correct answer choice below.
A
B
C
D
B (superior vena cava)
Which client would the nurse expect to receive total parenteral nutrition? (TPN)?
A client? post-surgery for repair of knife wounds to the gastrointestinal system
A client who has metastatic cancer and? malnutrition, and is in hospice
A client who is? pos
A client? post-surgery for repair of knife wounds to the gastrointestinal system
An older adult client undergoing cancer chemotherapy is receiving total parenteral nutrition? (TPN) through a central line. The nurse knows that the client is at risk for which mechanical ?complications?
Select all that apply.
Endocarditis
Brachial plexus
Endocarditis
Brachial plexus injury
Hemothorax
The nurse is assessing an older adult client with a history of progressive dysphagia who is receiving enteral nutrition through a nasogastric tube. The nurse should observe for which metabolic? complication?
Dehydration
Subcutaneous emphysema
Pneumothorax
Dehydration
The nurse is caring for a client who is receiving enteral nutrition through a feeding? tube, and is experiencing diarrhea. What actions should the nurse ?take?
Select all that apply.
Increase the concentration of the feeding.
Increase the infusion rate.
T
Test for Clostridium difficile.
Add fiber to the nutritional supplement.
Administer loperamide? (Imodium), an? antidiarrheal, as ordered.
The nurse is caring for a homeless older adult client who was admitted for severe malnourishment. The client?'s history is negative for? kidney, liver, and lung? disease, and he has no digestive issues. Which type of enteral formula should the nurse expec
Polymeric
Parenteral nutrition may be administered by which? route?
Via tube feeding
Via the oral route
Via central intravenous access
Via the gastrointestinal system
Via central intravenous access