Hemotology Diabetes endocrine/seizures Resp/Heart
100
The client calls the nurse and is very frantic. "I think something is wrong! My stools are black, and they have never been this color before". The client is receiving ferrous sulfate. What is the Best response by the nurse?
1. "This is an expected side effect of ferrous sulfate (Feosol); it is okay."
2. "This sounds serious; you may have started bleeding again."
3. "Do you have hemorrhoids? That could be the problem."
4. "I will speak with your doctor and call you right back."
This is an expected side effect of ferrous sulfate. It is ok.
100
A nurse has provided education regarding type 2 diabetes to a newly diagnosed client. Which statements would the nurse interpret as indicating need for additional education?
Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.
1. Well, at least the medications I will be on will help me lose weight.
2. I can take an oral medication and will never have to inject myself.
3. I can increase my bodys ability to use the insulin I make by exercising regularly.
4. I have several lifestyle changes to make.
5. I dont run the risk of blindness and kidney disease like type 1 diabetics.
1. Well, at least the medications I will be on will help me lose weight.
2. I can take an oral medication and will never have to inject myself.
5. I dont run the risk of blindness and kidney disease like type 1 diabetics.
100
A client presents with severe inflammation of the knee. The physician prescribes a corticosteroid and asks the client to return to the office in 10 days for follow-up. How does the nurse explain these instructions?
1. we need to check to see if this is the correct treatment
2. we need to reexamine the knee after a few days of tx
3. corticosteroids should only be taken 1-3 weels
4. you may be able to change to an NSAID at that visit
5. you may need a 3 month prescription for a stronger corticosteroid at this time
"We need to re-examine the knee after a few days of treatment."Corticosteroids should only be taken for 1 to 3 weeks."You may be able to change to an NSAID at that visit."
100
The client receives albuterol Proventil via inhaler. He asks the nurse why he can't just take a pill. What is the best response by the nurse?
"When you inhale the drug the blood supply in your lungs picks it up rapidly, resulting in quicker effects.”
"Because pills cannot help your illness; you must have inhaled medications for relief of symptoms."
“Because pills would produce too many side effects; you will have very few side effects with inhaled medications.”
"Because this medication cannot be absorbed from your GI tract; the acid in your stomach would destroy it."
"When you inhale the drug the blood supply in your lungs picks it up rapidly, resulting in quicker effects.”
200
The nurse is teaching a class on how RBC formation is regulated by the body to a group of clients who have AIDS. the nurse evaluates that learning has occurred when the clients make which statement?
1. "Red blood cell formation is regulated through chemicals called colony-stimulating factors that come from white blood cells."
2. "Red blood cell formation is regulated through messages from the hormone, secretin, which is located in the kidney."
3. "Red blood cell formation is regulated through specific liver enzymes and a process called hemochromatosis."
4. "Red blood cell formation is regulated through messages from the hormone erythropoietin."
5. "Red blood cell formation is regulated through specific transporter proteins called apolipoprotein A and B."
Red blood cell formation is regulated through messages from the hormone erythropoietin
200
A patient was prescribed glipizide (Glucotrol), a sulfonylurea for tx of type 2 diabetes. 1 week after therapy was initiated, the pt comes to the clinic with nausea, flushing, and palpitations. The nurse prioritizes which assessment question?
1. have u taken ur medicine as directed?
2. did u drink an alcoholic beverages this week?
3. Did u eat or drink anything new this week?
4. Have u increased the amount of fiber in ur diet?
2. did u drink an alcoholic beverages this week?
200
A client has just been prescribed ibuprofen for a mild ankle sprain. Which health history information should alert the nurse to question this prescription?
1.The client has asthma
2. the client has a similar ankle strain a year ago
3.The client is allergic to aspirin.
4. The client reports having a peptic ulcer 6 months ago.
The client has asthma
.The client is allergic to aspirin.
The client reports having a peptic ulcer 6 months ago.
200
1. status asthmaticus.
2. infection.
3. bronchodilation in asthma.
4. prophylaxis of asthma symptoms.
prophylaxis/inflammation
300
A client has been treated with an erythropoiesis-stimulating factor. Which client assessment would the nurse interpret as indicating the goal of this treatment has been reached? Select all that apply.
1. The client's hemoglobin values have risen.
2. The client reports less shortness of breath on exertion.
3. The client has not had an episode of epistaxis in over three weeks.
4. The client reports enjoying a walk with family for the first time in months.
5. The client has not had a fever since treatment began.
1. The client's hemoglobin values have risen.
2. The client reports less shortness of breath on exertion.
4. The client reports enjoying a walk with family for the first time in months.
300
A patient with type 1 diabetes is maintained on insulin. the patient deicded to participaate in a sports tournament. Which would the nurse provide regarding diet and insulin?
eat something before the game and drink a sports drink during the game
300
The patient has generalized anxiety disorder. He asks the nurse, "Will I need medication for this? My neighbor is very nervous and he takes medication." What is the best response by the nurse?
1. "Medications are a way of life for patients with anxiety disorders."
2. "Medication is necessary initially; later we will try therapy."
3. "Probably not, but you shouldn't compare yourself to your neighbor."
4. "Medication is necessary when anxiety interferes with your quality of life."
4. "Medication is necessary when anxiety interferes with your quality of life."
300
The nurse has provided medication education to a patient who was just diagnosed with asthma. The nurse would evaluate that additional teaching is necessary when the patient makes which statement? (Select all that apply.)

1. "My albuterol inhaler should be taken routinely to prevent asthma attacks."
2. "I should plan to take my corticosteroid for the rest of my life."
3. "My theophylline inhaler will help me prevent asthma attacks."
4. "I'll use my montelukast (Singulair) inhaler every day."
5. "My therapy will include both oral and inhaled drugs."
1. "My albuterol inhaler should be taken routinely to prevent asthma attacks."
2. "I should plan to take my corticosteroid for the rest of my life."
4. "I'll use my montelukast (Singulair) inhaler every day."
400
The client has chronic alcoholism. He asks the nurse why his doctor put him on folic acid (Folvite) since he promised the doctor that he would stop drinking. What is the best response by the nurse?
1. "You should ask your doctor since you promised him that you would not drink anymore."
2. "You have been drinking instead of eating, and alcohol interferes with folate metabolism in your liver."
3. "You need folic acid to make up for the vitamin B12 deficiency that was caused by your alcoholism."
4. "You need folic acid because you have not been compliant with taking your vitamins and attending Alcoholics Anonymous (AA) meetings."
2. "You have been drinking instead of eating, and alcohol interferes with folate metabolism in your liver."
400
A client has diabetes insipidus and receives desmopressin (DDAVP). The nurse completes medication education and evaluates that learning has occurred when the client makes which statement?
1. "This medication is a potent vasodilator; my blood pressure can fall."
2. "This medication promotes diuresis in my body; my blood pressure can fall."
3. "This medication increases water reabsorption in my kidneys."
4. "This medication suppresses hormone secretion from my posterior pituitary gland."
3. "This medication increases water reabsorption in my kidneys."
400
The patient has been treated by the same physician for 2 years and has had insomnia the entire time. Many different medications have been tried with limited success. What should be the nurse's primary assessment at this time?
1. Assess for a primary sleep disorder such as sleep apnea.
2. Assess if the patient has been selling his medications to addicts.
3. Assess if the patient has an addictive personality disorder.
4. Assess the patient for a primary personality disorder.
1. Assess for a primary sleep disorder such as sleep apnea.
400
The client comes to the emergency department with a blood pressure of 200/120 mm/Hg. The physician orders hydralazine (Apresoline) IV. What will the nurse’s priority assessment include?
1. hypotension and tachypnea
2. hypotension and tachycardia
3. hypotension and hyperthermia
4. hypotension and bradycardia
2. hypotension and tachycardia
500
The clients calcium is low, what is the nurses primary concern?
1. seizures
2. bone fracture
3. hypoglycemia
4. depression
seizures
500
The client has been diagnosed with diabetes mellitus type 1. He asks the nurse what this means. What is the best response by the nurse?
Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.
1. The exocrine function of your pancreas is to secrete insulin and it is not working.
2. Without insulin you will develop ketoacidosis (DKA).
3. The endocrine function of your pancreas is to secrete insulin, but it isnt working.
4. Your alpha cells should be able to secrete insulin, but cannot.
5. It means your pancreas cannot secrete insulin.
2. Without insulin you will develop ketoacidosis (DKA)
3. The endocrine function of your pancreas is to secrete insulin, but it isnt working.
5. It means your pancreas cannot secrete insulin.
500
The young child has absence seizures. The physician has prescribed valproic acid (Depakene) syrup. The nurse has completed medication education with the child's mother and determines that learning has occurred when the mother makes which statement?
1. "I should not mix this with carbonated beverages."
2. "If my child gets a headache from this, I can administer a baby aspirin."
3. "I can still give the clonazepam (Klonopin) prescribed by the psychiatrist for sleep."
4. "I can give this on a full stomach or an empty stomach."
1. "I should not mix this with carbonated beverages."
500
The client is receiving doxazosin (Cardura) for hypertension. He asks the nurse how the medication works. What is the nurse’s best response?
1. it causes kidneys to excrete more urine
2. it makes ur heart work more efficiently
3. it makes ur blood vessels expand
4. it decreases the release of stress hormones
“It works by making your blood vessels expand.”






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