- JC is a 13-year-old female to be seen in your clinic today. You review JC’s medication and realize that which medication is a potential risk of growth suppression in prepubescent children?
- Selected Answer: Corticosteroids (correct answer)
- Mr. Laird is a 49-year-old electrician who experienced severe burns on his trunk, arms, and hands in a workplace accident 2 weeks ago. Part of his current wound care regimen involves the daily application of silver sulfadiazine to his wounds. The nurses who are providing care for Mr. Laird in the burns and plastics unit of the hospital should perform what action when administering this medication?
- Selected Answer: Cleanse the wound of debris prior to applying the silver sulfadiazine (correct answer)
- **A 29-year-old pregnant patient is extremely upset about having to take medication for a pre-existing medical condition. She is consumed with fear that her baby will be born with a physical deformity or a congenital anomaly but knows that she has to take the medication. She talks constantly about this and is unable to sleep most nights. Which of the following is the most appropriate nursing diagnosis for this
4o
You said:
list all answers
ChatGPT said:
ChatGPT
Certainly! Here are all the questions along with their selected answers, and I’ve marked the correct answers with “(correct answer)” beside them:
- JC is a 13-year-old female to be seen in your clinic today. You review JC’s medication and realize that which medication is a potential risk of growth suppression in prepubescent children?
- Corticosteroids (correct answer)
- Mr. Laird is a 49-year-old electrician who experienced severe burns on his trunk, arms, and hands in a workplace accident 2 weeks ago. Part of his current wound care regimen involves the daily application of silver sulfadiazine to his wounds. The nurses who are providing care for Mr. Laird in the burns and plastics unit of the hospital should perform what action when administering this medication?
- Cleanse the wound of debris prior to applying the silver sulfadiazine (correct answer)
- A 29-year-old pregnant patient is extremely upset about having to take medication for a pre-existing medical condition. She is consumed with fear that her baby will be born with a physical deformity or a congenital anomaly but knows that she has to take the medication. She talks constantly about this and is unable to sleep most nights. Which of the following is the most appropriate nursing diagnosis for this patient?
- Anxiety related to perceived danger of drug therapy to fetus or infant (correct answer)
- A patient has endocarditis and is taking gentamicin. The Nurse Practitioner will be sure to monitor which of the following?
- Creatinine clearance (correct answer)
- A 39-year-old woman is receiving doxorubicin for the treatment of cancer. After each treatment, the patient has acute nausea and vomiting accompanied by a slightly increased heart rate. The nurse will advise her to:
- Perform relaxation techniques after the treatments. (correct answer)
- A child with chronic allergic symptoms uses an intranasal steroid for control of symptoms. At this child’s annual well-child checkup, the NP should carefully review what?
- Weight and height (correct answer)
- The first-line drug choice for a previously healthy adult patient who has been diagnosed with community-acquired pneumonia would be:
- Ms. Shackleford has been placed on Ambien to help for her insomnia. The NP must educate the patient regarding the rapid onset of Ambien. Which statement below is correct?
- Zolpidem should be taken just before going to bed (correct answer)
- On the advice of her sister, a 52-year-old woman has visited her nurse practitioner to discuss the potential benefits of hormone replacement therapy in controlling the symptoms of menopause. Which of the following responses by the nurse is most appropriate?
- “It’s important to balance the possible benefits of HRT with the fact that it might increase your risk of heart disease and stroke.” (correct answer)
- A patient asks the nurse practitioner about food sources such as soybeans and soy products. The nurse practitioner understands that these foods are considered:
- Phytoestrogens (correct answer)
- A 35-year-old woman is on a weight-loss program and is to begin taking sibutramine (Meridia). After baseline physical data are obtained, the nurse will assess the patient’s childbearing potential. The nurse will inform the patient that during sibutramine therapy she should:
- Use adequate contraception. (correct answer)
- A 29-year-old woman who is morbidly obese has recently begun a comprehensive, medically-supervised program of weight reduction. Prior to adding dextroamphetamine (Dexedrine) to her regimen, the patient should be questioned about her intake of:
- Caffeine. (correct answer)
- An immunocompromised patient with a diagnosis of candidiasis has failed to respond to conservative therapy and has consequently begun treatment with amphotericin B. The nurse is aware that this drug achieves a therapeutic effect by way of its influence on:
- The permeability of fungal cell walls. (correct answer)
- Ms. Carter, a 48-year-old female, was placed on an aminoglycoside. The NP knows that an adverse reaction to aminoglycosides is:
- Ototoxicity (correct answer)
- A Nurse Practitioner is reviewing the pre-pregnancy medication regimen of a patient who has just had a positive pregnancy test. The nurse should be aware of which of the following changes in pharmacokinetics that accompanies pregnancy?
- Increased drug distribution resulting from hemodynamic changes (correct answer)
- A male patient is experiencing climacteric symptoms secondary to androgen deficiency. His physician has prescribed testosterone. The nursing assessment reveals that the patient has had a myocardial infarction. The combination of testosterone therapy and a history of myocardial infarction would place that patient at significantly higher risk of:
- A 67-year-old man who is being treated for prostate cancer is taking epoetin alfa. The nurse will instruct the patient to:
- Schedule an appointment to measure hemoglobin twice a week for at least 2 to 6 weeks. (correct answer)
- A 59-year-old man with a recent history of erectile dysfunction has been assessed and prescribed sildenafil (Viagra). When providing patient education to this man, the nurse should tell him which of the following?
- “You might find that your face becomes flushed or you get a headache after you take Viagra.” (correct answer)
- A Nurse Practitioner is working with a 16-year-old pregnant teen and assessing for behavior that may put the baby at risk. The most important assessment the nurse can make is:
- Whether the pregnant woman uses illegal substances. (correct answer)
- A patient with non-Hodgkin’s lymphoma (NHL) will be starting a course of doxorubicin shortly. When planning this patient’s care, what nursing diagnosis should the nurse prioritize?
- Risk for Infection related to suppressed bone marrow function (correct answer)
- A Nurse Practitioner is caring for a 64-year-old female patient who is receiving IV heparin and reports bleeding from her gums. The nurse checks the patient’s laboratory test results and finds that she has a very high aPTT. The nurse anticipates that which of the following drugs may be ordered?
- Protamine sulfate (correct answer)
- The Nurse practitioner is considering ordering a medication for a patient. He/she knows that an advantage of prescribing a sublingual medication is that the medication is:
- Absorbed rapidly (correct answer)
- Which adverse reaction is common in the patient taking buspirone?
- Headache (correct answer)
- A Nurse Practitioner working in a cancer center is preparing to administer medication to a 5-year-old child. The nurse will calculate the drug dosage by using:
- Body surface area (correct answer)
- The nurse recognizes that the potential for teratogenic drug effects is not static throughout the prenatal and postnatal periods. The potential for teratogenic effects is highest during:
- The first 2 months of pregnancy. (correct answer)
- A male patient is receiving heparin by continuous intravenous infusion. The nurse will instruct the patient and family members to report which of the following should it occur?
- Presence of blood in urine or stools (correct answer)
- A 15-year-old patient has meningitis caused by Haemophilus influenzae. She is being treated with chloramphenicol. The most important nursing action for this patient would be to monitor:
- Plasma concentrations regularly (correct answer)
- A Nurse Practitioner is assigned to a patient who is at 32 weeks' gestation and is receiving terbutaline (Brethine) IV for 24 hours to control preterm labor. Which of the following nursing actions will the nurse take to decrease the risk of hypotension and promote circulation to the fetus?
- Instruct the patient to lie on her left side during the infusion. (correct answer)
- A 33-year-old man has developed acute gouty arthritis. He has been prescribed colchicine. When developing a care plan for this patient, which factor will be most important for the nurse to consider?
- Dietary habits (correct answer)
- A 2-year-old child is diagnosed with a minor ailment and is to be administered medications at home for 2 weeks. The child lives with his mother, grandmother, and four other children between the ages of 14 months and 7 years. The home health nurse is asked to assess the home environment to determine if it is appropriate for the child to take his medication at home. Which of the following will have the greatest impact on the nurse’s assessment?
- Where the medications will be stored (correct answer)
- A Nurse Practitioner is caring for a 10-year-old boy who complains of chronic headaches. His mother reports that she gives him Tylenol at least three times a day. Which of the following will the nurse work with the physician to evaluate?
- Hepatic function (correct answer)
- A woman has a Chlamydia infection. Before initiating treatment with a tetracycline antibiotic, the NP should:
- Perform a pregnancy test (correct answer)
- Which of the following would the nurse include in a teaching plan about the signs and symptoms of thrombophlebitis and thromboembolism that should be reported by a patient taking estrogen?
- Headaches and chest pain (correct answer)
- A patient has completed 4 weeks of treatment with epoetin alfa. Which of the following assessment findings would most strongly indicate that treatment has been effective?
- The patient’s hemoglobin level is 11 g/dL (correct answer)
- A Nurse Practitioner is having difficulty administering a bitter drug to a 5-year-old child. The nurse should:
- Offer the child a flavored ice chip or ice pop prior to administering the drug. (correct answer)
- A 54-year-old woman with a history of osteoporosis has been prescribed ciprofloxacin for recurrent cystitis. Because of the patient’s history, the nurse would be sure to discuss with the woman the use of:
- Food containing iron or calcium (correct answer)
- A 15-year-old boy who has been taking dextroamphetamine for the treatment of ADHD has been experiencing a depressed mood and a sense of hopelessness. He confides in the school nurse that he has begun taking his stepfather’s antidepressant to improve his mood. After immediately phoning the boy’s stepfather, the nurse learns that the drug in question is phenelzine (Nardil), a monoamine oxidase inhibitor (MAOI). The nurse should recognize that this combination of drugs creates a serious risk of what health problem?
- Hypertensive crisis (correct answer)
