Walden nurs6521 week 5 quiz latest 2017



A) Respiratory rate, seizure activity, and electrolytes
B) Pain intensity, respiratory rate, and level of consciousness
C) Liver function studies, pain intensity, and blood glucose level
D) Respiratory rate, pain intensity, and mental status


B) BP: 130/88, P: 92, R: 28
C) BP: 150/90, P: 80, R: 16
D) BP: 170/98, P:110, R: 20


A) intravenous lidocaine may be preferable to topical application
B) lidocaine must be potentiated with another anesthetic in order to achieve pain control
C) pain relief is unlikely to be achieved due to the destruction of nerve endings in the burn site
D) there is a risk of systemic absorption of the lidocaine through the patient’s traumatized skin

Question 4 A patient has been prescribed zolpidem (Ambien) for short-term treatment of insomnia.Which of the following will the nurse include in a teaching plan for this patient? (Select all that apply.)

A) The drug should not be used for longer than 1 month.
B) It should be taken 1 hour to 90 minutes before going to bed
C) The drug does not cause sleepiness in the morning
D) One of the most common adverse effects of the drug is headache
E) It is available in both quick-onset and continuous-release oral forms


A) Risk for Ineffective Peripheral Tissue Perfusion related to cardiovascular effects of phenelzine
B) Risk for Constipation related to decreased gastrointestinal peristalsis
C) Risk for Infection related to immunosuppressive effects of phenelzine
D) Risk for Injury related to drug–drug interactions or drug–nutrient interactions

Question 6 Morphine has been prescribed for a 28-year-old man with severe pain due to a back injury. The nurse will advise the patient to avoid

A) alcohol
B) vitamin C
C) fatty foods
D) dairy product

Question 7 A 62-year-old woman has been prescribed a fentanyl transdermal patch for chronic cancer pain. The patient asks the nurse how long it will take for her to experience pain relief. The nurse will instruct the patient that she should feel pain relief in approximately

A) 6 hours
B) 12 hours
C) 24 hours
D) 32 hours

Question 8 A nurse is assigned to a patient who is taking lithium. Which of the following drug serum levels would indicate that the patient is at risk for adverse effects of the drug?

A) 0.3 mEq/L
B) 0.6 mEq/L
C) 1.7 mEq/L
D) 1.2 mEq/L


A) A patient who received treatment for kidney failure due to an overdose of acetaminophen
B) A patient whose pulmonary embolism was treated with a heparin infusion
C) A patient with a history of angina who experienced a non-ST wave myocardial infarction
D) A patient whose stage III pressure ulcer required intravenous antibiotics and a vacuum dressing


A) “Continue the prescribed dose. It may take several days to work.”
B) “I’ll ask the nurse practitioner if the dosage can be increased.”
C) “I’ll ask the nurse practitioner if the haloperidol can be discontinued and another drug started.”


A) avoid the small veins in the dorsum of the hand or the wrist
B) inject the diazepam very quickly, 15 mg in 10 to15 seconds
C) administer after diluting the drug with gabapentin in intravenous solution
D) inject very slowly, no faster than 100 mg/minute


A) The patient will require oral phenytoin rather than intravenous administration
B) Phenytoin is contraindicated within 48 hours of alcohol use due to the possibility of paradoxical effects
D) The patient’s protein deficit will likely increase the levels of the free drug in his blood


A) seizure disorders
B) low blood pressure
C) increased intraocular pressure
D) diabetic hyperlipidemia


A) The patient demonstrates a significant increase in agitation after being given haloperidol
B) The patient develops muscle rigidity and a sudden, high fever
C) The patient complains of intense thirst and produces copious amounts of urine
D) The patient develops yellowed sclerae and intense pruritis (itchiness)


A) she will report this to the physician immediately
B) the drug is not going to work for her and the medication needs to be changed
C) optimum relief of anxiety usually occurs after 3 to 4 weeks of treatment
D) it may take up to 6 months for the drug to relieve her anxiety


A) A 35-year-old man who is having difficulty falling asleep, but once asleep can stay asleep
B) A 20-year-old woman who will take the drug about once a week
C) A 52-year-old woman who needs to fall asleep quickly and stay asleep all night
D) A 46-year-old man who receives an antidepressant and needs a sleep aid

Question 17 A patient has a history of tonic-clonic seizures that have been successfully treated with phenytoin (Dilantin) for several years. Phenytoin achieves a therapeutic effect by

A) decreasing the influx of sodium into neurons.
B) increasing the levels of available glutamate.
C) simultaneously potentiating the effects of GABA and inhibiting reuptake.
D) by slowing the function of calcium channels within the neurological system.


A) Amphetamines
B) Sedative–hypnotic drugs
C) Benzodiazepines
D) Opioids


A) Reduction of severe hypertension
B) Increased level of consciousness
C) Restoration of normal sinus rhythm
D) Resolution of respiratory acidosis



Question 21 A nurse is talking to an 18-year-old patient who has had a seizure disorder since she was 10 years old and is taking phenytoin (Dilantin). The nurse should suggest that she take which of the following?

A) A potassium supplement
B) An iron supplement
C) Folic acid
D) Vitamin C


A) Alprazolam (Xanax)
B) Buspirone (BuSpar)
C) Diazepam (Valium)
D) Lorazepam (Ativan)


A) a diet high in fat
B) a history of current or past alcohol use
C) current nicotine use
D) a diet high in carbohydrates


A) dizziness
B) diarrhea
C) increased secretions
D) facial flushing


A) has less strength in each dose than do individual doses of morphine
B) has a shorter half-life than morphine
C) combined with morphine, increases the physiologic action of the morphine
D) causes the respiratory rate to decrease

Question 26 A nurse who works at an outpatient mental health clinic follows numerous clients who have schizophrenia, many of whom are being treated with olanzapine (Zyprexa). Which of the following clients likely has the highest susceptibility to the adverse effects of olanzapine?

A) A client who is morbidly obese and who has a sedentary lifestyle
B) A client who has type 1 diabetes and who practices poor glycemic control
C) A client who has a body mass index of 16.5 (underweight) and who smokes one pack of cigarettes daily
D) A client who was recently treated with intravenous antibiotics because of cellulitis in his lower leg

Question 27 A patient has been prescribed lithium therapy.Which of the following signs and symptoms will the nurse tell the patient to report immediately?

A) Increased urination
B) Muscle twitching
C) Hair loss
D) Increased thirst


A) urine specific gravity
B) skin integrity
C) bowel patterns.
D) core body temperature


A) gastrointestinal distress
B) acute renal failure
C) cognitive deficits
D) liver damage.


A) secobarbital (Seconal)
B) oxycodone (Percodan)
C) cimetidine (Zantac)
D) meperidine (Demerol)

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