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EAQ 395 study plan
EAQ
| Which conditions are contraindications for gastric lavage? Select all that apply. Caustic ingestion, unprotected airway, hydrocarbon ingestion, life-threatening cases of poisoning, less than one hour having elapsed since poisoning, risk of GI hemorrhage. | caustic ingestion, unprotected airway, hydrocarbon ingestion, risk of GI hemorrhage |
| A patient whose pain is normally controlled with around the clock analgesia administration is experiencing intermittent, severe episodes of pain. Which drug should the nurse administer? | fentanyl nasal spray |
| The nurse is caring for a patient who has jaundice, dark urine, malaise, light colored stools, nausea, and vomiting, Which drug complication is this patient most likely experiencing? | drug toxicity of the lungs |
| A child who has a rash is found to have measles. What is the nurse’s best action? | Ask the healthcare provider to submit a report to the state health department. |
| While reviewing a patient’s lab results, the nurse identifies an increase of eosinophils. The patient most likely has which condition? | parasitic worms |
| A patient is infested with an intestinal fluke.The nurse should plan for interventions to rid the patients body of which type of helminth? | trematode |
| Which patient characteristic will lead the nurse to avoid recommending ginger root for relief of nausea? | Type I diabetes mellitus |
| A nurse is teaching a health class about immune responses. Which major cells should the nurse include in the teaching session? Select all that apply. | Macrophages, lymphocytes, dendritic cells |
| A nurse is teaching a class about bone health. In which order should the nurse describe the bone remodeling cycle? | 1. Osteoclasts start resorption of old bone 2. Osteoblasts migrate to the absorptions site 3. Osteoblasts deposit osteoid 4. Osteoid undergoes calcification |
| A nurse is teaching a health class about Vitamin D. In which order does the nurse list the substances for vitamin D activation when calcium levels fall? | 1.) 7-dehydrocholesterol 2.) cholecalciferol 3.)cacifediol 4.)calcitriol |
| The nurse is teaching a group of coworkers about the uses of flaxseeds as an herbal remedy. Which statement about flaxseed should be included in the teaching? | Flaxseed should be avoided by patients with hypertriglyceridemia |
| A patient is a known street user of drugs. For which opioid should the nurse assess first in this patient? | Heroin |
| What should the nurse teach patients taking rifampin and isoniazid prophylactically secondary to tuberculosis exposure? | Oral contraceptives become ineffective when given with rifampin. |
| During the assessment of a patient with AIDS, the nurse finds that the primary HCP has prescribed trimethoprim/sulfamethoxazole (TMP/SMZ). What is the reason for the prescription? | To prevent Pneumocystis jiroveci infection |
| There are three main neurotransmitters used by the peripheral nervous system. What is the neurotransmitter employed at most junctions of the peripheral nervous system? | Acetylcholine |
| Which steps must the nurse perform as part of the medication reconciliation process? | Verification, clarification, reconciliation |
| The nurse is reviewing the chart of a patient with primary hypertension and a history of myocardial infarction. Which would the nurse question? | garlic |
| Which enzyme is inhibited by the antiparkinson drug selegiline? | Monoamine oxidase |
| Which statement is correct regarding the distribution of blood in the body? | The majority of blood is in the venous system |
| A nurse is teaching the staff about drugs that stimulate the pleasure center/reward center by promoting the release of dopamine. Which drugs should the nurse include in the teaching session? Select all that apply. | heroin, cocaine, marijuana |
| Which drug is classified as an adrenergic antagonist? | Propranolol |
| starting with the resting phase, list the major phases of the cell cycle in order. | G0, G1, S, G2, M |
| A patient’s preload is decreased. How should the nurse interpret this information? | The end-diastolic volume has decreased. |
| Melanin provides protection against ultraviolet radiation through which layer of the skin? | Basal layer of the epidermis |
| A pediatric patient is due for a routine measles, mumps, and rubella (MMR) vaccine. For which patient condition would the nurse hold the vaccine? | recent blood transfusion |
| In which part of the ear is the Eustachian tube located? | Middle |
| Follicle-stimulating hormone and luteinizing hormone are produced by which structure? | Anterior pituitary gland |
| Which physiologic mechanism helps ensure venous return despite low pressure in the venules? | Negative pressure in the right atrium |
| Which statement by a student nurse indicates an understanding of the characteristics and route of administration for the rotavirus vaccine? | this is a live virus that will be administered orally |
| The nurse is preparing to give a drug to stimulate activation of adrenergic receptors. Which effects indicate sympathetic stimulation? | increase in heart rate |
| The nurse is teaching a group of coworkers the benefits of resveratrol. Which characteristics will the nurse identify as attributable to resveratrol? | Antiplatelet actions, antioxidant activity, increased insulin sensitivity |
| A Nurse is caring for a patient abusing MDMA or ecstasy (3,4 methylenedioxymethamphetamine). Which signs and symptoms does the nurse anticipate in this patient? | Hallucinations |
| Which are the primary regulatory systems of arterial pressure? Select all that apply. | Renal system, autonomic nervous system, renin-angiotensin-aldosterone system |
| A patient inquires about the uses of topical echinacea. The nurse recognizes that topical echinacea is used to treat which conditions? Select all that apply. | Inflammation, herpes simplex, wounds and burns |
| The nurse is meeting to review learning objectives proposed for those orientating to a clinical support role in medication sales. Which learning activity does the nurse question for compliance with the Food and Drug Administration Modernization Act? | Halting publication of off-label drug use findings |
| A nurse is teaching a class of preadolescents about the effects of testosterone. Which information should the nurse include in the teaching session? | Helps facial hair growth, helps growth of skeletal muscles, helps promote synthesis os erythropoietin, helps develop the male sex characteristics |
| A nurse instructs a patient at risk of developing osteoporosis to implement which measures to maximize bone strength? Select all that apply. | Avoid smoking and excessive alcohol, engage in regular weight bearing exercises, ensure daily intake of calcium and vitamin D |
| Why is it recommended to use alcohol-based hand rubs rather than soap and water for routine hand antisepsis? Select all that apply. | Accessibility of alcohol-based hand rubs, time savings of using alcohol based rubs, alcohol-based rubs lessen skin damage compared to soap and water, Greater efficacy of alcohol to reduce the number of bacteria on the skin |
| Arrange the order of structures of the ear from external to internal. | Ear pinnacle, eardrum, Eustachian tube, cochlea |
| The nurse is reviewing US FDA warnings concerning dangerous botanical products. Which are considered dangerous and should be avoided? Select all that apply. | Kava, Comfrey, Ma Huang |
| A patient with cancer is reporting pain. Upon assessment, the nurse observes the patient is rubbing the mid-epigastric area. Which question should the nurse ask to assess the quality of the pain? | What does the pain feel like? |
| What is a clinical indication for parasympathetic nervous system stimulation? | Slowing of the heart rate |
| Which hemodynamic system serves as a reservoir for circulating blood? | Veins |
| Which neurotransmitter is most commonly found at the synapses of the peripheral nervous system? | Acetylcholine |
| Why is levodopa the mainstay of treatment for a patient with Parkinson’s disease? | It provides a dopamine precursor |
| Which statement is true regarding the renin-angiotensin-aldosterone system? | Angiotensinogen is catalyzed by renin into angiotensin II. |
| The nurse provides care for a patient who receives lidocaine by spinal injection. Which nursing intervention is most important when caring for this patient? | Monitoring the patient’s blood pressure throughout the epidural infusion. |
| The patient’s serum phenytoin level is 31 mcg/ml. What is the nurse’s best action? | Hold the medication |
| Which are the advantages of using alcohol-based hand rubs for hand hygiene in the health care setting? Select all that apply. | Are accessible, contain emollients and moisturizers |
| Which meds are contraindicated by the FDA when a woman is breastfeeding. | Cetrorelix, Follitropins, Lutron in alfa |
| The nurse is reviewing the medical history of a male patient experiencing sexual dysfunction. Which factors may be contributing to the dysfunction? | Smoking, diabetes, depression, hypertension |
| Which medication is contraindicated in a patient receiving selegiline for Parkinson’s disease? | Meperidine |
| The nurse is caring for a patient who has MS. The healthcare provider ops to include baclofen as part of this patient’s regimen. The nurse recognizes that this is an appropriate medication for this patient because the drug will treat which symptom? | Muscle spasticity |
| Made by a patient indicates a need for further discharge instruction about baclofen. | i’m glad I can still have a glass or two of wine at dinner |
| Which statement by the UAP indicates the need for teaching by the nurse? | Being physically dependent on a drug is the same thing as being addicted |
| Which are actions of Angiotensin II? Select all that apply. | Raise his blood pressure, causes cardiac remodeling, stimulates aldosterone release |
| The infection controlled. Nurse is auditing the use of personal protective equipment to withdraw and mix intravenous chemotherapeutic drugs. Which use of personal protection does the nurse correct? | Wearing a single pair of gloves |
| Which food can be included in the diet of a person who was taken monoamine oxidize inhibitors? | Cottage cheese. |
| To be effective for treating chickenpox? Acyclovir should be initiated within how many hours of the appearance of the rash? | 24 |
| A nurse discusses the side effects of alcohol with a patient. Which patient statement indicates to understanding of the nurses teaching? | I will urinate more frequently |
| For which adverse effects will the nurse monitor in a patient receiving chemotherapy? Select all that apply. | Alopecia, stomatitis, neutropenia |
| A patient is taking valerian root for the promotion of sleep. What should the nurse teach the patient about the side effects of valerian root? Select all that apply. | Avoid driving while taking Valerian root, if you feel depressed, call your provider; prolonged use can cause cardiac abnormalities; if you become pregnant stop taking valerian root |
| which neurotransmitter level is decreased by as much as 90% impatience with severe Alzheimer’s disease? | Acetylcholine |
| The patient reports taking Gingko biloba for memory enhancement. Which should the nurse teach the patient? | Patient taking antipsychotics should avoid taking Gingko biloba, patient with known seizure disorder should avoid taking, this can cause G.I. disturbances, especially in high doses |
| Which therapeutic lifestyle changes are shown to reduce LDL cholesterol? | Active exercise for 30 to 60 minutes five days a week; reduction of saturated, fat intake; weight loss with metabolic syndrome |
| The nurse is reviewing the plan of care with parents of a preterm infant who was delivered at 36 weeks. The parents ask when will the baby get the first hepatitis B vaccination which response by the nurse is appropriate? | The vaccine has been prescribed; the baby will get it today |
| Which medications can be used to manage fatigue associated with MS? | Modafinil, Amantadine |
| Which class of drugs is administered to treat on—off phenomenon in a patient with Parkinson’s disease? | catechol O-methyltransferase (COMT) |
| Upon assessment, the patient states I take blue cohosh for menopausal symptoms. What should the nurse teach the patient about this herbal remedy? | Blue cohosh is used for the promotion of menstruation; black cohosh, not blue cohosh, has been shown to be useful for menopausal symptoms |
| Which condition is the leading cause of vision loss and people with AIDS? | Cytomegalovirus retinitis |
| The nurse is reviewing the chart of a patient diagnosed with Huntington’s disease. The nurse understands that which are characteristics of the disease? | Psychiatric changes; movement disorders; cognitive dysfunction. |
| The nurse has provided teaching to a parent of an infant who has received a varicella vaccine. Which statement made by the parent indicates further teaching is needed? | My baby may experience some vomiting |
| Which nursing intervention is essential for a patient who is prescribed Paliperidone? | Instruct the patient to swallow the tablet hole |
| A patient was recently prescribed fluphenazine for schizophrenia. Once the patient symptoms are being controlled, what should the nurse to the patient? | Your healthcare provider will lower your dose of medication |
| Which behavior by a new nurse in a substance abuse that will cause the charge nurse to provide additional nursing education? | The new nurse tries talking down a phencyclindine overdose |
| Which symptoms are associated with Parkinson’s disease? | Rigidity, tremors, bradykinesia |
| Which heavy metals are most frequently responsible for poisoning? | Iron, lead, copper, mercury |
| A patient develops neurotic malignant syndrome, following treatment with antipsychotic drugs. What treatment should the nurse expect the primary healthcare provider to prescribe for this patient? | Administration of a antipyretic, a muscle relaxant, and a hypothermia blanket |
| What is the main anatomic area of the brain that is affected in a patient with Parkinson’s disease? | Substantial Nigra |
| A patient receiving clozapine is complaining of increased urination and thirst. What nursing intervention is essential for this patient? | Assessed blood glucose levels |
| The nurse is caring for a patient whose seizures are characterized by a 10 to 302nd loss of consciousness and mild symmetric eye blinking. Which type does this most closely illustrate? | Absence |
| Which factors are associated with antibiotic resistant, acute otitis media? | Attendance at a daycare, age younger than two years, winter and spring seasons |
| The nurse has administered to meningococcal conjugate vaccine to 17 year-old patient. Which statement would the nurse include in the teaching? | It is fairly common to experience a headache |
| The HCP ordered dantrolene 3 mg/kg for a patient with ongoing malignant hyperthermia. The paitne weighs 220 lbs the nurse should anticipate administering how many mg of dantrolene? | 300 mg |
| The nurse explains to the patient the importance of having both an antiseptic and a disinfectant. Which chemicals have both disinfected and antiseptic properties | Povidine iodine, hydrogen peroxide, sodium hypo chlorite |
| The nurse knows that which drug acts by decreasing axonal conduction? | Lidocaine, a local anesthetic |
| A parent calls the clinic to state that a child who has a history of a seizure disorder has a rash all over the torso. What is the most appropriate assessment question for the nurse to ask? | Ask the parent if the child is on any new medication. |
| The nurse is assessing a patient with BPH. Which conditions is associated with BPH? | Difficulty with urination |
| Which antiseptics should the nurse choose to prepare intact skin before an invasive procedure? Select all that apply. | Povidone-iodine, Ethanol, chlorhexidine gluconate |
| The nurse is teaching the patient the effects of flaxseed on cholesterol levels. Which statements made by the patient indicate the patient understands the effects? | Flaxseed is also a vegetarian source of omega-3 fatty acids. Flaxseeds can decrease my plasma levels of total cholesterol |
| A nurse is reviewing patient's charts. When applying federal guidelines, which patients will the nurse plan to assist with weight-loss therapy? | A patient with BMI 26 and two risk factors; patient w/ BMI 35 and no risk factor; male w/ waist circumference of 40 in and two risk factors |
| What is the advantage of patients having multiple types of receptors to regulate bodily functions? | higher degree of selectivity |
| Which hormone is responsible for initiating activity in the ovary? | Follicle-stimulating hormone. |
| A 25 yr old female patient has begun taking phenobarbital therapy for seizure control. What information is essential for the nurse to include in discharge teaching? | Discuss forms of birth control with healthcare provider |
| Which medication is beneficial for reducing pre surgery anxiety and decreasing the patient’s ability to remember the uncomfortable medical procedure? | Midazolam |
| Which manifestations will the nurse observe when assessing a patient who smokes marijuana? | Euphoria, sedation, unsteady gait, hallucinations |
| The patient asks the nurse about herbal remedies that can help lower cholesterol. Which would the nurse suggest? Select all that apply. | Garlic, Flaxseed |
| Which preventative measures will the nurse include in education regarding the prevention of acute otitis media in children? Select all that apply. | Avoid. Supine bottle feeding; breastfeed for at least 6 months; eliminate exposure to tobacco smoke |
| A patient is taking St. John’s Wort for mild depression. The nurse understands this medication can also be used for which purpose? Select all that apply. | Skin infections, pain and inflammation |
| Which method helps to standardize medication prescriptions? | Computer order entry |
| Which statements made by a student are true regarding antiseptics and disinfectant chemicals? Select all that apply. | iodine solutions are very low cost; formaldehyde kills bacterial spores; iodine remains one of the most widely used germicidal agents |
| After reading an article on immunity, a student asks the nurse how Cytolysis T lymphocytes kill antigens. What is the nurse’s best response? | Perforin forms holes in the target cell membrane. |
| Which substance serves as the stimulus for macrophages activation delayed-type hypersensitivity reactions? | interferon gamma |
| When the nurse is instructing the staff about the immune system, which information should the nurse include about the major histocompatibility complex molecules? | Class I MHC molecules present antigens to cytotoxic T cells. |
| During the assessment of a patient admitting for a hysterectomy, the patient reports using black cohosh for menopausal symptoms. Which adverse effect should the nurse teach the patient? Select all that apply. | Abdominal cramping; development of a rash; presence of headache, and dizziness |
| A Patient has been receiving coding for pain and has developed tolerance to the drug. The provider wants to change the patient’s pain medication. Which prescription will the nurse question? | Pentazocine |
| The nurse is participating in phase one of a clinical trial for anti-arthritis medication. Which individual should the nurse expect to be included in this study? | Healthy individuals |
| The nurse is responsible for dispensing medication’s in notes that the patient has a scheduled II drug. What should the nurse interpret from this question select all that apply | The drug is a controlled substance; has a high potential for abuse; and cannot be refilled |
| What are the provisions of the Food and Drug Administration modernization act of 1997? select all that apply | Testing is permitted on children before market release; drug companies must provide information on the cost of off label drugs; patients and healthcare providers should receive advance notice if a drug is discontinued |
| A nurse is assessing a newly Admitted patient. The patient reports regularly taking coenzyme Q-10. Which symptoms/disorder should the nurse asked the patient about? Select all that apply | Heart failure; anorexia, nausea; statin use for high cholesterol; muscle and nervous system inJury |
| Which are positive factors for arteriosclerotic cardiovascular disease? Select all that apply. | African-American race; BP > 140/90 |
| The nurse recognizes which symptoms as an indicator of P. Falciparum malaria? | Dark urine, weakness, and anemia |
| The parents has four children raging and age from three months to 10 years. At a health screening clinic, a nurse identifies which child as having the highest risk of experiencing an accidental poisoning? | The two-year-old |
| The nurse is assessing a patient with severe phencyclidine toxicity. For which severe symptoms of toxicity should the nurse monitor in this patient? So select all that apply. | Psychosis, hallucinations, combativeness |
| The school nurse is teaching high school students about the pathophysiology of HIV infection. The students were demonstrate and understanding of the teaching by stating that which enzymes are used to replicate and the host cell. | protease, integrase, reverse transcriptase |
| A nurse is preparing to assess an infant for pain. Which technique will the nurse choose? | Use behavioral observation |
| What are the drawbacks of the use of soap and water for hand hygiene? Select all that apply. | It takes considerable time; adherence tends to be poor; it promotes skin, irritation and dryness; it requires a sink in hand washing supplies. |
| A patient with severe generalized anxiety disorder, needs immediate relief of symptoms. Which class of medication does the drug of choice? | Benzodiazepines |
| Which assessment finding indicates a patient may be having a common side effect of levodopa? | Delusions |
| A nurse should establish which outcomes when planning care for optimal bone health in a child? Select all that apply. | the child has daily exposure to the sunlight; the child has absence of. Skeletal deformities; the child takes a multivitamin containing Vitamin D; the child has a daily intake of cereal, cheese, and milk |
| The nurse is caring for a patient in the late stages of AIDS. Which symptoms will the nurse see the patient exhibit in the stage of the disease select all that apply. | ataxia; tremors; mental slowness; decreased cognition; inability to concentrate |
| The nurse and the emergency department frequently sees patients presenting with severe headache, pain with associated nausea and vomiting. Many patients with migraine share which common characteristics? Select all that apply. | Family history, female, gender, near menstruation, age from late teens to 30s |
| A cancer patient has been taking energetics for pain, but has now developed diffuse bone pain. What treatment options are available for this patient? Select all that apply. | Bisphosphonates, Hemibody therapy |
| The nurse is reviewing information concerning regulation of manufacturing and labeling of dietary supplements. Which standard to address this issue? | Current good manufacturing practice issued by the US FDA. |
| The nurse is assessing a patient's understanding of discharge instructions regarding cholestyramine. Which response assures the nurse that the patient has learned the instructions? | I will increase fiber in my diet |
| Which lifestyle changes should the nurse instructor patient to implement in order to successfully manage diabetes mellitus? Select all that apply | Reduce the amount of alcohol, you consume; incorporate daily physical exercise into your life; decrease the amount of carbohydrates in your diet |
| The nurse is teaching a patient about the benefits of soy. Which patient statement confirms that the patient understands the benefits of soy? | Soy might help me with my hot flashes. |
| The nurses is caring for a patient with HIV infection. What are the goals of treatment during all phases of HIV disease? Select all that apply. | Improved quality of life; reduction of sexual HIV transmission; maximal and durable suppression of viral load; restoration or preservation of immune function; reduction of HIV-related, morbidity, and mortality |
| The nurse is teaching a group of coworkers the benefits of resveratrol. Which characteristics will the nurse identify as a tributable to resveratrol? Select all that apply. | Antiplatelet actions; antioxidant activity; increased insulin sensitivity |
| A patient is prescribed iron supplements. Which foods would the nurse encourage the patient to consume to increase iron absorption? Select all that apply | Tomatoes, orange juice, strawberries |
| The nurse is teaching adolescence about bone health. Which information should be included in the teaching session? Select all that apply. | Avoid smoking; avoid excessive alcohol; perform regular weight-bearing exercises. |
| The patient who formally used LSD is having episodic visual disturbances. How will the nurse report this to the oncoming shift? | The patient is experiencing flashbacks |
| A patient in state of heart failure as the nurse about the value of exercise. What should the nurse reply? | There’s no evidence that getting regular exercise can prevent heart failure, but it does provide other benefits |
| A patient is receiving ketamine for the first time before having her burn dressings changed. The patient asks the nurse of ketamine will relieve her pain during the dressing changes. What is the nurses response? | Ketamine produces a state in which the patient feels disassociated from his or her environment |
| The nurse is educating a patient recently diagnosed with migraines. Which statement should the nurse use to describe the cause of the pain? | The blood vessel in your brain, dilate and become inflamed, irritating the surrounding neurons. |
| The nurse is teaching new parents about preventing acute otitis media in their infant. Which statement by one of the parents indicates the need for further education? | We will continue pacifier use through two years of age |
| A patient who was abusing a drug says to the nurse I feel like I am dreaming without being unconscious. Which drug does the nurse suspect the patient is abusing? | Psychedelic agent |
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