Rasmussen NUR2407 2021 August Module 6 Quiz Latest

NURS2407/NURS-2407/NURS 2407

NUR2407 Pharmacology

Module 6 Quiz 

Question 1The nurse is caring for a client who comes to the clinic with tinea corporis, for which the prescriber orders clotrimazole. What education about this medication should the nurse provide?

 “Continue the therapy for at least 1 week after the symptoms have cleared up.”

 “Sun exposure will negate the drug’s effects.”

 “This drug is effective after a single application.”

 “Use the medication over the entire body once a week for 1 month.”

Question 2A campus nurse is teaching a group of college students about safe use of oral contraceptives. Which of these groups should be counseled to avoid the use of oral contraceptives?

 Women who have given birth

 Women who smoke heavily

 Women who have had an intrauterine device (IUD) in the past

 Women who had an abortion

Question 3The nurse manages care for a client with diabetes who takes metformin. Which laboratory result would cause the nurse to question the prescription?

 Decreased platelets

 Increased iron

 Elevated creatinine

 Decreased hemoglobin

Question 4When metronidazole is a component of the H. pylori treatment regimen, what instructions should the client receive?

 Take the drug with food.

 Avoid any alcoholic beverages.

 Take the drug on an empty stomach.

 Avoid foods containing tyramine.

Question 5A public health nurse is providing client education for a client who is being treated for scabies. The client has been prescribed 5% permethrin cream to eradicate the scabies. What instruction about applying the cream should the nurse provide?

 “Apply cream once over body, but not head, wrap with gauze, rinse after 8-12 hours.”

 “Apply permethrin cream to your hair. Cover with a shower cap. Leave in place for 16 hours.”

 “Apply cream once, cover yourself from head to toe and rinse after 10 minutes.”

 “Apply lotion, covering head to toe every day for 7 to 10 days. Shower after 30 minutes”

Question 6What advice should the nurse offer a client who is being started on a significant amount of prednisone?

 “Take the medication on an empty stomach. This will help assure full absorption.”

 “Snack often on simple starches and comfort foods. This will help you avoid hypoglycemia.”

 “Consult your doctor if nausea prevents you from taking this drug. Don’t stop it abruptly.”

 “Use table salt. Avoid salt substitute because steroids cause potassium retention and sodium losses.”

Question 7A client in ketoacidosis needs intravenous (IV) insulin. What should the nurse understand before giving IV insulin?

 Only regular insulin can be administered IV. It is given in smaller increments.

 The same dose that would be given subcutaneously per sliding scale should be used.

 Insulin should never be given IV, so this order should be questioned.

 The nurse should ask whether insulin detemir or insulin glargine should be given.

Question 8The nurse is administering the first dose of vancomycin to a client with methicillin-resistant staph aureus (MRSA). The client suddenly becomes hypotensive, nauseated and develops hives. What should the nurse do?

 Report that sepsis is setting in and obtain a stat order for blood cultures

 Stop the infusion and consult the provider for the next steps

 Give diphenhydramnie to control the symptoms and continue the infusion

 Slow down the infusion and offer the client hydroxyzine

Question 9The nurse is giving an injection to a client with suspected hepatitis B. After the injection, the nurse suffers a dirty needle stick. What is the most important thing the nurse should do for self protection?

 Have repeated titers to determine exposure to Hepatitis B

 Start antibiotic therapy immediately

 Start hepatitis immune globulin injections and the hepatitis B vaccine series (if needed)

 Go on sick leave until all screening tests are negative

Question 10In which of these situations would the nurse question the administration of steroid eye drops?

 After cataract surgery

 After a chemical eye splash

 For an eye infection

 After a corneal abrasion

Question 11A steroid dependent client has a blood glucose level of 249 mg/dL. Her blood pressure is 178/99 mm Hg and she is complaining of muscle aches and weakness. Her face appears very round and puffy. What type of advocacy does the client need?

 Advocacy for fludrocortisone is needed because these symptoms are consistent with Addison’s disease

 Advocacy for a thyroid-stimulting hormone (TSH) level is needed because these symptoms indicate Graves’ disease

 Diabetic ketoacidosis is causing the client’s sodium pump to shut down, an intravenous insulin drip is needed

 Diuretics and glucose control may be needed, Cushing’s syndrome presents this way

Question 12Parents bring their child to the clinic because they suspect the child has pinworms. What education is most important for the nurse to provide to the parents?

 “The infestation is not easily spread.”

 “The treatment should be limited to symptomatic infestations.”

 “Albendazole can only be given once in a life time.”

 “Everyone in the family should be treated.”

Question 13An elderly client who lives alone in the community is concerned about recent exposure to the flu and asks for an influenza vaccination. What client education should the nurse provide?

 “Because exposure has already occurred, the injection will not be of any use to you”

 “A person should not receive the vaccine unless direct contact has been confirmed.”

 “The vaccine is given only if the exposures have been verified as type A influenza.”

 “Protection against the flu should begin about 1 to 2 weeks after injection.”

Question 14A client with type I diabetes reports taking propranolol for hypertension. Why would this cause the nurse to be concerned?

 The beta blocker can mask the symptoms of hypoglycemia.

 The beta blocker can cause insulin resistance and hyperglycemia.

 Propranolol increases insulin requirements because of receptor blocking.

 Using the two agents together increases the risk of ketoacidosis.

Question 15Insulin glargine is prescribed for a hospitalized patient who is diabetic. When is this form of insulin usually administered?

 After meals and at bedtime

 Once daily at bedtime

 In the morning and at 4 PM

 Approximately 15 to 30 minutes before each meal

Question 16A client is receiving fluconazole. What should the nurse know to give this medication safely?

 It may be given every third day, or even as a single dose, due to its long half-life and lingering effects

 It is a class D medication but breastfeeding is fine due to its short half life

 It can only be given with orange juice

 It is safe to take with liver insufficiency but not with renal insufficiency

Question 17The nurse is providing client education after laboratory findings reveal an elevated thyroid-stimulating hormone (TSH). How would the nurse best explain the implications of the laboratory finding to the client?

 “ A high TSH implies the need for thyroid medication.”

 “TSH is not a good screening test for thyroid disease.”

 “The test result is probably an error because you don’t have a goiter.”

 “Hypothyroidism causes a decrease in TSH.”

Question 18Given these reports on clients receiving chemotherapy, which client should the nurse see first?

 The client with persistent nausea

 The client with perianal irritation and mouth sores

 The client whose gums bleed when he brushes his teeth

 The client with a temperature of 100.3° F

Question 19A nurse is reinforcing instructions about the effects of diphenhydramine. Which statement by the client indicates that this client needs further instruction?

 “I should only take this medication in the morning.”

 “I should avoid driving or activities requiring alertness when taking this medicine.”

 “I should avoid alcohol while taking this medication.”

 “I should to use sugarless gum, candy, or oral rinses to decrease dry mouth.”

Question 20A client calls from home to report that his lispro insulin has granules in it. What would be the nurse’s best response?

 “Use a filter needle to draw it into the syringe.”

 “Discard the vial. The solution should be clear.”

 “Lispro is always cloudy. Proceed with the injection.”

 “Agitate the solution, and the granules should disperse.”

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