Walden nur6521 midterm exam part 1 & part 2/walden nur6521 midterm
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Part 1
Question 1
A nurse works in a private hospital and needs to administer some narcotic drugs to one of her patients. Which of the following should the nurse consider when administering narcotics to patients in a hospital setting?
A) Narcotics are banned in private settings and cannot be used.B) Narcotics can be used in the hospital after obtaining written approval from the Joint Commission for Accreditation of Hospitals and Healthcare Organizations (JCAHO).C) Narcotics to be used in the hospital are dispensed only with a written prescription.D) Narcotics can be used in the hospital according to patient preferences.
Question 2
A patient has been receiving regular doses of an agonist for 2 weeks. Which of the following should the nurse anticipate?
A) The drug will decrease in effectivenessB) The drug will increase in effectivenessC) There will be a steady state with no anticipated changesD) The drug will cause excessive therapeutic effects even when administered in small doses.
Question 3
A nurse is creating a plan of care for a 68-year-old woman with a recent diagnosis of unstable angina and new prescription for nitroglycerin. Which of the following nursing diagnoses should the nurse prioritize in the planning of this patient’s care?
A) Incontinence, Functional, related to adverse effects of drug therapyB) Risk for Fluid Volume Deficit related to adverse effects of drug therapyC) Confusion, Acute, related to adverse effects of drug therapyD) Acute Pain, Headache, related to adverse effects of drug therapy
Question 4
A nurse is caring for a patient who abuses marijuana. The treatment for marijuana abuse consists mainly of
A) nonpharmacologic interventions combined with an exercise program.B) drug therapy with bromocriptine (Parlodel).C) aggressive respiratory assistanceD) no nursing action unless the patient experiences a “bad trip.”
Question 5
A nurse is caring for a patient who is in severe pain and is receiving an opioid analgesic. Which of the following would be the nurse’s priority assessments?
A) Respiratory rate, seizure activity, and electrolytesB) Pain intensity, respiratory rate, and level of consciousnessC) Liver function studies, pain intensity, and blood glucose levelD) Respiratory rate, pain intensity, and mental status