NS 520: UNIT V

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Question 1 of 1

Time Left

634880

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Which finding indicates to the nurse that the current therapies are effective for a patient with acute adrenal insufficiency?

Select the correct answer(s).

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Explanation

Clinical manifestations of Addison’s disease include hyponatremia and an increase in sodium level indicates improvement. The other values indicate that treatment has not been effective.

636928

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The nurse determines that teaching about management of migraine headaches has been effective when the pt says which of the following?

Select the correct answer(s).

(0/0)

Explanation

It is recommended that the pt w/a migraine rest in a dark, quiet area. Topiramate (Topamax) is used to prevent migraines and must be taken for several months to determine effectiveness. Aspirin or other nonsteroidal antiinflammatory medications can be taken with the triptans. Alcohol may precipitate migraine headaches.

634881

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The nurse is caring for a patient following an adrenalectomy. The highest priority in the immediate postoperative period is to

Select the correct answer(s).

(0/0)

Explanation

After adrenalectomy, the patient is at risk for circulatory instability caused by fluctuating hormone levels, and the focus of care is to assess and maintain fluid and electrolyte status through the use of IV fluids and corticosteroids. The other goals are also important for the patient but are not as immediately life threatening as the circulatory collapse that can occur with fluid and electrolyte disturbances.

636929

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The nurse expects the assessment of a pt who is experiencing a cluster headache to include

Select the correct answer(s).

(0/0)

Explanation

Unilateral eye edema, tearing, and ptosis are characteristic of cluster headaches. Nuchal rigidity suggests meningeal irritation, such as occurs with meningitis. Although nausea and vomiting may occur with migraine headaches, projectile vomiting is more consistent with increased intracranial pressure. Unilateral sharp, stabbing pain, rather than throbbing pain, is characteristic of cluster headaches.

634882

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Which prescribed medication should the nurse expect will have rapid effects on a patient admitted to the emergency department in thyroid storm?

Select the correct answer(s).

(0/0)

Explanation

Beta-Adrenergic blockers work rapidly to decrease the cardiovascular manifestations of thyroid storm. The other medications take days to weeks to have an impact on thyroid function.

636930

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A high school teacher who has been diagnosed with epilepsy after having a generalized tonic-clonic seizure tells the nurse, “I cannot teach any more. It will be too upsetting if I have a seizure at work.” Which response by the nurse specifically addresses the pt’s concern?

Select the correct answer(s).

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Explanation

The nurse should inform the pt that most pts with seizure disorders are controlled with medication. The other information may be necessary if the seizures persist after treatment with antiseizure medications is implemented.

634883

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A 37-yr-old patient has just arrived in the postanesthesia recovery unit (PACU) after a thyroidectomy. Which information about the patient is most important to communicate to the surgeon?

Select the correct answer(s).

(0/0)

Explanation

The neck swelling may lead to respiratory difficulty, and rapid intervention is needed to prevent airway obstruction. The incisional pain should be treated but is not unusual after surgery. A heart rate of 112 beats/min is not unusual in a patient who has been hyperthyroid and has just arrived in the PACU from surgery. Sleepiness in the immediate postoperative period is expected.

636931

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A pt has been taking phenytoin (Dilantin) for 2 years. Which action will the nurse take when evaluating for adverse effects of the medication?

Select the correct answer(s).

(0/0)

Explanation

Phenytoin can cause gingival hyperplasia, but does not affect bowel sounds, lung sounds, or pupil reaction to light.

634884

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The cardiac telemetry unit charge nurse receives status reports from other nursing units about four patients who need cardiac monitoring. Which patient should be transferred to the cardiac unit first?

Select the correct answer(s).

(0/0)

Explanation

Emergency treatment of tetany requires IV administration of calcium; electrocardiographic monitoring will be required because cardiac arrest may occur if high calcium levels result from too-rapid administration. The information about the other patients indicates that they are more stable than the patient with tetany.

636932

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A pt reports feeling numbness and tingling of the left arm before experiencing a seizure. The nurse determines that this history is consistent with what type of seizure?

Select the correct answer(s).

(0/0)

Explanation

The initial symptoms of a focal seizure involve clinical manifestations that are localized to a particular part of the body or brain. Symptoms of an absence seizure are staring and a brief loss of consciousness. In an atonic seizure, the pt loses muscle tone and (typically) falls to the ground. Myoclonic seizures are characterized by a sudden jerk of the body or extremities.

636933

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When obtaining a health history and physical assessment for a 36-yr-old female pt w/possible multiple sclerosis (MS), the nurse should

Select the correct answer(s).

(0/0)

Explanation

Urinary tract problems with incontinence or retention are common symptoms of MS. Chest pain and skin rashes are not symptoms of MS. A decrease in libido is common with MS.

636934

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A woman who has multiple sclerosis (MS) asks the nurse about risks associated with pregnancy. Which response by the nurse is accurate?

Select the correct answer(s).

(0/0)

Explanation

During the postpartum period, women with MS are at greater risk for exacerbation of symptoms. There is no increased risk for congenital defects in infants born of mothers with MS. Symptoms of MS may improve during pregnancy. Onset of labor is not affected by MS.

636935

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A 62-yr-old pt who has Parkinson’s disease is taking bromocriptine (Parlodel). Which information obtained by the nurse may indicate a need for a decrease in the dosage?

Select the correct answer(s).

(0/0)

Explanation

Hypotension is an adverse effect of bromocriptine, and the nurse should check with the health care provider before giving the medication. Diarrhea, cough, and deep vein thrombosis are not associated with bromocriptine use.

636936

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The nurse advises a pt w/myasthenia gravis (MG) to

Select the correct answer(s).

(0/0)

Explanation

Muscles are generally strongest in the morning, and activities involving muscle activity should be scheduled then. Plasmapheresis is not routinely scheduled but is used for myasthenia crisis or for situations in which corticosteroid therapy must be avoided. There is no decrease in sensation with MG, and muscle atrophy does not occur because although there is muscle weakness, they are still used.

636937

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Which medication taken by a pt w/restless legs syndrome should the nurse discuss with the pt?

Select the correct answer(s).

(0/0)

Explanation

Antihistamines can aggravate restless legs syndrome. The other medications will not contribute to restless legs syndrome.

NS 520: UNIT V

Question 1 of 1

Time Left

Which finding indicates to the nurse that the current therapies are effective for a patient with acute adrenal insufficiency?

Select the correct answer(s).

(0/0)

Explanation

The nurse determines that teaching about management of migraine headaches has been effective when the pt says which of the following?

Select the correct answer(s).

(0/0)

Explanation

The nurse is caring for a patient following an adrenalectomy. The highest priority in the immediate postoperative period is to

Select the correct answer(s).

(0/0)

Explanation

The nurse expects the assessment of a pt who is experiencing a cluster headache to include

Select the correct answer(s).

(0/0)

Explanation

Which prescribed medication should the nurse expect will have rapid effects on a patient admitted to the emergency department in thyroid storm?

Select the correct answer(s).

(0/0)

Explanation

A high school teacher who has been diagnosed with epilepsy after having a generalized tonic-clonic seizure tells the nurse, “I cannot teach any more. It will be too upsetting if I have a seizure at work.” Which response by the nurse specifically addresses the pt’s concern?

Select the correct answer(s).

(0/0)

Explanation

A 37-yr-old patient has just arrived in the postanesthesia recovery unit (PACU) after a thyroidectomy. Which information about the patient is most important to communicate to the surgeon?

Select the correct answer(s).

(0/0)

Explanation

A pt has been taking phenytoin (Dilantin) for 2 years. Which action will the nurse take when evaluating for adverse effects of the medication?

Select the correct answer(s).

(0/0)

Explanation

The cardiac telemetry unit charge nurse receives status reports from other nursing units about four patients who need cardiac monitoring. Which patient should be transferred to the cardiac unit first?

Select the correct answer(s).

(0/0)

Explanation

A pt reports feeling numbness and tingling of the left arm before experiencing a seizure. The nurse determines that this history is consistent with what type of seizure?

Select the correct answer(s).

(0/0)

Explanation

When obtaining a health history and physical assessment for a 36-yr-old female pt w/possible multiple sclerosis (MS), the nurse should

Select the correct answer(s).

(0/0)

Explanation

A woman who has multiple sclerosis (MS) asks the nurse about risks associated with pregnancy. Which response by the nurse is accurate?

Select the correct answer(s).

(0/0)

Explanation

A 62-yr-old pt who has Parkinson’s disease is taking bromocriptine (Parlodel). Which information obtained by the nurse may indicate a need for a decrease in the dosage?

Select the correct answer(s).

(0/0)

Explanation

The nurse advises a pt w/myasthenia gravis (MG) to

Select the correct answer(s).

(0/0)

Explanation

Which medication taken by a pt w/restless legs syndrome should the nurse discuss with the pt?

Select the correct answer(s).

(0/0)

Explanation

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