Portage Learning NURS 251 Final Exam
Question 1
A 59 year-old woman has a long standing diagnosis of type 1 diabetes and hypertension, and recently has
... [Show More] been diagnosed with glaucoma. Her ophthalmologist has prescribed pilocarpine (a direct-acting muscarinic agonist) which will achieve its therapeutic effect by....
Select one:
a. directly stimulating cholinergic receptors
b. increasing synthesis of acetylcholine
c. blocking receptors of acetylcholine
d. stimulating nicotinicN receptors
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The correct answer is: directly stimulating cholinergic receptors
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Question 2
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A patient has been admitted to the emergency department with complaints of sudden nausea, diaphoresis, and shortness of breath. A thorough history has revealed that the patient's signs and symptoms are attributable to an accidental overdose of neostigmine (an indirect-acting cholinergic agonist). The nurse providing care for the patient should anticipate that the patient is likely to require what drug?
Select one:
a. atropine
b. protamine sulfate
c. naloxone
d. vitamin K
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The correct answer is: atropine
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Question 3
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The nurse is teaching a patient about home administration of insulin to treat diabetes mellitus. As part of the teaching, the patient and nurse identify goals to maintain specific blood glucose ranges. This represents which aspect of the nursing process?
Select one: Assessment
Planning
Implementation Evaluation
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The correct answer is: Planning
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Question 4
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Your patient arrives in the ER after an overdose of atropine sulfate. Which of these medications will you plan to administer to counter act the effects of this overdose? Select one:
a. Neostigmine
b. Ditropan
c. Dopamine
d. Octreotide
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The correct answer is: Neostigmine
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Question 5
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A nurse is caring for a client who takes several antiretroviral medications, including zidovudine to treat HIV infection. For which of the following adverse effects should the nurse monitor? Select all that apply
Select one or more:
a. vomiting
An adverse effect of zidovudine
b. ataxia
c. visual disturbance
d. fatigue
This is a sign that the patient might have anemia from zidovudine
e. hyperventilation
An adverse effect of zidovudine
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The correct answers are: fatigue, hyperventilation, vomiting
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