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Science 3.1

59 Questions  I  By RNSTUDENT29
Science 3.1
32, 33, 34, 35

  
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1.  The nurse is administering lispro insulin and should keep in mind that this insulin will start to have an effect within which time frame?
A.
B.
C.
D.
2.  When teaching about hypoglycemia, the nurse should make sure that the patient is aware of the early signs of hypoglycemia, including
A.
B.
C.
D.
3.  The nurse is teaching a group of patients about self-administration of insulin. What teaching is important to include?
A.
B.
C.
D.
4.  When monitoring a patient’s response to oral antidiabetic drugs, the nurse knows that the laboratory results that would indicate a therapeutic response would be a(n)
A.
B.
C.
D.
5.  A 75-year-old woman with type 2 diabetes has recently been placed on glyburide, 10 mg daily. She asks the nurse when the best time would be to take this medication. What is the nurse’s best response?
A.
B.
C.
D.
6.  A patient who has type 2 diabetes is scheduled for a colonoscopy and has been NPO (nothing by mouth) since midnight. She is concerned because her medications are being held. What is the best action regarding the administration of her oral antidiabetic drugs?
A.
B.
C.
D.
7.  The nurse is reviewing instructions for a patient with type 2 diabetes who also gives herself insulin injections as part of the therapy. The nurse asks the patient, “What should you do if your fasting blood glucose is 47 mg/dL?” Which response by the patient is correct?
A.
B.
C.
D.
8.  The nurse is teaching patients about self-injection of insulin. Which statement is true regarding injection sites?
A.
B.
C.
D.
9.  The nurse is administering rapid-acting insulin. Which statement is true regarding its administration?
A.
B.
C.
D.
10.  After starting treatment for type 2 diabetes mellitus 6 months earlier, a patient is in the office for a follow-up examination. Which laboratory test will best reflect the patient’s adherence to the antidiabetic therapy over the past few months?
A.
B.
C.
D.
11.  A patient in the emergency department was showing signs of hypoglycemia and had a fingerstick glucose level of 34 mg/dL. He has just become unconscious. What is the nurse’s first action?
A.
B.
C.
D.
12.  The nurse is preparing to administer insulin intravenously. Which statement about intravenous insulin is true?
A.
B.
C.
D.
13.  A patient with a history of chronic obstructive pulmonary disease and type 2 diabetes has been treated for pneumonia for the past week. He has been receiving intravenous corticosteroids as well as antibiotics as part of his therapy. At this time, his pneumonia has resolved, but when monitoring his blood glucose levels, the nurse notices that his blood glucose level is still elevated, and he has required small amounts of sliding-scale insulin coverage. What is the best explanation for this elevation?
A.
B.
C.
D.
14.  The nurse knows to administer acarbose (Precose), an alpha-glucosidase inhibitor, at which time?
A.
B.
C.
D.
15.  A 48-year-old is diagnosed with metabolic syndrome and is started on metformin (Glucophage). The purpose of the metformin, in this situation, is to
A.
B.
C.
D.
16.  When administering morning medications for a newly admitted patient, the nurse notes that the patient has an allergy to sulfa drugs. There is an order for the sulfonylurea glipizide (Glucotrol). What is the nurse’s best action?
A.
B.
C.
D.
17.  The nurse is reviewing a patient’s medication list and notes that sitagliptin (Januvia) is ordered. The nurse should question an additional order for which drug or drug class?
A.
B.
C.
D.
18.  The insulin order reads, “Check blood glucose levels before meals and at bedtime. For every 5 mg/dL over 150, give one unit of Regular Humulin insulin, subcutaneously.” The patient’s blood glucose level at 11:30, before lunch, was 203 mg/dL. In units, how much insulin will the nurse will give?
19.  The nurse is administering adrenal drugs to a patient. Which of the following actions is appropriate for this patient?
A.
B.
C.
D.
20.  When starting a patient’s drug therapy with corticosteroids, the nurse is aware that some drug classes can have adverse interactions with corticosteroids, such as
A.
B.
C.
D.
21.  A patient is concerned about the body changes that have resulted from long-term prednisone therapy for the treatment of lupus erythematosus. Which effect of this drug therapy would be present to support the nursing diagnosis of disturbed body image?
A.
B.
C.
D.
22.  A patient is taking fludrocortisone for Addison’s disease, and his wife is concerned about all the problems that may occur with this therapy. When teaching them about therapy with this drug, the nurse should include which information?
A.
B.
C.
D.
23.  A patient is receiving aminoglutethimide (Cytadren) therapy. The nurse knows that this medication is used for which condition?
A.
B.
C.
D.
24.  When monitoring a patient who is taking a systemically administered glucocorticoid, the nurse should monitor for signs of which condition?
A.
B.
C.
D.
25.  The nurse expects that a patient is experiencing undersecretion of adrenocortical hormones when which condition is found upon assessment?
A.
B.
C.
D.
26.  A patient who has been on long-term corticosteroid therapy has had surgery to correct an abdominal hernia. The nurse keeps in mind that which potential effect of this medication may have the most impact on the patient’s recovery?
A.
B.
C.
D.
27.  Which conditions are indications for glucocorticoid drugs? Select all that apply.
A.
B.
C.
D.
E.
F.
28.  A patient has been admitted for an exacerbation of chronic obstructive pulmonary disease and will be receiving methylprednisolone (Solu-Medrol) 30 mg, intravenously every 4 hours. The medication is available in 40-mg/mL vials. How many mL will the nurse draw up for this dose?
29.  The nurse is providing teaching for a patient who is to receive estrogen replacement therapy. Which statement is correct to include in the teaching session? The patient should
A.
B.
C.
D.
30.  The nurse recognizes that use of estrogen drugs is contraindicated in which of the following patients?
A.
B.
C.
D.
31.  A patient is being treated for primary amenorrhea. The nurse expects which drug to be used to treat this problem?
A.
B.
C.
D.
32.  The nurse is teaching a patient about the adverse effects of fertility drugs such as clomiphene (Clomid). Which is a potential adverse effect of this drug?
A.
B.
C.
D.
33.  A patient is receiving oxytocin (Pitocin) to induce labor. During administration of this medication, the nurse will also implement which action?
A.
B.
C.
D.
34.  The nurse notes in the patient’s medication orders that the patient is taking the tocolytic drugs terbutaline (Brethine). Based on this finding, the nurse interprets that the drug has been ordered for which problem?
A.
B.
C.
D.
35.  A 51-year-old woman will be taking selective estrogen receptor modulators (SERMs) as part of the treatment for postmenopausal osteoporosis. The nurse reviews potential adverse effects with this patient, including the possible occurrence of
A.
B.
C.
D.
36.  During a follow-up visit, a patient who has been on estrogen therapy admits that she has continued to smoke cigarettes. The nurse will remind the patient that smoking while on estrogen may lead to increased
A.
B.
C.
D.
37.  When considering the various types of contraceptive drugs, the nurse is aware that which type most closely duplicates the normal hormonal levels of the female menstrual cycle?
A.
B.
C.
D.
38.  A woman visits a health center requesting oral contraception. Which lab test is most important for the nurse to assess before the patient begins oral contraception therapy?
A.
B.
C.
D.
39.  The nurse should instruct a patient who will be taking bisphosphonate alendronate (Fosamax) to take this medication at which time?
A.
B.
C.
D.
40.  A female patient who lives in New York City is preparing to take a plane trip to Australia. She has been taking the SERM raloxifene (Evista). The nurse will provide which instructions to this patient?
A.
B.
C.
D.
41.  When reviewing the risk factors for osteoporosis, the nurse recognizes that which of the following is considered a risk factor?
A.
B.
C.
D.
42.  A patient who is taking the bisphosphonate alendronate (Fosamax) has been instructed to lie flat in bed for 2 days after having plastic surgery. Which intervention is appropriate at this time?
A.
B.
C.
D.
43.  While discussing options for osteoporosis prevention, a patient asks if she will be using estrogen patches. What is the nurse’s best response?
A.
B.
C.
D.
44.  The nurse is preparing to administer the contraceptive form of medroxyprogesterone (Depo-Provera). What route should be planned?
A.
B.
C.
D.
45.  When couples are treated for infertility with ovulation-inducing drugs, the nurse will include instruction about the increased likelihood of
A.
B.
C.
D.
46.  A patient wants to try an oral soy product to relieve perimenopausal symptoms. The nurse will assess the patient’s medication history for potential drug interactions, including
A.
B.
C.
D.
47.  A patient taking an oral contraceptive should be aware of potential drug interactions with which medications? Select all that apply.
A.
B.
C.
D.
E.
F.
48.  The patient is to receive medroxyprogesterone (Depo-Provera) 500 mg, weekly, intramuscularly, on Mondays for 4 weeks as part of palliative therapy for cancer. The medication is available in vials of 400 mg/mL. How many milliliters will the nurse draw up and administer with each injection? Round to the nearest tenth.
49.  A patient is to receive testosterone therapy via a transdermal patch. He asks the nurse, “Why am I getting a patch? Can’t I just take a pill?” What is the nurse’s best response?
A.
B.
C.
D.
50.  When a male patient is receiving androgen therapy, the nurse should monitor for signs of excessive androgens such as
A.
B.
C.
D.
51.  A patient is receiving finasteride (Proscar) for treatment of benign prostatic hyperplasia. The nurse should tell him that a possible effect of this medication is
A.
B.
C.
D.
52.  The nurse notes in a female patient’s history that she has an order for the androgen methyltestosterone. Based on this finding, the nurse interprets that the patient has which disorder?
A.
B.
C.
D.
53.  A 21-year-old male athlete admits to using androgenic steroids. The nurse tells him that a possible adverse effect of these drugs is
A.
B.
C.
D.
54.  During the administration of finasteride (Proscar), the nurse must remember which important precaution?
A.
B.
C.
D.
55.  A 73-year-old man is asking for a prescription for sildenafil (Viagra). He has listed on his health history that he is taking a nitrate for angina. The nurse is aware that which problem may occur if sildenafil is taken with a nitrate?
A.
B.
C.
D.
56.  The nurse is reviewing the medication list of a patient who will be starting androgen therapy. Which drug classes, if taken with androgens, may have an interaction with them?
A.
B.
C.
D.
57.  The nurse is instructing a male patient about application of transdermal testosterone (Testoderm) patches. What body location is preferred for this specific patch?
A.
B.
C.
D.
58.  A 63-year-old male patient is scheduled for a physical examination, and he tells the nurse that he wants to start taking a vitamin formula that includes saw palmetto for prostate health. Which is the nurse’s best response?
A.
B.
C.
D.
59.  The nurse notes in a patient’s medication history that the patient is taking the synthetic androgen danazol (Danocrine). Indications for danazol include which conditions? Select all that apply.
A.
B.
C.
D.
E.
F.
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