Tiêu đề RECALLS 8 - NP3 - SC ✅

C. Inconclusive D. Definitive and requiring a repeat test 30. The parent of a hospitalized 2-year-old child with viral laryngotracheobronchitis (croup) asks you why antibiotics were not prescribed by the doctor. How should you respond? A. “The child may be allergic to antibiotics.” B. “The child is too young to receive antibiotics.” C. “Antibiotics are not indicated unless a bacterial infection is present.” D. “The child still has the maternal antibodies from birth and does not need antibiotics.” 31. You are an emergency department nurse evaluating a patient who has experienced a blunt trauma to the chest. Which sign would suggest that the patient may have a pneumothorax? A. A low respiratory rate B. Diminished breath sounds C. The presence of a barrel chest D. A sucking sound at the site of injury Situation: The nurse is preparing for an upcoming shift and decides to review her knowledge on various medications. She focuses on understanding the indications, side effects, and proper administration techniques for commonly used drugs in her unit. 32. A patient is prescribed guaifenesin. How would the nurse know the patient understands the correct way to take this medication if the patient describes which specific action? A. Take an extra dose if fever develops B. Take the medication with meals only C. Increase water intake when taking the medication D. Decrease the amount of daily fluid intake 32. The nurse is getting ready to administer intravenous naloxone to a patient with an opioid overdose. What supportive medical equipment should the nurse ensure is available at the patient’s bedside? A. Nasogastric tube B. Paracentesis tray C. Resuscitation equipment D. Central line insertion tray 33. Zafirlukast is prescribed for a client with bronchial asthma. Which laboratory test does the nurse expect to be prescribed before the administration of this medication? A. Platelet count B. Neutrophil count C. Liver function tests D. Complete blood count 34. A patient is about to start a 6-month course of isoniazid therapy. What should the nurse plan to teach the patient to do during their treatment? A. Use alcohol in small amounts only. B. Report yellow eyes or skin immediately. C. Increase intake of Swiss or aged cheeses. D. Avoid vitamin supplements during therapy. 35. The nurse has provided a patient on ethambutol with information about the medication. How can the nurse confirm that the patient understands the instructions if the patient says they will promptly report which specific symptom? A. Impaired sense of hearing B. Gastrointestinal side effects C. Orange-red discoloration of body secretions D. Difficulty in discriminating the color red from green 36. A patient with atrial fibrillation is receiving a continuous heparin infusion at 1000 units/hr. Which lab result would signal to the nurse that the patient is receiving an effective therapeutic dose? A. Prothrombin time of 12.5 seconds B. Activated partial thromboplastin time of 28 seconds C. Activated partial thromboplastin time of 60 seconds D. D. Activated partial thromboplastin time longer than 120 seconds 37. The nurse provides discharge instructions to a patient with atrial fibrillation who is taking warfarin sodium. Which statement by the patient shows they require further education? A. “I will avoid alcohol consumption.” B. “I will take coated aspirin for my headaches.” C. “I will take my pills every day at the same time.” D. “I have already called my family to pick up a MedicAlert bracelet.” Answer: B 38. The home health care nurse is visiting a patient with hypertension and high LDL cholesterol, whose serum cholesterol level is 420 mg/dL (11 mmol/L). The patient is prescribed warfarin, and the nurse provides education about the medication. Which statement by the patient indicates that further teaching is needed? A. “Constipation and bloating might be a problem.” B. “I’ll continue to watch my diet and reduce my fats.” C. “Walking a mile each day will help the whole process.” D. “I’ll continue my nicotinic acid from the health food store.” 39. For a patient receiving intravenous heparin therapy for atrial fibrillation, which medication should the nurse ensure is readily available on the nursing unit? A. Vitamin K B. Protamine sulfate C. Potassium chloride D. Aminocaproic acid 40. A patient on daily digoxin has a serum potassium level of 3 mEq/L (3 mmol/L) and reports anorexia. The cardiologist orders a serum digoxin level test. Which digoxin level would the nurse identify as being outside the therapeutic range? A. 0.5 ng/mL (0.63 nmol/L) B. 0.8 ng/mL (1.02 nmol/L) C. 0.9 ng/mL (1.14 nmol/L) D. 2.2 ng/mL (2.8 nmol/L) Situation: Nurse Evelyn is caring for the patients diagnosed with COPD. The following questions are regrading this condition. 41. Nurse Evelyn is assessing a patient newly diagnosed with COPD. The patient reports a chronic cough with sputum production. What assessment finding would she expect in this patient? A. Clear, thin sputum B. Pink, frothy sputum C. Yellow-green, thick sputum D. Rust-colored sputum 42. A patient with COPD is prescribed an inhaled corticosteroid. Nurse Evelyn instructs the patient on how to use the inhaler properly. Which statement by the patient indicates the need for further teaching? A. “I should rinse my mouth with water after using the inhaler.” B. “I will use the inhaler before using my bronchodilator.” C. “I will press down on the inhaler while I breathe in deeply.” D. “I should wait at least 1 minute between puffs if instructed to take more than one.” 43. A patient with COPD is receiving supplemental oxygen therapy. Which observation would indicate that the patient might be experiencing oxygen toxicity? A. Cyanosis of the lips and fingertips B. A decreased respiratory rate C. Complaints of dry cough and substernal discomfort D. Decreased oxygen saturation levels 44. A patient with COPD is experiencing increased shortness of breath and has a history of frequent exacerbations. Nurse Evelyn is reviewing the patient’s medications. Which class of medication would she expect to be prescribed to help manage this patient’s symptoms? A. Antihistamines B. Antibiotics C. Bronchodilators D. Antivirals 45. A patient with COPD is participating in pulmonary rehabilitation. Nurse Evelyn is educating the patient about lifestyle changes to improve their condition. Which lifestyle modification would she most likely recommend? A. Increase daily intake of caffeine B. Engage in regular physical activity C. Avoid all dietary fats D. Limit fluid intake to prevent congestion 3 | Page