Tiêu đề RECALLS 1 - NP5 - SC ✅

46. Patient Sandro is being treated for his bipolar disorder. He is prescribed with Eskalith. As a nurse, which of the following should you exclude from your health teachings? A. Medication can be administered with food. B. He is allowed to drink coffee every morning. C. Notify the physician if fever occurs. D. He can take the missed dose within 2 hours of the scheduled time. 47. While reviewing about Eskalith, you know that severe lithium toxicity is manifested by: A. Anuria B. Severe diarrhea C. Apathy D. Muscle twitching 48. Patient Cielo’s chart states that dystonia is noted on her while taking antipsychotic medications. Which manifestations do you expect to see? A. Dysphagia, facial grimacing B. Oculogyric crisis, increased heart rate, drooling C. Twisting of the torso D. Drowsiness, restlessness 49. Fluoxetine is prescribed to Patient John Mark. How should it be administered? A. On full stomach B. On an empty stomach C. At the same time each morning D. At the same time each evening 50. A mother of a child with ADHD asked you the most effective medication in controlling the disorder. Your answer would be: A. CNS stimulants B. CNS depressants C. Donepezil D. Rivastigmine Situation: A client is brought to the Emergency Department complaining of generalized weakness of all extremities and facial muscles and drooping of the eyelids since a week ago His condition fluctuates from day to day. The examining physician tested the client with an acetylcholinesterase inhibitor test to diagnose myasthenia gravis. 51. Nurse Liza is assigned to care for the client. Which of the following medications prescribed by the physician should nurse Liza prepare to diagnose myasthenia gravis? A. Atropjne sulfate B. Tensilon C. Mestinon D. lsuprel 52. Thirty minutes after injection, nurse Liza noted an immediate Improvement in the muscle strength. This can be interpreted as a: A. Autoimmune disorder B. Positive test confirming the diagnosis C. Negative failure D. Negative for myasthenia gravis 53. The client asked if he will take Tensilon for MG treatment. Nurse Liza answered “NO” because: A. It is toxic to the body B. It is only short-acting C. It causes adverse effects D. It crosses the blood-brain barrier 54. Nurse Liza noticed the client suddenly developed cramps and sweating. In a situation like this, which of the following drugs must be made available to control the side effects of he tested drug? A. Prednisone B. Mestinon C. Atropine sulfate D. Potassium supplement 55. Nurse Liza is administering pyridostigmine (Mestinon) orally to the client. Which of the following nursing intervention indicates safety measure before administering the medication? A. Instructing the client to be in bed when taking the medication B. Determining client’s ability to swallow C. Positioning the client to lie down on his left side D. Requiring the client to lei still in bed Situation: A 67 year old female client is diagnosed with Senile Nuclear Cataract OU (both eyes) H25.1; Dry Eye Syndrome. 56. The nurse is conducting nursing assessment and preparing a nursing history. Which of the following clinical manifestations of the client gathered by the nurse is characteristic of cataracts? A. Narrow anterior chamber B. Optic nerve damage C. Painless blurry vision D. Age factor 57. Based from the information gathered the nursing diagnosis is: A. Self-care deficit related to impaired vision B. Disturbed sensory perception related to visual impairment C. Acute pain related to eye dysfunction D. Anxiety related to possible vision loss 58. The physician scheduled the client for Phacoemulsification with intraocular lens implantation surgery. The physician informed the client of the nature of the procedure and what to expect after surgery. The client verbalized to the nurse,” I have never had surgery before”. Given this situation, the nurse appropriate expected outcome for the client to: A. Maintain asepsis aids in protecting the surgical site form infection and complications B. Know sign and symptoms of complications that are to be reported to physician immediately C. Verbalize preoperative routine activities and postoperative procedures and expectations D. Understand handwashing and aseptic technique for postoperative eyes care 59. The admitting order include: Phacoemulsification with intraocular lens implantation surgery right eye local anesthesia 7:00AM OPD. Start Sanmyd – P Ophthalmic Solution 1 drop every 5 minutes to right eye once the client is admitted. The client demonstrates understanding of the pre – operative medication when she states that the administration to eye drops: A. Reduce intraocular pressure B. Minimize swelling C. Dilate the pupils D. Relieve pain 60. The client is given post – cataract surgery instructions consisting of instillation of eye meds, Tobrex, 1 drop every 3 hours (waking hours), Pred Fortre – 1 drop every 3 hours (waking hours): oral meds for pain including health teaching and other instructions. Client education guide should include the following EXCEPT: A. Not rubbing the right eye nor lifting objects B. Placing plastic eye shield when sleeping. Using eyeglasses while awake C. Having regular baths and washing of face but no swimming D. Taking aspirin or drugs containing aspirin Situation: Romina, age 19, was admitted with acute pyelonephritis and has elevated temperature. The nurse on duty reported that she refused acetaminophen and has had only sips of fluid to supplement her IV therapy. The patient appears sad and has remained in bed with the covers over her head most of the day. Her history includes a psychiatric hospitalization two years ago for major depressive disorder. She was started on antidepressant medication. 61. Depressed mood or loss of interest in pleasure and activities in depressive disorder is with duration of at least: A. month B. Two weeks C. 2-3 days D. one week 62. Romina has been withdrawn and appears sad. Which of the following approaches validate your initial impression? A. “I noticed that you've been withdrawn. Describe your mood for me” B. “what happened that brought your sadness?” C. “in a scale of 1 - 10, 10 being the highest, what level is your feeling sad?” 4 | Page