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46. The nurse is teaching a patient about Sumatriptan for her migraine headaches. Which of the following statements indicates that teaching has been EFFECTIVE?

1 “I will take an acetaminophen suppository to treat nausea caused by the Sumatriptan”

2 “I will take the sumatriptan as soon as | have symptoms of a migraine.”

3 ‘1 don’t have to worry about birth control since sumatriptan is safe to use during pregnancy.*

4 “I will take sumatriptan everyday to prevent migraines.”

 

47. An outpatient tells the nurse about having 15 MIGRAINE headaches every month. The patient states, *I am afraid to make social plans because I never know when I will have a

headache.” The MOST appropriate nursing action is:

1 Encourage the patient to discuss preventive medication with the provider.

2 Teach the patient about the effectiveness of oral narcotics for migraines.

3 Encourage the patient to discuss gene editing therapies with a genetic counselor.

4 Encourage sinus massage techniques to minimize headache frequency.

 

49. Which of the following will the nurse include when teaching nursing students about hepatitis?

1 Hepatitis C does not result in chronic hepatitis

2 Hepatitis A generally results in chronic infection

3 A vaccine is available for hepatitis B

4 after a needle stick injury, hepatitis C vaccine is administered to prevent Hepatitis C infection

 

50. A patient diagnosed with hepatitis  A but does not require hospitalization. What will the nurse teach the patient to PREVENT him from spreading the disease to other family

members?

1 Wash the hands thoroughly after defecation.

2 Wear a mask when in the same room as family members.

3 Avoid being in the same room as family members.

4 Wear gloves before touching family members.

 

51. Which of the following will the nurse teach the patient with CHRONIC hepatitis C?

1 “You should get the hepatitis C vaccine because it will help your immune system fight off the infection.”

2 “You should limit alcohol intake to 2 drinks daily to protect your liver.”

3 “Acetaminophen is completely safe for someone with liver disease to take.”

4 “The ultrasound elastography (fibroscan) test has been ordered to see if you have scar tissue in your liver.”

 

52. A patient is scheduled for a liver biopsy today. To maintain patient SAFETY, which laboratory test result is MOST important to communicate to the hepatologist PRIOR to sending the patient for the LIVER BIOPSY?

1 Bilirubin 2.2 mg/dL (0.3-1.9)

2 Glucose 110 mg/dL (70 -100 mg/dL)

3 Hemoglobin 11 g/dL (12-15.5 g/dL)

4 Platelet count 50,000 per mcL (150,000 to 400,000 per mcL)

 

53. When assessing a patient with cirrhosis, which assessment finding will the nurse anticipate?

1 Edema related to increased ammonia level.

2 Jaundice related to an elevated bilirubin level.

3 Ascites related to prolonged prothrombin time.

4 Ecchymoses related to the low albumin level.

 

54. A patient with cirrhosis develops an increased ammonia level. Which of the following medication prescriptions will the nurse administer to decrease the Ammonia level?

1 Lactulose

2 Pyridostigmine

3 Warfarin

4 Prednisone

 

56. A patient had a lobectomy for lung cancer yesterday. Which of the following will the nurse include in the patient’s plan of care?

1 Camp the chest lube when the patient gels up to ambulate in the hallway

2 Delegate employing the chest drainage unit at the end of the shift to unlicensed assistive personnel

3 Ensure thal deep vein thrombosis prophylaxis has been prescribed for the patient.

4 Keep the patient NPO until the chest x-ray shows complete lung re-expansion

 

57. When assessing a patient with a chest drainage unit attached to suction, the nurse notes CONSTANT bubbling in the WATER-SEAL chamber. The MOST appropriate nursing

intervention at this time is:

1 Assess for an air leak

2 Decrease the amount of suction

3 Completely discontinue suction

4 Add water to the water seal chamber

 

58. If a patient’s chest drainage unit accidentally tips over during ambulation, the nurse’s FIRST intervention will be to upright the unit and:

1 Assess the drainage collection chamber

2 Assess the water-seal chamber

3 Double clamp the chest tube

4 Add sterile water to the suction control chamber until it reaches the 20 cm mark

 

59. The surgeon prescribes a TRIAL CLAMPING of a chest tube before removing it later in the day. Which of the following indicate that the chest tube needs to be UNCLAMPED because the patient is NOT tolerating the chest tube being clamped?

1 Vesicular breath sounds

2 On gen saturation of 96%

3 Lungs are resonant to percussion

4 Orthopnea

 

61. A patient with gastroesophageal reflux disease (GERD) retumed from a laparoscopic nissen fundoplication 4 HOURS ago. Which assessment finding is MOST important for the

nurse lo address immediately ?

1 The patient feels like he is going to vomit.

2 The patient’s respiratory rate is 14 per minute.

3 The patient’s pain rating is 3 on a 0-10 scale.

4 The patient has decreased bowel sounds.

 

SCIENCE
HEALTH SCIENCE
NURSING
NRS 315

 

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