Small doses of long-acting insulin administered four to five times daily

Question 1 A nurse is developing a care plan for a patient who has multiple sclerosis. An expected outcome for the patient who is receiving glatiramer would be a decrease in
A) chest painB) fatigueC) breathing difficultiesD) heart palpitations
Question 2 A nurse is teaching a patient about his newly prescribed drug, colchicine, for gout. The nurse will instruct the patient to avoid which of the following foods?
A) Green beansB) ShrimpC) EggsD) Milk
Question 3 A patient with type 1 diabetes has been admitted to the hospital for orthopedic surgery and the care team anticipates some disruptions to the patient’s blood glucose levels in the days following surgery. Which of the following insulin regimens is most likely to achieve adequate glycemic control?
A) Small doses of long-acting insulin administered four to five times dailyB) Doses of basal insulin twice daily with regular insulin before each mealC) Large doses of rapid-acting insulin combined with long-acting insulin each morning and eveningD) Divided doses of intermediate-acting insulin every 2 hours, around the clock
Question 4 A 65-year-old woman has an advanced form of rheumatoid arthritis. Her treatment includes a regular dosage of methotrexate. The nurse will advise her to take which of the following vitamin supplements while taking the drug?
A) Vitamin AB) Vitamin BC) Vitamin CD) Vitamin D
Question 5 A 49-year-old woman has been diagnosed with myalgia. The physician has recommended aspirin. The patient is concerned that the aspirin will upset her stomach. The nurse will encourage the patient to
A) crush the tablet before swallowingB) swallow the tablet wholeC) swallow the tablet with milk or foodD) avoid drinking milk for 3 hours after swallowing the tablet
Question 6 A nurse is working with a 57-year-old man who is a former intravenous drug abuser. He has been prescribed a weekly dosage of methotrexate for his rheumatoid arthritis. Which of the following will the nurse include in her teaching plan for this patient?
A) Avoid high-fat foodsB) Drink plenty of water every dayC) Take the tablets before bedtimeD) Avoid red meat
Question 7 A male patient with a diagnosis of relapsing-remitting multiple sclerosis is in the clinic to discuss with the nurse the possibility of self-administration of glatiramer. During the patient education session for self-administration, the nurse will emphasize
A) the need to rotate the injection site of the drugB) the need to avoid crushing the tabletC) the need to place the tablet under the tongueD) the need to use only the thigh muscle for the drug injection site
Question 8 A patient in need of myocardial infarction prophylaxis has been prescribed sulfinpyrazone for gout. Which of the following will the nurse monitor the patient most closely for?
A) HypothermiaB) HypotensionC) Renal dysfunctionD) Bleeding
Question 9 A nurse will monitor which of the following when assigned to a patient taking allopurinol for chronic gout who visits the clinic every 2 months?
A) Liver function testsB) Blood sugar levelsC) Blood pressureD) Body temperature
Question 10 Which of the following would be the most important safety-related instruction for a nurse to give to a patient taking baclofen (Lioresal)?
A) Do not walk or drive after taking the drugB) Discontinue the use of alcoholC) Learn to self-administer the drugD) Take a laxative when needed
Question 11 A diabetic patient being treated for obesity tells the nurse that he is having adverse effects from his drug therapy. The patient has been taking dextroamphetamine for 2 weeks as adjunct therapy. Which of the following adverse effects would need the nurse’s immediate attention?
A) Decreased libidoB) Increased blood glucoseC) Dry eyesD) Jittery feeling
Question 12 A nurse is caring for a patient who has been diagnosed with hypothyroidism. Levothyroxine (Synthroid) has been prescribed.Before the drug therapy is started, the nurse will assess for which of the following?
A) History of taking anticoagulant drugsB) Allergy to seafoodC) HirsutismD) The patient’s age
Question 13 A nurse is instructing a patient in the administration of regular insulin by the subcutaneous route. Which of the following strategies would the nurse suggest if the goal is to promote absorption of the regular insulin?
A) Rotate injection sites by using the arm one day, the stomach the next day, and the thigh the day after and then repeating the cycleB) Select one injection site for regular insulin injections and use it exclusivelyC) Administer the medication 30 to 60 minutes after a mealD) Select one anatomic area for regular insulin injections and then use serial locations within that area.
Question 14 A nurse is caring for a male patient who has a spinal cord injury due to a motorcycle accident. He has been taking dantrolene (Dantrium) for 2 weeks. The nurse will monitor which of the following?
A) Prothrombin time and partial thromboplastin timeB) Urine specific gravityC) Alanine aminotransferase and total bilirubin levelsD) Follicle-stimulating hormone levels
Question 15 The nurse is conducting a medication reconciliation of a new resident of a long-term care facility. The nurse notes that the resident takes allopurinol on a daily basis for the treatment of gout.What is the primary purpose of this drug?
A) To balance urate concentration and prevent gout attacksB) To promote the remodeling of damaged synoviumC) To potentiate the metabolism of dietary purinesD) To achieve pain relief in joints affected by gout
Question 16 A 33-year-old man has developed acute gouty arthritis. He has been prescribed colchicine. When developing a care plan for this patient, which factor will be most important for the nurse to consider?
A) Dietary habitsB) Work environmentC) Typical daily fluid intakeD) Ethnicity
Question 17 During long-term desmopressin therapy in a 48-year-old woman, it will be most important for the nurse to assess which of the following?
A) The patient’s environmentB) The patient’s dietC) The condition of the patient’s skinD) The condition of the patient’s nasal passages
Question 18 A patient is taking gabapentin (Neurontin) for spasticity associated with multiple sclerosis. Which of the following should be the priority for monitoring?
A) Hepatic functionB) Cardiac functionC) Respiratory functionD) Renal function
Question 19 Following an assessment by her primary care provider, a 70-year-old resident of an assisted living facility has begun taking daily oral doses of levothyroxine. Which of the following assessment findings should prompt the nurse to withhold a scheduled dose of levothyroxine?
A) The resident has not eaten breakfast because of a recent loss of appetiteB) The resident’s apical heart rate is 112 beats/minute with a regular rhythmC) The resident had a fall during the night while transferring from her bed to her bathroomD) The resident received her annual influenza vaccination the previous day
Question 20 To minimize the risk of adverse effects of glucagon when given to an unconscious diabetic patient, as the patient regains consciousness, the nurse should
A) administer calcium supplementsB) position the patient in the side-lying positionC) administer carbohydratesD) monitor for nausea and vomiting
Question 21 A 34-year-old male patient is prescribed methimazole (MMI). The nurse will advise him to report which of the following immediately?
A) VertigoB) Intolerance to coldC) Loss of appetiteD) Epigastric distress
Question 22 A male patient is to begin glyburide (Diabeta) for type 2 diabetes. Before the drug therapy begins, a priority action by the nurse will be to assess the patient’s
A) blood pressureB) potassium levelC) use of alcoholD) use of salt in his diet
Question 23 A 43-year-old woman was diagnosed with multiple sclerosis 2 years ago and has experienced a recent exacerbation of her symptoms, including muscle spasticity. Consequently, she has been prescribed Dantrolene (Dantrium). In light of this new addition to her drug regimen, what teaching point should the woman’s nurse provide?
A) “This will likely relieve your muscle spasms but you’ll probably develop a certain amount of dependence on the drug over time.”B) “We’ll need to closely monitor your blood sugar levels for the next week.”C) “There’s a small risk that you might experience some hallucinations in the first few days that you begin taking this drug.”D) “You might find that this drug exacerbates some of your muscle weakness while it relieves your spasticity.”
Question 24 A nurse is instructing a patient who was recently diagnosed with multiple sclerosis about dantrolene (Dantrium). The patient is a 38-year-old-male and the foreman for a construction company. In order to minimize one important adverse effect of the drug, the nurse will give the patient which of the following instructions?
A) Eat a high-protein dietB) Decrease the dosage if any adverse effect is experiencedC) Wear appropriate clothing and sunscreen whenever he is in direct sunlightD) Have a complete blood cell count done weekly
Question 25 A 40-year-old woman with a diagnosis of fibromyalgia has been prescribed cyclobenzaprine (Flexeril) as an adjunct to her existing drug regimen. What nursing diagnosis should the nurse prioritize when updating the nursing care plan for this patient?
A) Risk for Injury related to CNS depressant effectsB) Diarrhea related to anticholinergic effectsC) Altered Nutrition, Less than Body Requirements, related to appetite suppressionD) Impaired Swallowing related to increased muscle tone
Question 26 A 70-year-old woman who is on long-term ibuprofen therapy for osteoarthritis has returned to the clinic for her regular 6-month visit. In the last couple of months, she has been having increasing periods of abdominal pain. The nurse suspects that this pain may be related to
A) anemiaB) peptic ulcer disease or gastritisC) interstitial nephritisD) constipation
Question 27 A 13-year-old patient has juvenile arthritis. He has recently had oral surgery and was told by the surgeon to take aspirin for the pain. The nurse will monitor for which of the following?
A) BronchoconstrictionB) HepatotoxicityC) Aplastic anemiaD) Agranulocytosis
Question 28 A nurse is caring for a 61-year-old man who has had a severe attack of gout while in the hospital for food poisoning. The nurse administers colchicine intravenously in order to
A) avoid aggravating the gastrointestinal tractB) ensure quick distribution of the drugC) prevent the risk of infection or bleedingD) minimize the risk of depressed bone marrow function
Question 29 A 66-year-old woman has experienced a significant decline in her quality of life as a result of worsening rheumatoid arthritis. Her physician has prescribed etanercept and the nurse is responsible for facilitating this new aspect of the patient’s drug regimen. This will involve the administration of
A) daily, outpatient intravenous therapyB) daily, oral administrationC) weekly subcutaneous injectionsD) weekly administration of an enteric coated tablet
Question 30 A clinic nurse is following a 9-year-old boy who is taking somatropin. Which of the following will the nurse monitor periodically?
A) Antidiuretic hormone (ADH) levelsB) HeightC) DehydrationD) Water retention

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