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Worksheets

Day 2 review

Total questions: 17

Worksheet time: 26mins

Name
Class
Date
1.

A nurse is reviewing the medication administration record of a patient who has been receiving acetaminophen 1,000 mg every 6 hours for the past 3 days to manage postoperative pain. The patient has a history of chronic alcohol use. Which of the following assessment findings should prompt the nurse to suspect acetaminophen toxicity in this patient?

a)

Elevated blood pressure and bradycardia

b)

Increased urine output and thirst

c)

Dry mouth and blurred vision

d)

Elevated AST and ALT

2.

A nurse is preparing to administer epinephrine to a patient experiencing anaphylaxis. What is the reason to administer epinephrine?

a)

Epinephrine slows down the heart rate to reduce the allergic reaction

b)

Epinephrine blocks the release of histamines in your body

c)

Epinephrine opens airways and raises blood pressure to counteract allergic reaction

d)

Epinephrine eliminates the allergen causing your symptoms

3.

Match medication to its effects on nervous system Prompts A. albuterol B. metoprolol C. bethanecol D. atropine Possible Answers 1. adrenergic antagonist 2. adrenergic agonist 3. cholinergic agonist 4. cholinergic antagonist Enter the number that indicates the Answer into the corresponding blank above

a)

A. albuterol

1.

2. adrenergic agonist

b)

B. metoprolol

2.

1. adrenergic antagonist

c)

C. bethanecol

3.

3. cholinergic agonist

d)

D. atropine

4.

4. cholinergic antagonist

4.

Which of the following responses by the nurse best explains the action of albuterol?

a)

"Albuterol reduces inflammation in your airways to help you breathe more easily."

b)

"Albuterol relaxes the muscles around your airways, opening them up to improve airflow."

c)

"Albuterol suppresses your immune response to prevent asthma attacks."

d)

"Albuterol increases mucus production to trap allergens in your lungs."

5.

A nurse is caring for a postoperative patient who has not voided for 8 hours. The healthcare provider prescribes bethanechol. Which of the following statements by the nurse best explains the purpose of administering bethanechol to this patient?

a)

"Bethanechol increases blood flow to your kidneys to produce more urine."

b)

"Bethanechol stimulates your bladder muscles to help you urinate."

c)

"Bethanechol reduces inflammation in your urinary tract to ease urination."

d)

"Bethanechol blocks pain signals from your bladder to alleviate discomfort."

6.

Albuterol provides rapid relief by relaxing bronchial smooth muscle and is commonly used as a rescue inhaler during asthma attacks.

a)

True

b)

False

7.

A nurse is reviewing the medication administration record for a patient who has been prescribed metoprolol for the management of hypertension. The nurse is assessing the patient's medical history to identify any contraindications to this medication. Which of the following conditions in the patient's medical history would be considered a contraindication to the use of metoprolol?

a)

Hypertension

b)

Chronic obstructive pulmonary disease (COPD)

c)

Stable angina

d)

Atrial fibrillation

8.

What parameters need to be monitored for a patient receiving metoprolol? SELECT ALL THAT APPLY

a)

Blood pressure

b)

Temperature

c)

Pulse

d)

Pain

e)

Pulse oximetry

9.

A nurse finds an unresponsive patient suspected of opioid overdose. Arrange the following nursing interventions in the correct order to manage a suspected opioid overdose:

a)

Attempt to arouse the patient by shouting and shaking

b)

Call 911 or emergency medical services

c)

Administer naloxone (Narcan) if available

d)

Provide rescue breathing or CPR if necessary

1)
2)
3)
4)
10.

Match definition to the term Select the best answer in each row. Prompts - Strong cravings for the substance - The need for increased doses to achieve the same effect - The body's adaptation to the drug, leading to withdrawal symptoms if the drug is abruptly discontinued Terms - tolerance - phsychological dependence - physiological dependence

a)

Strong cravings for the substance

1.

phsychological dependence

b)

The need for increased doses to achieve the same effect

2.

tolerance

c)

The body's adaptation to the drug, leading to withdrawal symptoms if the drug is abruptly discontinued

3.

physiological dependence

11.

A nurse is caring for a patient who has developed an anaphylactic reaction after consuming shellfish. The patient exhibits symptoms of wheezing, hypotension, and swelling of the lips and tongue.

a)

Administer diphenhydramine intravenously

b)

Initiate intravenous access for fluid administration

c)

Place the patient in a high Fowler’s position

d)

Administer epinephrine intramuscularly

12.

Which of the following side effects should the nurse monitor for in a patient receiving bethanechol? Select all that apply.

a)

Bradycardia

b)

Urinary frequency

c)

Constipation

d)

Dry mouth

13.

Which of the following symptoms should the nurse instruct the patient to report immediately as potential serious side effects of aspirin therapy? Select all that apply.

a)

Black, tarry stools

b)

Ringing in the ears

c)

Headache

d)

Swelling of the lips or tongue

14.

A nurse is reviewing the medication history of a 5-year-old child who has been treated at home for a fever. The parents report administering aspirin to manage the child's symptoms. Which of the following is the most appropriate nursing action?

a)

Advise the parents to continue aspirin as needed for fever control

b)

Educate the parents about the risk of Reye’s syndrome associated with aspirin use in children

c)

Suggest increasing the aspirin dosage if the fever persists

d)

Recommend alternating aspirin with ibuprofen for better fever management

15.

A nurse is providing discharge instructions to a patient prescribed acetaminophen for pain management. Which statement by the patient indicates a need for further teaching?

a)

"I will avoid drinking alcohol while taking this medication."

b)

"I can take up to 5,000 mg of acetaminophen daily if my pain is severe."

c)

"I will check other over-the-counter medications to ensure they don't contain acetaminophen."

d)

"I will contact my healthcare provider if I notice any yellowing of my skin or eyes."

16.

A nurse is reviewing the medication history of a client who has been prescribed ibuprofen for chronic pain management. Which of the following conditions in the client's history would contraindicate the use of NSAIDs?

a)

Hypertension

b)

History of peptic ulcer disease

c)

Type 2 diabetes mellitus

d)

Seasonal allergic rhinitis

17.

A nurse is providing discharge instructions to a patient who has been prescribed ibuprofen for pain management. Which statement by the patient indicates a need for further teaching?

a)

"I will take ibuprofen with food to minimize stomach upset."

b)

"I will monitor for signs of gastrointestinal bleeding, such as black stools."

c)

"I should avoid taking other medications that contain ibuprofen."

d)

"I can have one glas sof wine with dinner."