Nursing NGN NR EXIT EXAM Questions and Answers 100%CORRECT/VERIFIED RATED A+ GUARANTEED SUCCESS NEW UPDATE 2024 A client receives pancuronium (Pavulon), a long-acting, nondepolarizing neuromuscularblocker, during surgical anesthesia. Which client situation should alert the nurse to evaluate the client for a prolonged muscle relaxation response to this medication? ✓ Renal insufficiency A client is ordered 22 mg of gentamicin by IM injection. The drug is available in 20 mg/2mL. How many mL should be administered? ✓ 2.2 mL - (22 mg/20 mg) × 2 mL = 2.2 mL A client is receiving oral griseofulvin (Grisactin) for a persistent tinea corporis infection.Which response by the client indicates an accurate underst&ing of the drug teaching conducted by the nurse? ✓ "I'll wear sunscreen whenever I mow the lawn." - Photosensitivity is a side effect of griseofulvin (Grisactin), so clients should be cautioned to wear protective sunscreen during sun exposure. The nurse has completed diabetic teaching for a client who has been newly diagnosed with diabetes mellitus. Which statement by this client would indicate to the nurse thatfurther teaching is needed? ✓ "When I exercise, I should plan to increase my insulin dosage." - Exercise helps facilitate the entry of glucose into the cell, so increasing insulin doses with exercise would place the client at high risk for a hypoglycemic reaction. The nurse is evaluating a client's underst&ing of the prescribed antilipemic drug lovastatin (Mevacor). Which client statement indicates that further teaching is needed? ✓ "I will take the medication every day before breakfast." - The enzyme that helps metabolize cholesterol is activated at night, so this medication should be taken with the evening meal. A client with acute lymphocytic leukemia is to begin chemotherapy today. The health care provider's prescription specifies that ondansetron (Zofran) is to be administered IV30 minutes prior to the infusion of cisplatin (Platinol). What is the rationale for administering Zofran prior to the chemotherapy induction? ✓ Reduction or elimination of nausea & vomiting A client who arrives in the postanesthesia care unit (PACU) after surgery is not awakefrom general anesthesia. Which action should the nurse implement first? ✓ Review the medication administration record (MAR). - Most general anesthetics produce cardiovascular & respiratory depression, so a review of the client's MAR identifies all the medications received during surgery & helps the nurseanticipate the client's response & emergence from anesthesia. Which class of antineoplastic chemotherapy agents resembles the essential elements required for DNA & RNA synthesis & inhibits enzymes necessary for cellular function &replication? ✓ Antimetabolites Which response best supports the observations that the nurse identifies in a client who isexperiencing a placebo effect? ✓ Psychological response to inert medication Methylphenidate HCl (Concerta) is prescribed for daily administration to a 10-year-old child with attention deficit-hyperactivity disorder (ADHD). In preparing a teaching planfor the parents of this child newly diagnosed with ADHD, which instruction is most important for the nurse to provide to the
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