A nurse is caring for an older adult patient durin

Question 1 of 5

A nurse is caring for an older adult patient during the immediate postoperative period after a total hip replacement. The surgeon has ordered meperidine [Demerol] for severe pain. What will the nurse do?

A. Administer the medication as prescribed and initiate a fall risk protocol B. Ask for a PRN order for diphenhydramine [Benadryl] for the expected side effect of itching C. Request an order for morphine instead of meperidine [Demerol] D. Suggest to the surgeon that the patient receive diazepam [Valium] to reduce anxiety and the need for narcotics

Correct Answer: C

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 2 of 5

A woman has been taking a progestin-only oral contraceptive and will begin using a vaginal ring. The nurse will teach the patient to insert the ring:

A. the day the last pill is taken and use backup contraception for 7 days. B. 1 week before taking the last pill. C. 1 to 5 days after taking the last pill and use backup contraception for 2 days. D. within 7 days after taking the last pill.

Correct Answer: A

Rationale: When transitioning from a progestin-only pill to a vaginal ring, inserting the ring on the last pill day ensures continuous contraception, but backup contraception is needed for 7 days due to the ring’s gradual hormone release. Other timings (B, C, D) risk gaps or overlap, making option A the correct instruction.

Question 3 of 5

A patient with asthma uses albuterol (Ventolin) for wheezing. The nurse assesses the patient and notes vital signs of HR, 96 beats per minute; RR, 18 breaths per minute; and BP, 116/78 mm Hg. The patient has clear breath sounds and hand tremors. What will the nurse do?

A. Ask the patient how often the inhaler is used B. Check the patient's blood glucose level C. Request an order for isoproterenol (Isuprel) to reduce side effects D. Stop the medication and report the tremors to the provider

Correct Answer: A

Rationale: Tremors are an expected side effect of albuterol due to beta2 stimulation, and tachycardia (HR 96) can occur with high doses losing selectivity for beta1 receptors. Asking about usage frequency (A) assesses overuse. Glucose checks (B) are irrelevant, isoproterenol (C) has more side effects, and stopping the drug (D) isn’t warranted.

Question 4 of 5

When teaching a patient about beta-blockers such as atenolol (Tenormin) and metoprolol (Lopressor), it is important to inform the patient that

A. these medications may be taken with antacids to minimize gastrointestinal distress B. hot baths and showers will help enhance the therapeutic effects and are encouraged C. alcohol intake is encouraged for its vasodilating effects D. abrupt medication withdrawal may lead to a rebound hypertensive crisis

Correct Answer: D

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 5 of 5

Superinfections are an adverse effect common to all antibiotic therapy. Which of the following best describes a superinfection?

A. an initial infection so strong that it requires multiple antimicrobial drugs to treat successfully B. bacterial resistance that creates infections that are difficult to treat and that are often resistant to multiple drugs C. infections requiring high-dose antimicrobial therapy with increased chance of organ toxicity D. the overgrowth of normal body flora or of opportunistic organisms such as viruses and yeast no longer held in check by normal, beneficial flora

Correct Answer: D

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

A nurse is caring for an older adult patient during the immediate postoperative period after a total hip replacement. The surgeon has ordered meperidine [Demerol] for severe pain. What will the nurse do?

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