The nurse is educating a 13-year-old boy newly diagnosed with diabetes and his parents about diet and glucose monitoring. Which domain of learning is represented when the patient expresses concern about feeling different from his peers?

The nurse has taught a patient’s spouse to administer an injectable medication. After the spouse completed a return demonstration of the injection in the hospital, the nurse does not feel confident that this can be carried out independently at home and requests referral for a home health nurse. The nurse is using which phase of the nursing process?

In preparing for health teaching with a patient who has an auditory learning style, which would be most appropriate?

Which is the most intangible portion of the learning process?

Which would positively affect readiness to learn?

Which represents the psychomotor domain of learning?

Which is an example of ethnocentrism?

What is the most important nursing consideration when teaching an older adult patient about a newly prescribed medication?

The nurse caring for a Spanish-speaking patient uses the assistance of an interpreter to help with preoperative teaching. While implementing the education, the nurse should:

A teaching plan has been developed by the nurse to educate the mother of a preterm infant on prescribed medications. Before initiating this teaching plan, the nurse should:

Which item(s) would be considered characteristic of the cognitive domain level of learning? (Select all that apply.)

The nurse is preparing to instruct a patient and his wife on technique and importance of assessing pulse prior to taking heart medication. Which principle(s) of learning would be appropriate in this situation? (Select all that apply.)

The nurse is writing a teaching plan for a 30-year-old patient who has AIDS. Which objective(s) is/are written in the correct format? (Select all that apply.)

Which action(s) by the nurse can foster patient responsibility for adhering to the therapeutic regimen? (Select all that apply.)

What should the nurse include during discharge in addition to verbal instructions? (Select all that apply.)

Which action(s) would let the nurse know that the patient has mastered a psychomotor skill? (Select all that apply.)

The nurse and patient are participating in cooperative goal setting regarding drug therapy. The nurse is aware that it is imperative to encourage the patient to perform which task(s)? (Select all that apply.)

What is the action of amiodarone (Cordarone), a class III agent used to treat cardiac dysrhythmias?

How many milligrams of lidocaine will the nurse administer via intravenous (IV) bolus to a 30-year-old patient with ventricular tachycardia who weighs 75 kg after a myocardial infarction?

A patient is taking amiodarone (Cordarone) for hypertrophic cardiomyopathy and begins to complain of dizziness. What will the nurse instruct the patient to do?

A patient who is started on phenytoin (Dilantin), who is also taking amiodarone (Cordarone), should be assessed for what possible effect?

Which lidocaine preparation is appropriate for the treatment of cardiac dysrhythmias?

Patients who are on neuromuscular blocking agents and lidocaine must be closely observed for which complication?

Which statement is true regarding the antidysrhythmic agent adenosine (Adenocard)?

Amiodarone is contraindicated for patients with which condition?

The patient recently prescribed quinidine is at highest risk for which common adverse effect?

Which symptom will the nurse encourage the patient taking flecainide to report to the healthcare provider?

A patient is admitted to the acute care telemetry unit with a diagnosis of atrial fibrillation. The physician orders dofetilide (Tikosyn). Before initiating this medication, the nurse will:

A patient is admitted to the telemetry unit with a diagnosis of cardiovascular disease. When performing the initial assessment, the nurse records blood pressure in the left arm of 142/84, blood pressure in the right arm of 138/80, temperature of 98.8°F, and radial pulse of 80 that is weak and irregular. The nurse should notify the physician regarding

The nurse is assessing a patient who was recently admitted to the emergency department with dysrhythmias and shortness of breath. Which baseline nursing assessment(s) should be the priority(ies)? (Select all that apply.)

The nurse is preparing to administer adenosine to a patient with supraventricular tachycardia. Which consideration(s) should the nurse take into account before administration? (Select all that apply.)

The nurse is preparing to mix a lidocaine infusion for a patient. Which consideration(s) should the nurse take into account before administration? (Select all that apply.)

The nurse is preparing to administer procainamide hydrochloride for the first time to a patient newly diagnosed with atrial fibrillation. Before administering this medication, the nurse will assess: (Select all that apply.)

Which drug will be administered to a patient being admitted with severe digoxin intoxication?

The nurse is caring for a 3-year-old girl who has a congenital heart anomaly. The patient’s current medications include digoxin and furosemide (Lasix). The apical pulse rate is 100 beats/min. Which action will the nurse take?

An older adult male patient with long-term heart failure has presented for an office visit. The nurse obtains information that he has recently begun taking St. John’s wort. What results with the use of this herbal supplement?

The nurse is to administer digoxin to an 18-month-old patient who weighs 16.5 lb. Guidelines for administration read as follows: 0.0075 to 0.010 mg/kg/day. Which is a safe medication dosage?

The nurse monitors a patient receiving digoxin closely for toxicity when which other medication is prescribed?

Which is the initial manifestation of digoxin toxicity in children?

Which agents stimulate the heart to increase the force of contractions, thereby increasing cardiac output?

Which drug is used to obtain vasodilation in the treatment of chronic heart failure?

Which action of ACE inhibitors results in effective treatment of heart failure?

The nurse is providing teaching to a patient with heart failure who has been prescribed nifedipine, a calcium channel blocker. Which statement by the nurse is accurate?

Which instruction by the nurse will be included when teaching an adult patient about digoxin (Lanoxin) for management of heart failure?

Which nursing assessment is most important to determine fluid status for a patient with heart failure?

A patient with altered cardiac function is being assessed by the nurse. When auscultating lung sounds, the nurse will assist this patient into a _____ position.

The nurse transcribes a new order for a daily diuretic on a patient diagnosed with congestive heart failure. The nurse will schedule this medication:

The nurse is assessing an emergency department patient who was recently discharged following a myocardial infarction (MI). Which symptom(s) would the nurse observe in this patient with left ventricular systolic failure? (Select all that apply.)

Before administering digoxin (Lanoxin), the nurse takes the adult patient’s apical pulse for 1 full minute. What additional nursing consideration(s) will be taken before administration of the medication? (Select all that apply.)

Which action(s) will the nurse take when caring for a patient with heart failure? (Select all that apply.)

Which contributing factor(s) to heart failure is/are modifiable? (Select all that apply.)

A patient with heart failure has been prescribed nesiritide (Natrecor). Which statement(s) is/are true regarding this medication? (Select all that apply.)

Which statement(s) about vasodilators is/are true? (Select all that apply.)

The nurse is providing education to a patient with altered cardiac function. When instructing this patient the nurse will encourage: (Select all that apply.)

A patient has questions regarding a recently prescribed antitussive agent. Which response by the nurse is the best?

Which is a common expectorant in over-the-counter medications?

What is the reason for administering sodium chloride to a patient with emphysema?

Within minutes of the initiation of a nebulizer treatment with a sympathomimetic bronchodilator, the patient turns on his call light and states that he feels “panicky” and his heart is racing. Which action will the nurse take?

Premedication assessments before the use of anticholinergic bronchodilating agents should verify that the patient has no history of which condition?

A patient is seen in the emergency department. The patient had been maintained on theophylline (Theo Dur), and a blood sample reveals the serum theophylline level is subtherapeutic. Which may cause a subtherapeutic serum level?

What is the action of zafirlukast (Accolate), a leukotriene receptor antagonist?

What is albuterol (Proventil) used to treat?

From where do the fluids of the respiratory tract originate?

What structures in the respiratory tract assist in removing foreign bodies such as smoke and bacteria?

The nurse is providing instruction about ipratropium (Atrovent) to a patient with chronic obstructive pulmonary disease (COPD). Which is a common adverse effect that tends to resolve with therapy?

An adult patient is admitted for an asthma attack. Which assessment obtained by the nurse would support that albuterol (Proventil) was effective?

A child has been diagnosed with asthma and the nurse is providing education to the family. Which statement by the mother indicates a need for further teaching?

The nurse is providing nutrition information to a patient diagnosed with a lower respiratory tract disease. What is the rationale for limiting caffeine?

The nurse is teaching a patient with a history of COPD to self-administer tiotropium (Spiriva) by dry powder inhalation. Which information provided by the nurse is accurate?

The healthcare provider in an outpatient clinic has prescribed omalizumab (Xolair) to a patient. Which primary outcome will the nurse teach the patient to expect?

The nurse is obtaining a history of respiratory symptoms on a patient with the diagnosis of COPD. The patient reports smoking one pack of cigarettes per day for the past 20 years. The nurse calculates the pack years as:

A resident in a long-term care facility diagnosed with COPD has a new medication order for indacaterol. When the nurse is providing education to the resident regarding this medication, information will include that:

Which statement(s) is/are true regarding the nursing assessment of a patient with a respiratory disorder? (Select all that apply.)

What is true about arterial blood gases (ABGs)? (Select all that apply.)

The nurse is completing the admission of an older adult patient with a history of COPD whose diagnosis is pneumonia. Which assessments would be most important to include in obtaining the history? (Select all that apply.)

Which physical assessment(s) would be pertinent to the patient with asthma? (Select all that apply.)

Which principle(s) would be when teaching a patient to use a steroid inhaler? (Select all that apply.)

Which statement(s) about acetylcysteine is/are true? (Select all that apply.)

Which statement(s) about ipratropium bromide (Atrovent) is/are true? (Select all that apply.)

The nurse is preparing to administer two inhalations of ipratropium bromide (Atrovent). When providing this medication, the nurse will instruct the patient to: (Select all that apply.)

A patient received the evening dose of Lispro subcutaneously at 16:30 PM. What time will symptoms of hypoglycemia likely occur?

It is 2:00 PM and a patient who has been NPO since 12:00 AM for a bronchoscopy is complaining of a headache and shakiness and is extremely irritable. Vital signs are within normal limits, and a one touch glucose reads 50 mg/dL. Which action is most important for the nurse to take?

After a blood glucose reading, it is determined that the patient should receive 4 units of Lispro and 8 units of NPH. Which action will the nurse take to administer these medications?

A patient with type 2 diabetes mellitus, which was previously controlled with an oral antidiabetic agent, is hospitalized for treatment of a leg ulcer. The healthcare provider has ordered sliding scale insulin coverage with regular insulin for hyperglycemia. The nurse brings the injection into the room, and the patient becomes upset, stating “I don’t want to start taking that drug! I’ll need it the rest of my life.” What is the nurse’s best response?

What test determines glycemic control over the previous 8 to 10 weeks?

When is the best time for the nurse to administer Lispro?

Which is most important for the successful management of diabetes mellitus?

What laboratory test is the preferred screening test for diabetes in children and nonpregnant adults?

The patient asks the nurse how sulfonylureas normalize glucose levels. Which response by the nurse is correct?

The nurse is instructing a patient about insulin administration. Which statement by the patient indicates a need for further teaching?

Which instruction by the nurse is accurate to include when providing teaching to a patient recently diagnosed with diabetes who has been prescribed insulin?

Which instruction is most important for the nurse to teach a patient with diabetes who is receiving metformin?

The nurse is caring for a patient with a new diagnosis of type 1 diabetes mellitus. When assisting with the plan of care, which goal set by the patient will require revision?

The nurse is administering sulfonylurea drugs to four different patients diagnosed with type 2 diabetes. Which patient should not receive the medication as ordered?

A third subclass of diabetes mellitus includes additional types of diabetes that are part of other diseases having features not generally associated with the diabetic state. Which disorder(s) may have an associated diabetic component? (Select all that apply.)

A 65-year-old man is diagnosed with type 2 diabetes mellitus. Which patient symptom(s) would indicate type 1 diabetes mellitus and not type 2? (Select all that apply.)

Which dietary control measures are used in the management of diabetes mellitus? (Select all that apply.)

Which statement(s) regarding type 2 diabetes mellitus would be correct? (Select all that apply.)

Which statement(s) regarding gestational diabetes would be true? (Select all that apply.)

The nurse is educating a patient with diabetes mellitus regarding urine testing for ketones. Information provided will include that ketone testing should be done: (Select all that apply.)

Which medication is used to treat hyperthyroidism?

A patient with a history of heart failure has been diagnosed with hypothyroidism. The drug interaction with glycosides and thyroid replacement therapy will most likely require which change in therapy?

Which nursing diagnosis may be identified for a patient with hyperthyroidism?

The nurse is providing instruction to a patient recently prescribed a radioactive iodine isotope. Which is the correct action of this medication?

Which patient would be a candidate for radioactive iodine therapy?

Which medication is used in the treatment of hypothyroidism?

A patient with myxedema complains to the nurse that he has a “hangover” the next morning after taking a pain medication at night. Which explanation by the nurse is the most accurate?

Which condition can occur if congenital hypothyroidism is not treated?

What is the mechanism of action of propylthiouracil?

When assisting with the care of a patient with hyperthyroidism, the nurse will:

The nurse transcribes a new order for liothyronine for a patient diagnosed with hypothyroidism. When educating the patient about this medication, the nurse will include that:

Medications ordered on a patient with hypothyroidism include liotrix and cholestyramine. The nurse administers the dose of liotrix at 08:00. When is the best time for the nurse to administer the cholestyramine?

A patient recently completed radiation treatment for throat cancer and presents to the healthcare provider’s office with symptoms indicating possible hypothyroidism. Which symptom(s) would most likely be exhibited and/or reported? (Select all that apply.)

What is characteristic of antithyroid drugs that act on the thyroid gland? (Select all that apply.)

A postoperative total thyroidectomy patient is started on levothyroxine (Synthroid) daily. What information will the nurse include in discharge teaching? (Select all that apply.)

Which clinical manifestation(s) would the nurse assess in a patient with hypothyroidism? (Select all that apply.)

Which clinical symptom(s) would the nurse observe in a patient with thyrotoxicosis? (Select all that apply.)