Nursing practice questions with comprehensive rationales
NurseDive Free Nursing Practice Question
A nurse is teaching a client who has a new prescription for aspirin to treat rheumatoid arthritis. The nurse should include to monitor for which of the following adverse effects of this medication?
A. Blurred vision
B. Constipation
C. Bleeding
D. Insomnia
This question is an excerpt from Nurse Dive's nursing test bank - Ati Patho/pharmacology Nur20500 Proctored Exam. Take the full exam now
Full Explanation
Aspirin can cause gastrointestinal irritation and increase the risk bleeding due to its effect on platelet aggregation. While other side effects such as gastrointestinal discomfort, nausea, and heartburn are common, bleeding is a serious side effect that requires close monitoring.
A, B, D It is less likely for aspirin to cause blurred vision, constipation, or insomnia as direct adverse effects. Aspirin has antiplatelet effects which increases risk of bleeding
Similar Questions
A nurse is assessing a client who is experiencing hypervolemia. Which of the following findings should the nurse expect?
A. Oliguria
B. Bradycardia
C. Hypotension
D. peripheral edema
Full Explanation
Rationale- Peripheral edema, which is swelling typically in the arms and legs due to the accumulation of fluid, is a common finding in hypervolemia. This condition can also lead to symptoms such as bloating, rapid weight gain, and high blood pressure due to the increased fluid in the bloodstream. Hypervolemia causes the accumulation of excessive fluid in the tissues leading to edema
A,B,C- Oliguria, bradycardia, and hypotension are not typical findings associated with hypervolemia. Instead, they are features of hypovolemia
A nurse is reviewing the arterial blood gas (ABG) results of a client who the provider suspects has metabolic acidosis. Which of the following results should the nurse expect to see?
A. pH below 7.35
B. Pa02 below 70 mm Hg
C. HC03 above 26
D. PaC02 above 45 mm Hg
Full Explanation
Rationale- metabolic acidosis, a nurse would expect to find an arterial blood gas (ABG) result showing a pH below 7.35, indicating an acidic state. Metabolic acidosis is characterized by a decrease in bicarbonate (HCO₃), so an HCO₃ level above 26 mEq/L would not be typical for this condition. Instead, a value below the normal range (22-26 mEq/L) would be expected. PaCO₂ levels above 45 mm Hg would suggest respiratory acidosis, not metabolic acidosis.
A nurse is providing teaching for a client who is newly diagnosed with type 2 diabetes mellitus and wants to better understand the pathophysiology of diabetes. Which of the following statements is correct?
A. "Lifestyle changes cannot help this diagnosis because it is most likely genetic.'
Type 2 diabetes is multifactorial- both genetic and lifestyle have a role in its development. Individuals with a positive family history for diabetes are more likely to develop the illness. Exposure to sedentary lifestyle increases the risk even more in these individuals.
B. "Your body produces some insulin but not enough to help move glucose into the cells."
C. "Your cells have become resistant to glucose and you will have to change your diet."
This condition is characterized by insulin resistance, where the body's cells do not respond properly to insulin, and by a relative insulin deficiency, where the pancreas does not produce sufficient insulin for the body's needs. Lifestyle changes, such as diet and exercise, can be very effective in managing type 2 diabetes because they can improve the body's sensitivity to insulin and help control blood glucose levels.
D. "Your body does not produce any insulin, so your cells cannot absorb glucose.
describes type 1 diabetes, where the pancreas produces little to no insulin, which is different from type 2 diabetes. In type 2 diabetes the body produce insulin but is either inadequate or there is increased tissues resistance to insulin
Full Explanation
A- Type 2 diabetes is multifactorial- both genetic and lifestyle have a role in its development. Individuals with a positive family history for diabetes are more likely to develop the illness. Exposure to sedentary lifestyle increases the risk even more in these individuals.
This condition is characterized by insulin resistance, where the body's cells do not respond properly to insulin, and by a relative insulin deficiency, where the pancreas does not produce sufficient insulin for the body's needs. Lifestyle changes, such as diet and exercise, can be very effective in managing type 2 diabetes because they can improve the body's sensitivity to insulin and help control blood glucose levels.
Describes type 1 diabetes, where the pancreas produces little to no insulin, which is different from type 2 diabetes. In type 2 diabetes the body produce insulin but is either inadequate or there is increased tissues resistance to insulin