Try Naxlex NCLEX-RN (Free-Trial)

The nurse is caring for a patient that has seizure disorder.
The nurse notes that the patient has reddened gums that bleed when oral care is given.
The nurse recognizes this finding as:

A sign of poor self-care.

A drug interaction with aspirin.

An adverse effect of the phenytoin.

A symptom of hepatotoxicity.

Answer and Explanation

The Correct Answer is C

Choice A rationale

Poor self-care is not directly associated with reddened, bleeding gums in this context.

Choice B rationale

While aspirin can cause bleeding issues, the context here is related to seizure disorder and phenytoin.

Choice C rationale

Phenytoin, an anticonvulsant used to manage seizures, can cause gingival hyperplasia, leading to reddened and bleeding gums.

Choice D rationale

Hepatotoxicity is related to liver damage and does not present with reddened, bleeding gums.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is B

Explanation

Choice A rationale

Knowing everything necessary for safe drug administration would imply complete knowledge and expertise, which is an unrealistic expectation for any nurse after just one course. Safe drug administration requires continuous learning and staying updated with new guidelines, drug interactions, and patient-specific factors.

Choice B rationale

General drug information includes understanding drug classes, mechanisms of action, and common side effects. Nurses can consult a drug guide for specific information such as dosage, contraindications, and interactions. This approach ensures they can safely and effectively administer medications while remaining adaptable to new drugs and evolving guidelines.

Choice C rationale

Understanding drug actions associated with each classification of medication is crucial, but it is only one aspect of pharmacology. Nurses also need to know about side effects, contraindications, and patient-specific considerations. Comprehensive drug knowledge requires ongoing education and consultation of reliable resources.

Choice D rationale

Current pharmacologic therapy knowledge is essential, but it is not static. Medical and pharmaceutical fields are constantly evolving, with new drugs, research, and guidelines emerging regularly. Nurses must engage in ongoing education to maintain their competence and provide the best care for their patients. .

A. Decreased urinary output. B. Decreased strength of heart muscle contraction. C. Increased heart rate. D. Increased oxygen consumption.

Correct Answer is B

Explanation

Choice A rationale

Beta-adrenergic blockers generally do not decrease urinary output. These drugs primarily act on the cardiovascular system by blocking beta-adrenergic receptors, which results in lowered heart rate and blood pressure. Their effects are less pronounced on the renal system unless specific agents with renal effects are used.

Choice B rationale

Beta-adrenergic blockers decrease the strength of heart muscle contraction (negative inotropic effect). By blocking beta receptors, they inhibit the stimulatory effects of catecholamines on the heart, reducing the force of myocardial contraction, which helps decrease oxygen demand and control angina symptoms.

Choice C rationale

Beta-adrenergic blockers typically decrease heart rate (negative chronotropic effect) rather than increase it. They inhibit beta-adrenergic receptors, which leads to a slower heart rate and can help manage conditions like angina by reducing myocardial oxygen consumption.

Choice D rationale

Beta-adrenergic blockers decrease oxygen consumption by reducing heart rate and the force of contraction. These effects lower myocardial oxygen demand, which is beneficial for patients with angina by preventing episodes triggered by increased oxygen needs.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

The nurse is caring for a patient that has seizure disorder.The nurse notes that the patient has reddened gums that bleed when oral care is given.The nurse recognizes this finding as:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

After completing a course on pharmacology for nurses, what will the nurse know?

Correct Answer is B

Explanation

When the nurse administers a beta-adrenergic blocker to a patient with angina the nurse expects the drugs will help to control angina, but it also has what other effects?

Correct Answer is B

Explanation

A patient who has recently begun taking captopril (Capoten) to treat HTN calls a clinic to report a persistent cough.The nurse will perform which action?

The patient asks the nurse what atorvastatin (Lipitor) newly prescribed will do. What's the expected outcome the nurse will describe?

The nurse admits a patient to the unit and learns the patient has recently been diagnosed with chronic renal failure but has not informed the primary care provider of this diagnosis.What is the nurse’s first priority?

In response to the patient's query about how to know whether drugs are safe, the nurse explains that all medications undergo rigorous scientific testing controlled by what organization?

Anticholinergic drugs are used in Ophthalmology because they produce what effect?

The nurse is performing an assessment on a patient who will begin taking propranolol (Inderol) to treat hypertension.The nurse learns that the patients have a history of asthma and diabetes.The nurse will take which action.

A geriatric patient received a narcotic analgesic before leaving the post-anesthesia care unit to return to the regular unit.What is the priority nursing action for the nurse receiving the patient on the regular unit?

A nurse is assessing the patient's home medication use.After listening to the patient's list of current medications, the nurse asks what priority query?

The nurse is caring for a patient that has seizure disorder.
The nurse notes that the patient has reddened gums that bleed when oral care is given.
The nurse recognizes this finding as: