To begin, I'm new to this site! Every time I google questions related to my nursing studies AllNurses.com seems to always pop up so I figured I would give it a try. I'm currently in my 2nd semester and enrolled in Med-Surg and Pharmacology. The nursing program I'm in is all messed up right now as one of the instructors were forced to resign due to the complaints from former and current students. In addition, the school was scrambling to find a teacher at last minute and the one they found is only 25 years old. She is not only trying to instruct us but also refresh herself. We recently took out first pharmacology test which was 12 chapters long from the Pearson Pharmacology for Nurses: A Pathophysiologic Approach 3rd Edition. Unfortunately, the highest grade was a 65, so the instructor gave us the exact test back to take home for the weekend and redo using any materials and she is going to average the previous test and the take home for a final grade. Okay, my dilemma: this test seems way harder now as a take home test than it did when I took it in class even though it's the same exact test. The questions which were supposed to be strictly from chapters 1-12 are not by any means. Many questions are critical thinking questions and only being in our 2nd semester the majority of my classmates have not developed strong critical thinking skills. I've found almost all of them except 4 (out of 75). I'm not asking for answers but I would like someone to guide me in the correct direction as to how to answer these questions.
(One answer per question)
1. The client is receiving albuterol (Proventil) for treatment of bronchospasm related to asthma. What is the initial nursing intervention as it relates to this medication?
-Monitor the client for nausea & headache
-Provide the client with age-appropriate education about albuterol.
-Monitor the client's serum drug levels.
-Monitor the client for relief of bronchospasms.
2. The client is diagnosed with cancer. The physician has recommended chemotherapy, which would likely save the client's life. The client tells the nurse, "This is punishment from God for sins I have committed; some women at my church say so." What will the best plan of the nurse include? With the client's permission:
-plan to contact the client's minister to discuss the client's perspective about cancer.
-plan to meet with family members to discuss the client's perspective about cancer.
-plan to bring the case before the hospital's board of ethics.
-plan to involve a hospital minister to discuss the client's perspective about cancer.
3. The African-American client has panic attacks, is suicidal, and is on an inpatient psychiatric unit. The psychiatrist orders Zoloft and Klonopin. The client refuses the drugs; he requests to have herbs & African objects in his room to "remove the curse". What is the priority action by the nurse?
-Allow the request without seeking further information from the client.
-Allow the request after the client signs a release of responsibility to avoid litigation.
-Allow the request after all members of the treatment team agree to it.
-Allow the request as long as the herbs and objects do not pose a safety risk for the client or other clients.
4. The nurse was very busy and unfamiliar with a new medication, but administered it anyway. Later the nurse looked up the medication. How does the nurse manager evaluate this behavior?
-this was acceptable as long as the nurse looked up the action & side effects of the drug later
-An error did occur because the nurse could have administered the medication via the incorrect route.
-An error could have occurred because the nurse was unfamiliar with the medication
-The nurse manager was partially at fault because the nursing unit was understaffed & the nurse was too busy.
Like I said earlier, I'm not looking for anyone to give me the answers but I would like help in understanding how to answer these questions. I have a general idea of what the answers should be but I can't find anything in my books about how to address these situations. And I'm scared to answer them the same way I did on the initial test because apparently I didn't get them correct if I failed it the first time. I'm scared I'm either reading into the questions TOO much or NOT enough. HELP ME PLEASE!
