Adult Nursing — SNLE practice questions

Question 1

A 62-year-old patient with type 2 diabetes presents with a serum glucose of 640 mg/dL, serum osmolality of 330 mOsm/kg, pH 7.36, and negative serum ketones. Which nursing intervention should the nurse anticipate as the initial priority?

Accepted Answer

Begin isotonic intravenous fluid resuscitation

Answer

Administer intravenous sodium bicarbonate

Answer

Administer a subcutaneous rapid-acting insulin sliding scale dose

Answer

Restrict oral fluids and monitor hourly blood glucose only

Question 2

A patient is admitted with an acute exacerbation of chronic obstructive pulmonary disease. Arterial blood gas on room air shows pH 7.31, PaCO2 62 mmHg, HCO3 30 mEq/L, PaO2 52 mmHg. Which oxygen therapy approach is most appropriate?

Accepted Answer

Titrate controlled oxygen to a target saturation of 88 to 92 percent

Answer

Withhold oxygen to avoid suppressing the hypoxic respiratory drive

Answer

Apply a non-rebreather mask at 15 L/min

Answer

Target an oxygen saturation of 98 to 100 percent with a simple face mask

Question 3

Two days after a total thyroidectomy, a patient reports tingling around the mouth and in the fingertips. On assessment, carpal spasm occurs when the blood pressure cuff is inflated. Which action should the nurse take first?

Accepted Answer

Notify the physician and prepare to administer intravenous calcium gluconate

Answer

Reassure the patient that paresthesia is an expected postoperative finding

Answer

Encourage deep breathing into a paper bag to correct respiratory alkalosis

Answer

Administer the scheduled levothyroxine dose several hours early

Question 4

A patient tells the nurse, "I have been thinking that everyone would be better off without me. I have my father's pistol at home." What is the nurse's most appropriate response?

Accepted Answer

"Are you thinking about killing yourself, and do you have a plan?"

Answer

"You have so much to live for — think about how your family would feel."

Answer

"Let's talk about something more positive to take your mind off this."

Answer

"I will keep this between us so you feel safe talking to me."

Question 5

A patient experiencing a panic attack is hyperventilating, trembling, and says "I am going to die." Which nursing intervention is most appropriate?

Accepted Answer

Stay with the patient and use short, simple directions in a calm voice

Answer

Leave the patient alone in a quiet room until the symptoms subside

Answer

Explain in detail the physiology of the fight-or-flight response

Answer

Encourage the patient to explore childhood causes of the anxiety now

Question 6

A nurse finds an unresponsive adult in a hospital corridor with no normal breathing and no pulse after a 10-second check. A colleague has activated the emergency response and is bringing the defibrillator. What should the nurse do next?

Accepted Answer

Begin chest compressions at 100 to 120 per minute with full recoil

Answer

Open the airway and give two rescue breaths before compressions

Answer

Wait for the defibrillator to arrive before starting compressions

Answer

Insert an oropharyngeal airway and ventilate before compressions

Question 7

A mechanically ventilated patient suddenly becomes agitated with SpO2 falling to 82%, absent breath sounds on the right, tracheal deviation to the left, distended neck veins, and blood pressure 78/40 mmHg. What should the nurse anticipate?

Accepted Answer

Immediate needle decompression of the right chest followed by chest tube insertion

Answer

Obtaining a portable chest radiograph before any intervention

Answer

Increasing the positive end-expiratory pressure to improve oxygenation

Answer

Administering a fluid bolus and a sedative for ventilator dyssynchrony

Question 8

A community health nurse organizes a program that screens adults over 40 for hypertension and elevated blood glucose at a local mosque. This activity is best classified as which level of prevention?

Accepted Answer

Secondary prevention

Answer

Primary prevention

Answer

Tertiary prevention

Answer

Quaternary prevention

Question 9

During an outbreak investigation of foodborne illness at a community event, the nurse calculates that 45 of 150 people who ate the rice dish became ill, while 5 of 100 who did not eat it became ill. Which epidemiological conclusion is best supported?

Accepted Answer

The exposed attack rate of 30 percent far exceeds the unexposed rate of 5 percent

Answer

The attack rate among those who ate the rice dish is 45 percent

Answer

The data prove that the rice dish caused the illness in this outbreak

Answer

Because some unexposed people became ill, the rice can be excluded as a source

Question 10

A community nurse is conducting a home visit for an older adult living alone who has had two recent falls. Which intervention should the nurse prioritize?

Accepted Answer

Remove loose rugs and clutter, improve lighting, and install grab bars in the bathroom

Answer

Recommend the patient limit walking within the home to reduce fall opportunities

Answer

Advise the patient to wear loose slippers indoors for comfort

Answer

Provide a written fall-prevention leaflet and plan to review it at the next visit in three months

Question 11

A 28-year-old patient with schizophrenia has been taking haloperidol for 3 weeks. The patient develops a temperature of 39.8°C, severe muscle rigidity, confusion, and labile blood pressure. The nurse suspects which condition?

Accepted Answer

Neuroleptic malignant syndrome

Answer

Serotonin syndrome

Answer

Malignant hyperthermia

Answer

Extrapyramidal side effects

Question 12

A 68-year-old male with a history of chronic obstructive pulmonary disease (COPD) is admitted with increasing shortness of breath and confusion. He is on 2 L/min oxygen via nasal cannula. Arterial blood gas (ABG) results are: pH 7.32, PaCO2 60 mm Hg, HCO3- 30 mEq/L, PaO2 68 mm Hg. Which of the following best describes the acid-base disturbance?

Accepted Answer

Partially compensated respiratory acidosis

Answer

Uncompensated respiratory acidosis

Answer

Fully compensated respiratory acidosis

Answer

Metabolic alkalosis with respiratory compensation

Question 13

A community health nurse is planning a program to reduce the incidence of type 2 diabetes in a neighborhood with high rates of obesity. The nurse decides to implement free community exercise classes and nutrition education workshops. Which level of prevention is the nurse primarily implementing?

Accepted Answer

Primary prevention

Answer

Secondary prevention

Answer

Tertiary prevention

Answer

Quaternary prevention

Question 14

A 28-year-old male with schizophrenia has been taking haloperidol 10 mg daily for two weeks. He presents to the clinic with a temperature of 40°C (104°F), severe muscle rigidity, altered consciousness, and autonomic instability. Which action should the nurse take first?

Accepted Answer

Activate emergency medical services and discontinue haloperidol.

Answer

Administer benztropine as prescribed to reduce muscle rigidity.

Answer

Encourage increased fluid intake to prevent dehydration from hyperthermia.

Answer

Reassure the patient that these are common side effects that will subside.

Question 15

A nurse is caring for a patient with schizophrenia who appears to be listening and responding to internal stimuli. The patient is smiling and nodding. What is the nurse's best initial action?

Accepted Answer

Ask the patient, 'What are you hearing right now?'

Answer

Tell the patient that the voices are not real and should be ignored.

Answer

Ignore the behavior to avoid reinforcing the hallucinations.

Answer

Redirect the patient to a structured group activity.

Question 16

A nurse in the intensive care unit responds to a cardiac monitor alarm. The patient is unresponsive, apneic, and pulseless. The monitor displays a chaotic, irregular waveform with no discernible QRS complexes. A defibrillator is immediately available at the bedside. What is the priority action?

Accepted Answer

Deliver an unsynchronized shock using the defibrillator.

Answer

Initiate high-quality cardiopulmonary resuscitation (CPR) for 2 minutes.

Answer

Administer amiodarone 300 mg intravenously.

Answer

Perform synchronized cardioversion at 100 joules.

Question 17

A 58-year-old male presents to the emergency department with crushing substernal chest pain radiating to his left arm, diaphoresis, and nausea. An ECG reveals ST-segment elevation in leads II, III, and aVF. Vital signs are: blood pressure 88/56 mmHg, heart rate 112 bpm, respiratory rate 22 breaths/min, and SpO2 94% on room air. Which intervention should the nurse prioritize?

Accepted Answer

Initiate IV access and administer a fluid bolus as prescribed.

Answer

Administer sublingual nitroglycerin 0.4 mg as prescribed.

Answer

Start a norepinephrine infusion to support blood pressure.

Answer

Prepare the patient for immediate percutaneous coronary intervention.

Question 18

A community health nurse is investigating a suspected foodborne outbreak following a neighborhood potluck dinner. Of the 80 attendees, 50 ate the chicken salad and 30 did not. Among those who ate the chicken salad, 20 developed nausea and diarrhea. Among those who did not eat the chicken salad, 4 developed similar symptoms. What is the attack rate among those who ate the chicken salad?

Accepted Answer

40%

Answer

25%

Answer

13%

Answer

30%

Question 19

A mother brings her 2-month-old infant to the community health center for a well-child visit. The infant is healthy and received the hepatitis B vaccine at birth. According to the Saudi National Immunization Schedule, which set of vaccines should the nurse administer at this visit?

Accepted Answer

DTaP, Hib, IPV, PCV, rotavirus, and HepB

Answer

DTaP, Hib, IPV, PCV, rotavirus, and MMR

Answer

DTaP, Hib, IPV, PCV, HepB, and varicella

Answer

DTaP, Hib, IPV, rotavirus, HepB, and MMR

Question 20

A 35-year-old male is brought to the emergency department after a motor vehicle collision. He is alert but anxious. Vital signs: heart rate 110 bpm, blood pressure 90/60 mmHg, respiratory rate 24 breaths/min, temperature 36.5°C (97.7°F). The nurse suspects hypovolemic shock. Which assessment finding would best indicate inadequate tissue perfusion?

Accepted Answer

Cool, pale skin

Answer

Increased urine output

Answer

Bounding peripheral pulses

Answer

Warm, flushed skin

Question 21

A nurse is caring for a patient who had a chest tube inserted 2 hours ago for a spontaneous pneumothorax. The drainage system is a wet suction system with the suction control chamber set to 20 cm H2O, and the wall suction is adjusted to produce gentle continuous bubbling in that chamber. Which assessment finding indicates an air leak?

Accepted Answer

Continuous bubbling in the water seal chamber

Answer

Continuous gentle bubbling in the suction control chamber

Answer

Fluid fluctuation in the water seal chamber with respirations

Answer

Serosanguineous drainage in the collection chamber

Question 22

A 65-year-old male patient is 12 hours post-operative following a laparoscopic cholecystectomy. He has a history of hypertension and obesity. He is alert and oriented, and his vital signs are stable. He has sequential compression devices (SCDs) in place and has been performing ankle pumps as instructed. The nurse notes that he has not yet ambulated and is reluctant to move due to incisional pain. Which of the following nursing actions is the priority to prevent venous thromboembolism?

Accepted Answer

Assist the patient to ambulate in the hallway after ensuring adequate pain control.

Answer

Administer prescribed opioid analgesic and encourage deep breathing exercises.

Answer

Ensure the sequential compression devices are properly fitted and functioning.

Answer

Instruct the patient to continue ankle pumps and leg exercises every hour while awake.

Question 23

A nurse is caring for a patient diagnosed with schizophrenia who is pacing and muttering. The patient suddenly stops and says, "The voices are telling me to do bad things." Which action should the nurse take first?

Accepted Answer

Ask the patient what the voices are saying and if they plan to follow the commands.

Answer

Ask the patient to describe the voices' tone, gender, and other characteristics.

Answer

Reassure the patient that the voices are not real and will go away with treatment.

Answer

Administer the prescribed PRN antipsychotic medication immediately.

Question 24

A 45-year-old patient with major depressive disorder has been on a selective serotonin reuptake inhibitor for 2 weeks. The patient, who was previously withdrawn and lethargic, now appears calm and is giving away personal belongings to other patients. Which action should the nurse take first?

Accepted Answer

Ask the patient directly about any thoughts of self-harm or suicide.

Answer

Document the behavior as a sign of improved mood and increased socialization.

Answer

Encourage the patient to participate in group activities to build social connections.

Answer

Notify the patient's family that the patient is showing signs of recovery.

Question 25

A 28-year-old male with a known diagnosis of schizophrenia is admitted to the psychiatric unit. During the initial assessment, the nurse observes that the patient appears to be responding to internal stimuli, occasionally tilting his head and mumbling to himself. He states, "The voices keep telling me I am in danger." The patient also demonstrates a restricted range of emotional expression, has not initiated any activities since admission, and has been observed avoiding interactions with others. Which of the following findings is a positive symptom of schizophrenia?

Accepted Answer

Auditory hallucinations

Answer

Restricted range of emotional expression

Answer

Lack of initiative in activities

Answer

Avoidance of social interactions

Question 26

A 35-year-old patient is in the post-anesthesia care unit following an appendectomy under general anesthesia. The patient suddenly develops muscle rigidity, a heart rate of 130 beats/min, and a temperature of 39.2°C (102.5°F). Which action should the nurse take first?

Accepted Answer

Administer dantrolene as prescribed.

Answer

Administer acetaminophen as prescribed.

Answer

Apply a cooling blanket to reduce the temperature.

Answer

Notify the surgeon immediately.

Question 27

A 55-year-old patient with severe community-acquired pneumonia is intubated for hypoxemic respiratory failure. Chest X-ray reveals diffuse bilateral infiltrates, and the PaO2/FiO2 ratio is 180. The patient is sedated and paralyzed. Which ventilator setting is most appropriate to minimize ventilator-induced lung injury?

Accepted Answer

Tidal volume 6 mL/kg predicted body weight

Answer

Tidal volume 12 mL/kg ideal body weight

Answer

Positive end-expiratory pressure (PEEP) of 5 cm H2O

Answer

FiO2 of 1.0 without positive end-expiratory pressure

Question 28

A 55-year-old patient with type 2 diabetes mellitus is admitted with acute abdominal pain. The healthcare provider orders a CT scan with intravenous contrast. The patient's current medications include metformin 1000 mg twice daily. Baseline laboratory results show serum creatinine 0.9 mg/dL (eGFR >60 mL/min/1.73 m²) and no history of acute kidney injury. Which action should the nurse take regarding the metformin?

Accepted Answer

Administer the metformin as scheduled before the scan.

Answer

Hold the metformin before the scan and for 48 hours after the procedure.

Answer

Administer metformin with a high-carbohydrate meal just before the scan.

Answer

Hold metformin only if the patient's blood glucose is below 70 mg/dL.

Question 29

A patient in the intensive care unit is receiving a continuous infusion of norepinephrine via a peripheral intravenous line for septic shock. The nurse notes swelling, coolness, and blanching at the insertion site. What is the priority nursing action?

Accepted Answer

Stop the infusion and notify the healthcare provider immediately.

Answer

Apply a warm compress and elevate the extremity.

Answer

Reduce the infusion rate and notify the healthcare provider.

Answer

Discontinue the peripheral IV and prepare for central line insertion.

Question 30

A 42-year-old patient with bipolar disorder has been taking lithium carbonate 600 mg three times daily for six months. The patient reports persistent nausea, vomiting, and diarrhea for the past two days, along with a new coarse tremor in the hands. The patient appears ataxic when walking to the bathroom. Which action should the nurse take first?

Accepted Answer

Hold the lithium and notify the healthcare provider immediately.

Answer

Administer the scheduled dose of lithium with a small amount of food.

Answer

Encourage increased oral fluid intake and reassess in one hour.

Answer

Administer the prescribed antiemetic and document the symptoms.

Question 31

A community health nurse is the first responder at the scene of a building collapse. Using the START triage system, which of the following victims should the nurse tag as immediate (red)?

Accepted Answer

A victim who is not ambulatory, has a respiratory rate of 36/min, and capillary refill less than 2 seconds.

Answer

A victim who is unresponsive, not breathing after airway repositioning, and is not ambulatory.

Answer

A victim who is alert, able to walk, and has a fractured forearm with capillary refill of 2 seconds.

Answer

A victim who follows commands, has a respiratory rate of 22/min, and capillary refill less than 2 seconds, but cannot walk.

Question 32

A nurse is caring for a client who is 4 days post-operative following an exploratory laparotomy. The client reports a sudden 'popping' sensation at the incision site. Upon inspection, the nurse notes a small amount of serosanguineous drainage and a visible loop of bowel protruding through the wound. Which action should the nurse take first?

Accepted Answer

Cover the wound with sterile saline-soaked gauze.

Answer

Apply a sterile abdominal binder to support the wound.

Answer

Place the client in a high Fowler's position.

Answer

Notify the surgeon immediately.

Question 33

A 52-year-old male with a history of alcohol use disorder presents to the emergency department with severe epigastric pain radiating to the back, nausea, and vomiting for 12 hours. Vital signs: heart rate 112 bpm, blood pressure 90/60 mm Hg, respiratory rate 22/min, temperature 38.2°C. Laboratory results show serum lipase 850 U/L (normal <160 U/L). What is the priority nursing intervention?

Accepted Answer

Initiate intravenous fluid resuscitation

Answer

Administer intravenous hydromorphone for pain relief

Answer

Insert a nasogastric tube for gastric decompression

Answer

Initiate total parenteral nutrition

Question 34

A 65-year-old patient with stage 4 chronic kidney disease is admitted with generalized weakness and palpitations. The nurse notes tall, peaked T waves on the cardiac monitor. Serum potassium level is 6.8 mEq/L. A patent intravenous line is in place. Which action should the nurse take first?

Accepted Answer

Administer intravenous calcium gluconate.

Answer

Administer intravenous regular insulin and dextrose.

Answer

Administer oral sodium zirconium cyclosilicate.

Answer

Prepare the patient for emergency hemodialysis.

Question 35

A 28-year-old patient is admitted to the ICU after a severe traumatic brain injury from a motor vehicle collision. Cervical spine injury has been ruled out. The patient is intubated, sedated, and has an intracranial pressure (ICP) monitor in place. The current ICP reading is 26 mmHg. Which action should the nurse take first?

Accepted Answer

Elevate the head of the bed to 30 degrees and keep the head midline.

Answer

Administer mannitol 0.5 g/kg IV as prescribed.

Answer

Hyperventilate the patient to achieve a PaCO2 of 25–30 mmHg.

Answer

Notify the healthcare provider immediately.

Question 36

A community health nurse is teaching a 68-year-old patient with chronic venous insufficiency about measures to prevent venous leg ulcers. Which of the following instructions should the nurse include?

Accepted Answer

Elevate the legs above the level of the heart when lying down.

Answer

Apply a heating pad to the lower legs for 20 minutes twice daily.

Answer

Wear compression stockings only during the night while sleeping.

Answer

Restrict daily fluid intake to 1,000 mL to minimize swelling.

Question 37

A 32-year-old patient with schizophrenia has been stable on clozapine for 6 months. The nurse reviews the most recent complete blood count results: white blood cell count 2,500/mm³ and absolute neutrophil count 1,200/mm³. Which action should the nurse take first?

Accepted Answer

Administer the scheduled dose and increase ANC monitoring to at least weekly.

Answer

Hold the clozapine and notify the healthcare provider immediately.

Answer

Administer the scheduled dose and repeat the complete blood count in 24 hours.

Answer

Hold the clozapine and schedule a repeat complete blood count in one week.

Question 38

A community health nurse is conducting a home visit for a patient with active pulmonary tuberculosis who started directly observed therapy 3 weeks ago. The patient is clinically improving but sputum smears remain positive. The patient lives with his wife and two young children. The nurse has already initiated contact investigation for the family. Which instruction should the nurse emphasize to the family to prevent further transmission of tuberculosis?

Accepted Answer

Ensure the patient wears a surgical mask when in shared spaces with family members.

Answer

All family members should wear N95 respirators when in the same room as the patient.

Answer

The children should be tested for tuberculosis infection immediately.

Answer

All household surfaces should be disinfected with a bleach solution daily.

Question 39

A 58-year-old patient with a history of alcoholic cirrhosis is admitted with increasing confusion and lethargy over the past 24 hours. The nurse notes flapping tremors of the hands when the patient extends the arms. Serum ammonia level is 110 µmol/L (normal: 11–35 µmol/L). Which of the following is the priority nursing action?

Accepted Answer

Administer the prescribed lactulose

Answer

Restrict dietary protein to 20 g/day

Answer

Initiate a fluid restriction of 1.5 L/day

Answer

Administer neomycin as prescribed

Question 40

A 55-year-old patient is 8 hours post-abdominal surgery. The patient reports suprapubic discomfort and has not voided since the indwelling catheter was removed 6 hours ago. The nurse palpates a distended bladder. Which action should the nurse take first?

Accepted Answer

Perform a bladder scan to assess urine volume.

Answer

Insert an indwelling urinary catheter.

Answer

Encourage the patient to increase oral fluid intake.

Answer

Administer the prescribed analgesic for discomfort.

Question 41

A nurse is caring for a patient who is 2 days post–coronary artery bypass graft surgery. The patient suddenly develops hypotension, tachycardia, and distended neck veins. The nurse suspects cardiac tamponade. Which additional assessment finding would support this suspicion?

Accepted Answer

Pulsus paradoxus greater than 10 mm Hg

Answer

Widened pulse pressure

Answer

Tracheal deviation to the unaffected side

Answer

Kussmaul respirations

Question 42

A home health nurse is visiting a 70-year-old client with type 2 diabetes mellitus and peripheral neuropathy. The client lives alone and has limited mobility. The nurse is providing education on foot care to prevent injury. Which instruction should the nurse emphasize as the most important?

Accepted Answer

Inspect feet daily for cuts, blisters, and redness.

Answer

Soak feet daily in warm water to improve circulation.

Answer

Apply a heating pad to feet at night to keep them warm.

Answer

Use over-the-counter corn removers for calluses.

Question 43

A community health nurse visits an 82-year-old client with type 2 diabetes and peripheral neuropathy. The nurse evaluates the client's foot care practices. Which client statement indicates a need for further teaching?

Accepted Answer

"I soak my feet in warm water for 30 minutes every evening to keep the skin soft."

Answer

"I check the inside of my shoes for pebbles before putting them on."

Answer

"I use a mirror to inspect the bottoms of my feet every day."

Answer

"I wear cotton socks and well-fitting shoes even when I am at home."

Question 44

A nurse in the intensive care unit is caring for a patient who has been receiving unfractionated heparin for 5 days following a pulmonary embolism. The patient's platelet count has dropped from 250,000/mm³ to 80,000/mm³. The patient has no signs of active bleeding. Which action should the nurse take first?

Accepted Answer

Discontinue the heparin infusion and notify the healthcare provider.

Answer

Administer a platelet transfusion as prescribed.

Answer

Obtain a stat D-dimer level to confirm the diagnosis.

Answer

Switch the infusion to low-molecular-weight heparin.

Question 45

A community health nurse is visiting a 68-year-old patient with moderate chronic obstructive pulmonary disease (COPD). The patient reports feeling increasingly short of breath after walking to the mailbox. Which instruction should the nurse provide to help manage dyspnea during daily activities?

Accepted Answer

Use pursed-lip breathing, especially during exhalation.

Answer

Inhale quickly through the mouth and exhale slowly through the nose.

Answer

Avoid all physical activity that causes shortness of breath.

Answer

Lie down flat as soon as you feel breathless.

Question 46

A community health nurse is visiting a 65-year-old patient who was discharged home 3 days ago after a sigmoid colostomy for colon cancer. The patient is independent in activities of daily living. Which instruction should the nurse emphasize to prevent complications?

Accepted Answer

Assess the stoma color and report if it becomes dusky or black.

Answer

Irrigate the colostomy daily to regulate bowel movements.

Answer

Avoid foods that cause gas and odor to reduce pouch leakage.

Answer

Change the pouching system every 24 hours to maintain skin integrity.

Question 47

A 45-year-old patient with schizophrenia has been taking haloperidol for two years. During a routine clinic visit, the nurse observes involuntary, repetitive lip smacking and tongue protrusion. The patient is unaware of these movements. Which action should the nurse take first?

Accepted Answer

Assess the movements using the AIMS and notify the healthcare provider.

Answer

Administer the prescribed as-needed benztropine injection.

Answer

Reassure the patient that these movements are temporary and will resolve.

Answer

Hold the haloperidol immediately and monitor for withdrawal symptoms.

Question 48

A 35-year-old man presents to the emergency department with sharp, pleuritic chest pain that worsens when he lies flat and improves when he sits forward. He reports a recent upper respiratory infection. Vital signs are stable. ECG shows diffuse ST-segment elevation. Which medication does the nurse anticipate administering first?

Accepted Answer

Ibuprofen 600 mg orally

Answer

Aspirin 325 mg chewed

Answer

Nitroglycerin sublingual

Answer

Morphine sulfate IV

Question 49

A 25-year-old patient with a history of asthma presents to the emergency department with severe dyspnea, audible wheezing, and use of accessory muscles. Oxygen saturation is 91% on room air. The nurse applies oxygen via a non-rebreather mask. Which of the following should the nurse do next?

Accepted Answer

Administer inhaled albuterol

Answer

Administer inhaled fluticasone

Answer

Administer intravenous methylprednisolone

Answer

Obtain a portable chest x-ray

Question 50

A 55-year-old male with a history of gout and peptic ulcer disease presents to the clinic with sudden onset of severe pain, erythema, and swelling in his right great toe that began last night. He rates the pain as 9/10. He is currently taking allopurinol 300 mg daily. Which medication should the nurse anticipate administering for this acute episode?

Accepted Answer

Colchicine

Answer

Allopurinol

Answer

Indomethacin

Answer

Febuxostat

Question 51

A 28-year-old patient with major depressive disorder has been taking fluoxetine 40 mg daily for 6 months. Two days ago, the patient was prescribed tramadol for acute back pain. The patient now presents to the clinic with agitation, diaphoresis, hyperreflexia, and a temperature of 38.2°C (100.8°F). The nurse suspects serotonin syndrome. Which action should the nurse take first?

Accepted Answer

Withhold the fluoxetine and tramadol doses.

Answer

Administer PRN lorazepam for agitation.

Answer

Apply cooling blankets for hyperthermia.

Answer

Encourage oral fluids and a quiet room.