The nurse is managing care for a client on the medical unit.

Exhibits

The health care provider prescribes testosterone (Depo-testosterone) via the intramuscular (IM) route for this client to treat hypogonadism. Which of the following sites should the nurse administer this medication? Drag and drop the word from the choices below to best answer the question.

Appropriate site to administer this medication:

Lower left

abdominal area

Deltoid muscle

Under the tong

Answer and Explanation

The Correct Answer is C

A.   Lower left: The lower left is not a recommended site for intramuscular injections.
B.   Abdominal area: The abdomen is typically used for subcutaneous injections, not intramuscular.
C.   Deltoid muscle: The deltoid muscle is a common site for intramuscular injections, especially for smaller volumes.
D.   Under the tongue: The sublingual route is used for certain medications but is not appropriate for intramuscular injections.

Nursing Test Bank

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Free Nursing Study Resources

Correct Answer is ["A","B"]

Explanation

A. BUN is a waste product of protein metabolism that is excreted by the kidneys. Elevated BUN levels can indicate impaired kidney function or kidney dysfunction. Since kidney dysfunction can affect the elimination of waste products, monitoring BUN is essential to assess the kidney's ability to filter and excrete waste.
B. Creatinine is a waste product of muscle metabolism that is filtered out by the kidneys. It is one of the most reliable indicators of kidney function. When kidney function is impaired, creatinine levels rise in the blood because the kidneys are unable to excrete it efficiently.
C. Lipid panel: This is unrelated to the metabolism of medications.
D. Blood glucose: Blood glucose levels are important for diabetes management but are not directly impacted by kidney dysfunction in relation to medication response.

A. Celecoxib Celebrex B. Morphine sulfate (Astramorph) C. Metformin (Glucophage) D. Ibuprofen (Motrin)

Correct Answer is D

Explanation

Rationale
A. Celecoxib is a second-generation NSAID that specifically inhibits COX-2 enzymes and is less likely to cause gastrointestinal side effects compared to first-generation NSAIDs.
B. Morphine sulfate is an opioid analgesic and does not have NSAID properties. It works by binding to opioid receptors to relieve pain.
C. Metformin is an oral medication used to manage blood glucose in type 2 diabetes and is not an NSAID.
D. Ibuprofen is a first-generation NSAID that inhibits both COX-1 and COX-2 enzymes, reducing pain, inflammation, and fever.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a patient with kidney dysfunction. The nurse understands that kidney dysfunction can lead to an increase in the duration and intensity of a medication's response. Which lab tests should the nurse monitor? Select all that apply

Correct Answer is ["A","B"]

Explanation

The nurse is providing an in-service on non-steroidal anti-inflammatory drugs (NSAIDs). Which of the following medications is a first-generation NSAID that inhibits both COX-1 and COX-2 enzymes?

Correct Answer is D

Explanation

You are caring for a new client that got admitted to the unit for abdominal pain. The client takes levothyroxine (Synthroid) at home. The nurse understands that the client is taking levothyroxine (Synthroid) to treat which of the following conditions?

A nurse is providing an in-service for hydrochlorothiazide (Hydro Diuril). Which of the following statements are TRUE regarding hydrochlorothiazide? (Select All That Apply).

A nurse is caring for a client who has a low thyroid stimulating hormone (TSH) level and elevated thyroxine (T4) and triiodothyronine (13) levels. Which of the following medications should the nurse anticipate to treat Graves' disease?

The nurse is educating a client about taking a tetracycline along with an antacid. The nurse explains to the client not to take these two medications because the antacid can reduce the absorption of the tetracycline. When one drug reduces the effect of another, it is:

A nurse is teaching diabetic clients about the use of insulin. For which of the following types of insulin should the nurse tell the clients to expect an onset of 15 to 30 minutes?

A nurse is providing an in-service on the complications of overdosing on morphine, such as the opioid toxicity triad. Which of the following signs and symptoms should the nurse include in her in-service about opioid toxicity triad?

The nurse is providing an in-service on mucosal protectants. What medication protects the ulcer from further injury from acid and pepsin and is a viscous substance that can stick to the ulcer for up to 6 hours?

A nurse is preparing an in-service about potassium-wasting diuretics. Which of the following medications is a diuretic has a complication of hypokalemia?