A 75 year old woman has been having difficulty sleeping for several weeks, including difficulty falling asleep and frequent nighttime awakenings. Medical examination rules out an underlying condition contributing to the insomnia, and she is not taking any medications that are associated with disrupted sleep. The patient is retired and spends the day caring for her grandchildren, including driving the older ones to school in the morning. Which of the following would be the most appropriate treatment option for this patient?

Exposure to which of the following medications during during pregnancy requires folic acid supplementation?

A 40 year old presents to the emergency department with flushing, sedations, and confusion. The patient’s vital signs are blood pressure 80/55, respiratory rate 12/minute, and pulse 60/minute and irregular with pupillary constriction, clouded sensorium, and poor coordination. Which medication is the appropriate antidote in this emergency?

A 35 year old man is brought to the emergency room after threatening to kill his 19 year old girlfriend after she told him she was breaking up with him. The patient smells strongly of alcohol. The patient is from a high socioeconomic status and reports many social supports. Which of the following pairs of factors make this patient’s risk of violent behavior higher?

Q4.  A client admitted to the hospital with a diagnosis of appendicitis also has a history of calcium phosphate renal calculi. When planning care for this client, which type of medication does the nurse anticipate based on the client’s history?

Q29.  A nurse is caring for a client with a small bowel obstruction of the ileum. What major concern will the nurse be alert for with this client based on the location of the obstruction?

Q5.  Alan is a 28-year-old construction worker that developed intense right flank pain at the construction site.  Upon presentation at the emergency department (ED), Alan was pale, crying and reporting “excruciating” back pain (near the right flank region).  He states having kidney stones before and this feels the same. The CT scan report of the abdomen and pelvis states there is a renal calculi of 1.4 cm diameter lodged in the right upper ureter. The report also indicates severe hydronephrosis. Select all that apply to the complications related to hydronephosis. 

Q32. The nurse is caring for a first day post-operative client on the medical-surgical unit. In addition to continuing to monitor respiratory status, vital signs, and incisional wound, what is a priority assessment for the nurse?

Q33.  A nurse has a friend who has recently had a routine screening colonoscopy where the physician reported finding the presence of diverticulosis. The friend is concerned and asks the nurse what symptoms should be expected. What is the nurse’s best response?

Q24.  The nurse is caring for a patient the first postoperative day following a laparotomy for a small bowel obstruction. The nurse notices new bright-red drainage about 5 cm in diameter on the dressing. Which action would the nurse take first?