The family member of a patient admitted with acute cholecystitis and an elevated bilirubin asks the nurse, “She doesn’t have a liver problem — why does she keep scratching herself?” Which response by the nurse best explains the relationship?  

A patient with cirrhosis and portal hypertension has been taking metoprolol for hypertension. His provider discontinues the metoprolol and prescribes propranolol. The patient asks the nurse, “I don’t understand — I was already on a beta blocker. Why do I need a different one?” Which response by the nurse best explains the reason for the medication change?  

A nurse is preparing to administer the Hepatitis B vaccine when the patient makes several statements. Which statement requires the nurse to hold the vaccine and notify the provider?

Q34. The nurse is educating a patient with cancer about combination chemotherapy. Which is an accurate statement?

Q32. Which anticonvulsant medication can potentially cause meningitis?

Q30. A patient with a history of seizures experienced a tonic-clonic seizure in the last half hour and is now very drowsy, but arousable. The family asks if this is a concern. What is the best response by the nurse?

Q4. Glyburide is prescribed for a patient diagnosed with diabetes. What is a serious adverse effect the nurse will monitor for in this patient?

Q20. The nurse is providing education to a patient who is beginning hydantoin therapy. Why will the nurse stress oral hygiene to the patient?

Q22. A nurse encounters a patient having a seizure. Which action by the nurse is correct?

Q5. The nurse educator is teaching a class about diabetes. What are included as the two (2) most common microvascular complications of diabetes? (Select 2.)