Dosage Calculation
Endocrine
Respiratory
Miscellaneous 1
Miscellaneous 2
100
The nurse has an order to run 1000ml of D5LR over 8 hours.
The nurse will set the pump to deliver _____ ml/hr
125 ml/hr
100
What are key teaching points for a patient who is prescribed levothyroxine for newly diagnosed hypothyroidism?
1. Take on an empty stomach 30-60 minutes before breakfast
2. Watch for signs of hyperthyroidism (basically we overshot the mark)-nervousness, insomnia, headache, rapid heart rate, chest pain, tremors, heat intolerance, diarrhea.
100
You just admitted a patient with a long-standing history of smoking 2 packs of cigarettes per day with cough, fever and shortness of breath. Lung sounds demonstrated inspiratory and expiratory wheezes in all fields. Oxygen saturation is 87%. What is the rationale for why albuterol is prescribed for this patient?
To open the airways and ease breathing. Albuterol is the rescue inhaler.
100
What are signs of hypoglycemia?
What are signs of hyperglycemia?
Hypoglycemia: confusion, dizziness, diaphoresis, anxiety, tachycardia
Hyperglycemia: Polydipsia (increased thirst) excessive urination (polyuria) increased hunger (polyphagia) and fruity smelling breath, rapid respirations
100
A nurse who is working in the primary health clinic is checking in a patient for care. What data will they evaluate to determine if the metformin started at the last visit one month ago is effective?
Serum blood glucose levels.
200
The nurse has an order to administer 500ml of NS over 2 hours.
How many ml/hr will the nurse set the pump to deliver?
250 ml
200
What conditions increase insulin requirements that nurses should include in their teaching plan?
1. Stress
2. Pregnancy
3. Infection
200
A patient is being started on an inhaled prednisone to manage and control asthma symptoms. What important client teaching should the nurse include?
1. Rinse mouth after using steroid inhalers to prevent oral candidiasis
2. Use the beta 2 agonist inhaler first to dilate the airways before using the glucocorticoid.
200
What is the best way to manage hypoglycemia in a conscious client? ( What would we teach them)
1. Give oral glucose in pill form, 2-3 tsp of sugar dissolved in water, orange juice
200
What is the most common adverse effect of diphenhydramine?
Drowsiness
300
The nurse has the following order:
Diazepam 0.4mg orally daily
Available: Diazepam 0.2 mg tablet
The nurse will administer _____ tablets?
2 tablets
300
What is the fastest way to treat hypoglycemic episodes? (what medication works the fastest)
IV Glucose
(Remember that IV glucose does work faster than glucagon)
300
A nurse is providing discharge instructions in the Emergency Room for a patient with bronchitis who has been prescribed guaifenesin. What is are 2 important item to include in the teaching plan?
1. Drink 1500-2000 ml per day
2. Report to the provider if symptoms or if cough lasts for more than 1 week.
3. Take the medication with food if causes GI upset
4. Lie down or sit down if feeling lightheaded
5. Do not take with combination products for colds that also contain guaifenesin.
300
What medication treats hyperthyroidism?
What are symptoms of hyperthyroidism?
What is an adverse effect of PTU and what would the nurse assess and monitor because of this?
1. Propylthiouracil (PTU) treats hyperthyroidism
2. Hypertension, tachycardia, fever
3. Agranulocytosis (meaning a decrease in leukocytes and neutrophils) meaning pt is at risk for infection. Monitor the CBC and for signs of infection
4. Also carries a risk of liver toxicity-will have periodic liver function tests
300
Using the rounding rules:
The nurse calculates the dose of an ordered medication is 0.265. Following the rounding rules, the nurse will draw up _______ mL into a syringe?
0.27mL
400
Order: Erythromycin 350mg IV every 8 hours. The nurse adds the directed 10 ml of solution to the vial
The nurse will administer how many ml of erythromycin to give the ordered dose?
Answer 7.5ml
400
A nurse is reviewing the labs of a patient who is presenting for care at the primary care clinic. The patient's chief complaint is fatigue, feeling cold and unexplained weight loss. The nurse notes an increased TSH and decreased total T3 and T4.
What diagnosis does the nurse suspect?
What medication does the nurse anticipate an order for?
1. Hypothyroidism
2. Prescription for Levothyroxine
400
You are providing a patient with albuterol via a handheld nebulizer treatment. Which of the following would the nurse recognize as an common adverse drug reaction to albuterol?
Bradycardia
Lethargy
Oral Thrush
Tremors
Tremors
400
What would the serum PH be if someone was in lactic acidosis?
What medication has a risk for lactic acidosis?
The PH would be below 7.35 (remember normal levels are between 7.35 and 7.45)
Metformin
400
What is the Onset of Action time for Lispro Insulin (Humulog)?
15-30 minutes
500
What is the concentration per mL of Amiodarone?
The nurse has an order to place 300mg of Amiodarone in 250ml of NS and infuse over 12 hours. The nurse will add how many mL's of Amiodarone to the 250ml of NS?
Concentration=50mg/ml also 450mg/9mL
The nurse will add 6 mL to the infusion bag
500
What is used medication is used to treat hyperthyroidism (Graves disease) and thyroid cancer?
How does this medication work?
What are some assessments the nurse will note?
1. Radioactive Iodine
2. They thyroid gland will take in the radioactive iodine and over time it will destroy the thyroid tissue.
3. Monitor for indications of thyroid dysfunction-drowsiness, depression, weight gain, cold intolerance and signs of radiation sickness
500
A patient on the medical surgical floor is receiving albuterol and acetylcysteine as part of their therapy for chronic obstructive pulmonary disease. The patient questions the reasons for both medications. The nurse's best response is? (state the reason for both medications)
1. Albuterol will open the bronchi
2. Acetylcysteine will help break up and cough up the mucus
500
What is the pathophysiology of why insulin lowers serum potassium levels (hypokalemia)?
Insulin lowers serum blood potassium by driving potassium from the bloodstream into the cells (thereby lowering serum K+ levels).
500
A nurse is discussing the use of a cromolyn nebulizer for a patient who has exercise induced asthma. What education can provided for effective use of the medication?
I will use the inhaler 15 minutes before exercising to prevent my exercise induced bronchospasm