Diabetes
The nurse is taking care of a patient admitted for severe hyperglycemia and notes a sweet-smelling odor on the patient’s breath. What is the cause of this phenomenon?
Diabetic Ketoacidosis
The mother and father of the expected newborn are both carriers for sickle cell disease. What is the percentage that their offspring will develop sickle cell anemia?
25%
Following a heart transplant, which category of medication prevents the formation of antibodies against the new organ?
immunosuppressants
The patient is ordered to receive lactulose 20mg PO every 6hours. Pharmacy dispenses lactulose 10g/15ml. How many mls is the patient receiving in a 24hour period?
120mls
What is the HbA1c level for a patient diagnosed with prediabetes?
5.7 – 6.4
Which action is the most important for the nurse to implement to prevent side effects for a patient receiving the 1st dose of IV chemotherapy-Rituxan?
administer antiemetics and antihistamines
After the transplant team recovers a lung transplant, what is the time frame for the intended recipient to receive the transplant?
within 4 hours
The patient is ordered to receive 1,500 ml of NS over 12 hours. Calculate the ml/hour and ggt/min (drop factor is 15ggt/ml).
125ml/hr & 31 gtts/min
The nurse is taking care of a patient diagnosed with diabetes insipidus (DI) after a head injury. The patient is ordered for desmopressin. The nurse understands that this medication is being ordered because the patient is not producing which hormone?
Vasopressin (AVP) or antidiuretic hormone (ADH)
A patient in sickle cell crisis is brought to the ED. What is the best position for the nurse to place the patient in?
semi-fowlers
How long does it take the transplanted kidney from a cadaver donor to function properly?
2-4 weeks
The patient is receiving Glucerna 1.2 @75ml/hr via PEG tube with water flush of 150ml every 6hours. The patient receives Zoysn IV 3.375g/50ml every 8hours. Calculate the total fluids administered in a 24hour period?
2,550 ml
A patient admitted for diabetic ketoacidosis (DKA) is receiving 0.9% NS. The PA changes the IV fluids to a solution containing dextrose. The nurse is aware that the change is made due to ?
blood glucose drops to 200 m g/dL
The nurse is taking care of an African American patient diagnosed with acute leukemia. The nurse knows to assess for petechiae in which body part?
soles of the feet and palm of the hands
The nurse is taking care of a patient that is 12 hours post renal transplant. The patient is experiencing chills, aches, tenderness around kidney transplant, and swelling in the hands and feet. What do these symptoms indicate?
kidney transplant rejection
The nurse is titrating a patient’s insulin drip to 2 units/hour. Solution is dispensed in 125 units in 250ml. Calculate the rate the IV pump should be set at?
4ml/hour
What electrolyte replacement does the nurse expect the provider to order for a patient receiving treatment for DKA?
potassium
The patient receiving chemotherapy is at risk for developing tumor lysis syndrome. Name 1 electrolyte abnormality associated with this oncologic emergency will the nurse monitor for.
hypocalcemia, hyperuricemia, hyperphosphatemia, hyperkalemia
A patient has been receiving immunosuppressant therapy for the past 5 years after receiving a liver transplant. Which type of malignancy is the patient at most risk for?
skin cancers
The nurse is infusing Nipride @ 60ml/hr. The solution is dispensed in 50mg Nipride in 250ml D5W. What dosage will be infused per minute (mcg/min)?
200mcg/min