Failure sucks
A nurse is collecting data from a client who has right sided heart failure. This is an expected finding of this condition.
What is dependent edema?
This medication is prescribed in a low dose for clients to start after a MI or to prevent blood clots who have poor circulation.
What is aspirin? (81mg is the usual dosage prescribed)
Drug class for nitroglycerin.
What is vasodilator?
These two medications can be given together.
What is coumadin and heparin?
Patient has an order for levothyroxine 75 mcg PO once daily. Levothyroxine is available in 25 mcg tablets. How many tablets do you administer per dose?
Round to the nearest tenth.
What is 3 tablets?
Client's glucose level is 256 mg/dL.
What is high glucose?
A nurse collecting data from a client who has left-sided heart failure. This is an expected finding of this condition.
What is crackles in the lung bases?
Client comes in with the following vital signs:
BP-109/54 PR-32 R-16 Temp: 97.8
What is give the client atropine?
(Increases the pulse rate and cardiac output)
This is a adverse reaction to nitroglycerin.
What is a headache?
Lab results for a client on a heparin drip.
Hct- 34 Hgb- 12 Platelets - 75,000
What is low platelet count and the client at risk for bleeding?
Your patient has an order for cimetidine hydrochloride 750 mg PO HS. Cimetidine hydrochloride comes in 300mg/5mL. How many mL do you administer per dose?
Round to the nearest tenth.
What is 12.5 mL?
Ammonia: 90 mcg/dL Na: 137 mEq/L WBC: 20,000
What is high ammonia and WBC?
A nurse is collecting data from an older adult client who has right sided heart failure. This is a finding that the nurse needs to report immediately to the doctor.
What is a weight increase of 0.91 kg (2 lbs) in 24 hours?
A nurse is collecting data from a client who has heart failure and is receiving digoxin. These are signs of digoxin toxicity.
What are vision disturbances, nausea, muscle weakness, and confusion?
Client comes in with complaints of severe chest pain. Nurse administers a nitroglycerin tablet SL and the client states that the pain hasn't been relieved.
What is not heart damage or a MI?
You start a client on coumadin with their heparin drip. You will stop the heparin drip when this happens.
What is therapeutic level of the coumadin has been reached?
Order is for gentamicin 3 mg/kg/day administered in 3 equally divided doses over an hour for 10 days. Patient weighs 84 lbs. Available is gentamicin 115 mg/200 mL. What is the IV pump rate in mL/hr? Round to the tenth.
What is 66.4 mL/hr?
K+: 5.6 Platelets: 450,000 Na: 136
What is high potassium and platelets?
Trouble breathing laying down.
What is orthopnea?
(Expected finding of left-sided heart failure)
Medication used to treat A-Fib and tachycardias.
What is digoxin?
(Slows and strengthens the heart beat)
A nurse should apply nitroglycerin paste with no gloves on. True or False
What is false?
(medication will be absorbed in the nurses system and will cause a severe headache)
These are things you would educate a patient on that has been prescribed heparin.
What is low vitamin K diet (avoid dark leafy greens), soft toothbrush, and use an electric razor when shaving?
Order is for dopamine 10 mcg/kg/min. Patient weighs 97 lbs. Dopamine 200 mg/250 mL is available.
What is the IV pump rate in mL/hr?
Round to the nearest whole number.
What is 33 mL/hr?
Male client
Hct: 55% Hgb: 22 g/dL Na: 156 mEq/L
Ammonia: 25 mcg/dL K+: 3.7
What is high Hct, Hgb, and Na?
Client comes in with extreme fatigue, peripheral edema, difficulty breathing, and tachycardia.
What is heart failure symptoms?
Client that is on coumadin. These are the labs that will be drawn continuously while they are this medication.
What are prothrombin time (PT) and international normalized ratio (INR) to test if they are in the therapeutic levels?
(high results =risk of free bleeding and low results = risk of blood clots)
These are the contraindications for administering nitroglycerin.
What are Hypotension, hypovolemia.
Intracranial bleeding or head injury?
A client has missed their dose of coumadin and asks if they could just double their next dose.
What is no they should take their normal dosage?
Order is to infuse 2,000 mL LR over 12 hours. You have IV tubing with a drop rate of 20 gtts/mL available. How many gtts/min should be delivered to the patient?
Round to the nearest whole number.
What is 56 gtts/min?
Female client:
Glucose: 75 WBC: 6,000 mm3 Hct: 35% Hgb: 10 g/dL
K+: 3.0
What is low Hct, Hgb, and K+?