PAIN
An early sign of adverse opioid reaction
difficult to arouse
Which lab value is of particular importance in a patient receiving chemotherapy
WBC's
A patient that is having U waves on the telemetry may have
hypokalemia
If a patient has received antibiotics for 10 days and tells the nurse of frequent watery stools, what should the nurse do first
place the patient on contact isolation
For a patient that says he drinks 3 or 4 servings of alcohol per day and frequent use of acetaminophen, which lab test results are most important?
Liver function tests
The first sign of opioid withdrawal
diaphoresis
Lab value of most concern for patient with osteogenic sarcoma
Calcium level of 13mg/dL
A positive Chvostek sign is a neurologic manifestation of which lab value
hypocalemia
When donning gloves, gown, hand hygiene, googles and mask, what should the order be?
hand hygiene, gown, mask, googles, gloves
A anxious patient smokes 5 cigarettes right before clinic visit, what vital vital signs would be consistent with his actions?
elevated blood pressure and heart rate
The onset time of the first sign of opioid withdrawal
6-12 hours
A reportable side effect of chemotherapy drugs: fatigue, nausea, vomiting, anorexia or paresthesia
paresthesia
What blood test will a nurse monitor if the patient is taken hydrochlorothiazide?
potassium level
Which order need clarifying in a patient with pulmonary embolism: Warfarin 1.0mg; morphine 2 to 4 mg IV; Cephalexin 250mg po; Heparin infusion at 900units/hr
warfarin 1.0mg
A patient taking haloperidol is having muscle spasms of the tongue, face, and neck with eyes locked in upward gaze, what should the nurse do 1st: eye contact until spasms pass, aspiration precautions until spasms subside, obtain order for IM or IV diphenhydramine or obtain order for an antiseizure med.
Obtain order for IM or IV diphenhydramine for rapid relief of side effect of medication
What should you do if suspect patient is a drug user and doctor orders opioids for pain
Give the pain medication.
A patient recently diagnosed with an operable leg tumor, tells the nurse he is leaving the hospital to go hiking is having _______ issues.
coping
An anxious patient with respirations of 38 breaths/min may have what acid-base imbalance
Respiratory acidosis
A 70kg client is to receive 0.06mL/kg of hepatitis B immune globulin. It is available in 5mL vial, how many mL should be given
4.2mL
If a well known celebrity was admitted to your unit and nurses come up from other units to visit, What is your best response?
Ask them how they found out that the patient was admitted to the unit.
The best way to schedule medication for a patient with constant pain
around the clock
The first line treatment for cancer pain management is
analgesic drugs
When admitting a older patient with chronic kidney disease and pulmonary disease, the nurse should suspect risk for
acid-base imbalances
With only 1 private room on the unit, who is most appropriate for the room, the patient with c-diff, VRE, cough with possible TB, toxic shock syndrome and fever
Client with a cough with possible TB
Which patient would be best to assign to a new graduate nurse who just started working in an acute psychiatric unit? borderline personality disorder/suicidal gestures; disorganized schizophrenia/psychosis; depression, dementia, or delirium; major depression/rumination about loss/suicide
major depression/rumination about loss/suicide