Random
the RN assesses a Pt w/ intermittent claudication who is receiving pentoxifyline. Which assessment should the nurse preform to determine the effectiveness of the drug?
A monitor numeric pain scale
B Auscultate bowel sounds
C measure hourly urine output
D evaluate LOC
A monitor numeric pain scale
T/F : all chemo patients are immune compromised, so when a patient sees a patient with a Temp of 99.8, she should immediately notify the HCP.
False
fever > or = to 100.3 (38 is not great)
a pt receiving chemo is experiencing N/V d/t high serotonin levels. based on this info, what rx should the RN expect to be MOST effective in relieving the pt's sx?
A sertraline (Zoloft)
B ondansetron (zofran)
C olanzapine (zyprexa)
D promethazine (phenergan)
B ondansetron (zofran)
the RN assesses a pt on IV acyclovir for shingles, after assessment the RN decides to hold the dose and contact the HCP. what did the RN assess?
A abdominal cramping & diarrhea
B wbc count of 5,000/m3
C urine output of 600mL over last 24 hours
d presence of patchy erythematous rash w/ vesicles & crusting
C urine output of 600mL over last 24 hours
a 5yr old pt w/ a hx of asthma is brought to the ED by her dad w/ SOB and visibly labored breathing. which assessment finding requires immediate intervention?
A audible sibilant wheezing
B increased RR
C prolonged exhalation
D no response to albuterol inhaler
D no response to albuterol inhaler
a pt taking 50mg prednisone po qday for acute asthma reports difficulty sleeping. what should the RN do first?
A ask what time the pt takes the prescribed prednisone
B suggest increasing physical activity during the day
C consult the HCP for a melatonin script
D teach relaxation tech
A ask what time the pt takes the prescribed prednisone
Tamoxifen is a drug used in the treatment of prostate cancer.
False
Breast cancer
a pt is taking clonazepam, benztropine, haloperidol & divalproex. The RN suspects that the pt is experiencing akathisia because the pt is ricking back and forth in the chair and having difficulty staying still. What Rx is most likely to be the cause of this?
A Benztropine
B haloperidol
C clonazepam
D divalproex
B haloperidol
what interventions should be included in a POC for a pt getting tx w/ gentamicin?
A daily renal function labs
B initiate 24hour urine collection
C monitor I&O
D monitor weight weekly
E assess for tinnitus
A daily renal function labs
C monitor I&O
E assess for tinnitus
child is on Albuterol 2 puffs daily by inhaler for asthma control. What observation indicates the child is experiencing an adverse effect of this rx?
A child falling behind in school
B child deviating from growth curve
child reports red scaly and itchy skin on arms and legs
d child is losing weight
B child deviating from growth curve
a new rn is preparing an infusion of 1 unit of packed RBC for a 78 year old pt w/ congestive HF . which observation indicates that the RN has adequate knowledge about transfusion policies?
A warms blood pack in water bath prior to infusion
B administers blood with LR solution
C administers blood w/ dextrose 5% in water solution
D sets infusion rate to 75mL/h
D sets infusion rate to 75mL/h
The rn is caring for a pr who is receiving B12 and folate as an antidote for a drug overdose.
The pt must've overdosed on Nitrates
True
a pt w/ generalized anxiety disorder is prescribed an rx. consider the pt has a hx of substance abuse, the RN knows what rx is best for this pt?
A diazepam (valium)
B buprenorphine hydrochloride (buprenex)
C buspirone (buspar)
D alprazolam (xanax)
C buspirone (buspar)
no sedating effects you can drive a bus on BUSpar
the RN is reviewing med lists for 4 pts in a nursing home. The RN identifies that 3 pt's require medication changes. What pt doesn't require intervention?
A pt taking bismuth subsailcylate for H pylori who has developed black stools
B a pt w/ a sulfonamide allergy who is prescribed Celecoxib for RA
C a pt taking captopril for HTN who is prescribed high dose aspirin therapy for fever management
D pt taking phenelzine for depression who's prescribed albuterol for acute bronchospasm
A pt taking bismuth subsailcylate for H pylori who has developed black stools
what diet recommendation should the rN make to a pt who is hospitalized and recovering from a severe exacerbation of COPD?
A increase your calcium intake
B increase vit A intake
C increase iron intake
D increase fat intake
A increase your calcium intake
a pt is admitted for IV chemotherapy. to decrease the risk of extravasation at a Childs intravenous infusion site , which intervention should the RN implement?SATA
A place iv cath in pt's antecubital fossa
B flush IV cath w/ 0.9% sodium chloride before the infusion
C place gauze dressing over the IV cath insertion site
D assess the IV infusion site for edema and erythema throughout infusion
E instruct pt to remain stilll throughout infusion
B flush IV cath w/ 0.9% sodium chloride before the infusion
D assess the IV infusion site for edema and erythema throughout infusion
A nurse is conducting pt edu for pt prescribed tamsulosin (climax) for BPH.
T/F The nurse should edu the pt on slow position changes bc this rx causes orthostatic hypotension.
True
RN is instructing a pt w/ migraines on the use of ergotamine (ergo mar). what statement made by the pt indicates the need for more edu?
A I should contact my HCP if I expirence numbness/ tingling in my fingers & toes
B I should take this rx once daily to prevent migraines from occurring
C it is extra important that I stop smoking now that I take this RX
D I should avoid exposure to cold on this med
B I should take this rx once daily to prevent migraines from occurring
this drug is PRN
after being exposed to a realize w/ shingles, an 8 year old child is given a varicella zoster immune globulin injection. What info on the pt's health hx would explain the need for this injection?
A hx of primary immunodeficiency disorder
B most recent chicken pox vaccine @ age 4
C hx of congenital heart defect
D a sibling w/ leukemia
A hx of primary immunodeficiency disorder
a pt on a inhaled corticosteroid rx for asthma returns to the clinic after 3 months for follow up. the pt pulmonary function tests demonstrate no change in peak flow meter rates. what does this finding mean?
A rx is effective for auth,a TX
B dose of rx needs to be adjusted
C pt is receiving too much rx
D med needs to be discontinued
B dose of rx needs to be adjusted
a 63 year old pt w/ a Hx of systolic HF reports SOB. Lung auscualtion reveals bilateral crackles. O2 sat is 95% on room air and the RR is 20 breathes per minute. Whats the best nursing intervention?
A apply 10L of O2 via non-rebreather and administer ordered mannitol 50g IV
B raise HOB to 60 degrees & administer ordered bumetanide 1 mg IVP
C apply 2L of o2 via NC & administer ordered spironolactone 25mg PO
D place pt in trendelenburg & adminster ordered furosemide 40 mg IVP
B raise HOB to 60 degrees & administer ordered bumetanide 1 mg IVP
a pt is prescribed oral medication at one-half the typically recommended dose.
T/F the RN should question the dose adjustment when the pt has a hx of crowns w/ short bowl syndrome
true
a pt is brought to the ED after overdosing on prescribed benzodiazepine lorazepam (Ativan). what should the rn prepare to administer to the pt?
A flumazenil (Maicon)
B diluted activated charcoal
C dexamethasone (decadron)
D acetylcesteine (mucomyst)
A flumazenil (Maicon)
an RN is caring for a pt w/ a Hx of opioid use disorder who is 12hr post-op. the pt is receiving morphine 10mg IV q4h PRN for pain, w/ their home dose of methadone. 1 hour after receiving a PRN morphine dose, the pt becomes agitated and in a raised voice states "I am in so much pain, and no-one cares". which interventions should the nurse implement?
A request a sedative from the HCP
B request switching the pt off the opioid to alternative analgesics, as pt is at increased risk of respiratory depression
C request a breakthrough dose of morphine after pt rates pain 9/10
D monitor pt HR & BP to confirm pt's pain
E validate pt concerns and reassuring their pain is a priority
C & E
the rn is preparing pt edu for an adolescent who was recently dx w/ asthma. which instruction should the RN include when teaching the pt and their parents? SATA
A make sure you know your asthma triggers and take steps to avoid them
B use your peak flow meter once or twice a day to monitor lung function
C if you have a long acting inhaled bronchodilator, you shouldn't need to use your rescue inhaler
D you may feel shaky anxious or tachy after using your short acting bronchodilator
E make sure you have a personalized asthma action plan when your sx increase or your peak flow decreases
A make sure you know your asthma triggers and take steps to avoid them
B use your peak flow meter once or twice a day to monitor lung function
D you may feel shaky anxious or tachy after using your short acting bronchodilator
E make sure you have a personalized asthma action plan when your sx increase or your peak flow decreases