Pharmacology
A client receiving a continuous infusion of heparin IV starts to hemorrhage from an arterial access site. What medication should the nurse anticipate administering to prevent further heparin-induced hemorrhaging?
Protamine Sulfate-Rationale: Protamine sulfate is the antagonist for heparin and is given for episodes of acute hemorrhage.
A client with Congestive heart failure is about to take a dose of furosemide (Lasix). Which of the following potassium level, if noted in the client’s record, should be reported before giving the due medication?
D. 3.3 mEq/L. The normal potassium level is 3.5 to 5.5 mEq/L. Low potassium levels can be dangerous, especially for people with CHF. Low potassium can cause fatal heart arrhythmias.
Name 3 non-pharmacological ways to prevent DVTs
SCDs, TED hoses, ankle pumps, ambulation, gluteal tightening.
347 lbs is how many kg?
157.7 kg
Why did the banana have to go to the nurse?
It wasn't peeling well.
Reye’s syndrome, a potentially fatal illness associated with liver failure and encephalopathy is associated with the administration of which over-the-counter (OTC) medication?
Aspirin
What is hypocalcemia? What is the cause? Symptoms? Treatment?
Name the 3 classic signs of Diabetes Mellitus
Polyuria, Polydipsia, Polyphagia
Order: 40 mg Pantoprazole
Available: 20mg tablets Pantoprazole
How many do you give?
2 tablets
Why should you never mess with a pediatric nurse?
They have very little patients.
A nurse is giving discharge instructions to a client who is receiving a bulk-forming laxative as part of the home medications. All of which are examples of bulk-forming laxative, except?
A. Docusate Sodium (Colace)
Docusate Sodium (Colace) is an example of a surfactant laxative that softens the stool by drawing more water and fat into poo.
A client is brought to the emergency department states that he has accidentally been taking two times his prescribed dose of Warfarin (Coumadin). After observing that the client has no evidence of any obvious bleeding, the nurse should do which of the following?
A. Draw a sample for activated partial thromboplastin time (aPTT) level.
B. Draw a sample for prothrombin time (PT) level and international normalized ratio (INR).
C. Prepare to administer Vitamin K.
D. Prepare to administer Protamine sulfate.
B. Draw a sample for prothrombin time (PT) level and international normalized ratio (INR). The next action for the nurse to take is to draw a sample for INR and PT level to check the client’s anticoagulation status and risk for bleeding. These results will provide information on how to manage the client either giving an antidote such as Vitamin K or administering a blood transfusion.
Name the condition that exhibits these s/s: dyspnea, orthopnea, frothy sputum, dry hacking cough, unexplained fatigue.
Left-sided heart failure
Order: 2 grams of Ancef in 100mL NS to be given over 30 min. At what rate and and VTBI do you set the IV pump?
VTBI: 100 mLs
Rate: 200 mLs/H
What is the difference between a rectal thermometer and an oral thermometer?
The taste
A client is admitted to hospital with DKA. The initial BG level is 950 mg/dl. A continuous IV infusion of short acting insulin is initiated, along with IV hydration with NS. The serum glucose level is now decreased to 240mg/dl. The nurse would next prepare to administer which medication?
A. An ample 50% dextrose
B. NPH insulin SubQ
C. IV fluids containing dextrose
D. Phenytoin for the prevention of seizures
C. IV fluids containing dextrose
Emergency treatment of DKA focuses on correcting fluid and electrolyte imbalances and normalizing serum glucose levels.
If the corrections occur too quickly, hypoglycemia and cerebral edema can occur. During management of DKA, when BG level falls to 250-300 mg/dl, the IV infusion rate is reduced and a dextrose solution is added to maintain a BG level of around 250 mg/dl or the patient recovers from ketosis.
50% dextrose is used to treat hypoglycemia, NPH insulin is not used to treat DKA, Phenytoin is not used in treatment of DKA.
6. Which patient below is experiencing thrombocytopenia based on their complete blood count?
A. A patient with a WBC level of 15,000.
B. A patient with a platelet level of 100,000.
C. A patient with a WBC level of 4,000.
D. A patient with a platelet level of 350,000.
B. Thrombocytopenia is defined as a LOW platelet count. A normal platelet count is 150,000-400,000. A platelet level of 100,000 indicates thrombocytopenia.
Which two conditions are under the umbrella diagnosis of COPD?
You have on hand diazepam (Valium) 5 mg/mL. You need to administer 8 mg IV push stat. to a patient having a seizure. How many ml should you draw into the syringe?
1.6 mL
What did the nurse say when she found a rectal thermometer in her pocket?
Some A*%2hole has my pen!
Cris asks the nurse whether all donor blood products are cross-matched with the recipient to prevent a transfusion reaction. Which of the following always require cross-matching?
A. packed red blood cells
B. platelets
C. plasma
D. granulocytes
A. Red blood cells contain antigens and antibodies that must be matched between donor and recipient. The blood products in options 2-4 do not contain red cells. Thus, they require no cross-match.
ABGs: pH 7.3, PaCO2 68 mmHg, HCO3 28 mmol/L, PaO2 60 mmHg
Respiratory Acidosis, Uncompensated
A patient presents with sudden change in level of consciousness. What should be ruled out before consideration of a stroke?
Hypoglycemia
A health care provider prescribes kanamycin (Kantrex) 7.5 mg/kg IM q 12 hr
Available: kanamycin 0.35 Gm/mL. How many mL will you administer for each dose to a 157 lb patient?
1.5mL
Why did the nurse always carry a red crayon?
In case he/she needed to draw blood.