Patient Education
The nurse is reviewing the teaching plan for a clinic patient who was seen for a urinary tract infection. What action by the patient would show understanding regarding the treatment plan?
The patient will complete the full course of antibiotics.
The nurse is assessing a patient for contraindications to drug therapy with acetaminophen (Tylenol). Which patient should not receive acetaminophen?
A patient with a history of liver disease
The nurse is working with a graduate nurse to prepare an intravenous dose of potassium for a patient on a regular medical-surgical unit. What does the nurse know about administering potassium IV?
The intravenous potassium dose will be given diluted.
A patient is about to receive a dose of the nonprotein plasma expander, dextran. The nurse knows that this product is indicated for which type of blood loss?
Slow loss of 20% to 50%
An intravenous piggyback (IVPB) antibiotic needs to infuse over 180 minutes. The IVPB bag contains 300 mL. Calculate the setting for the infusion pump.
100 mL/hr
180/60=3
300/3=100
During a nursing assessment, which question by the nurse should be asked?
opened ended questions regarding medications. Such as "What medications do you take at home?"
A patient was diagnosed with pancreatic cancer last month, and has complained of a dull ache in the abdomen for the past 4 months. This pain has been gradually increasing, and the pain relievers taken at home are no longer effective. What type of pain is the patient experiencing?
Chronic pain
A patient is in an urgent care center and is receiving treatment for mild hyponatremia after spending several hours doing gardening work in the heat of the day. The nurse expects that which drug therapy will be used to treat this condition?
Oral administration of sodium chloride tablets
When preparing an IV solution that contains potassium, which of these conditions must a nurse recognize as a contraindication to the potassium infusion?
Serum potassium level of 5.6 mEq/L
The physician orders Recombivax HB 10 mcg IM for hepatitis B vaccination. The medication is supplied in 5 mcg/0.5 mL. How many milliliters will the nurse administer?
1 mL
A 60-year-old patient is on several new medications and expresses worry that she will forget to take her pills. Which action by the nurse would be most helpful in this situation?
Assisting the patient with obtaining and learning to use a calendar or pill container
The nurse is reviewing herbal therapies. Which is a common use of the herb feverfew?
Menstrual cramps
What action by the nurse is most appropriate for the patient receiving an infusion of packed red blood cells?
Flush the IV line with normal saline (NS) before the blood is added to the infusion.
While monitoring a patient who is receiving an infusion of a crystalloid solution, the nurse will monitor for which potential problem?
Fluid overload
The physician orders Toradol 45 mg IM for migraine headache. The medication is supplied in 30 mg/mL. How many milliliters will the nurse administer?
1.5 mL
When the nurse teaches a skill such as self-injection of insulin to the patient, what is the best way to set up the teaching/learning session?
After demonstrating the procedure, allow the patient to do several return demonstrations.
A patient had abdominal surgery this morning. The patient is groggy but complaining of severe pain around the incision. What is the most important assessment data to consider before the nurse administers a dose of morphine sulfate to the patient?
The patient’s respiratory rate
The nurse is preparing to give a potassium supplement. Which laboratory test should be checked before the patient receives a dose of potassium?
Serum potassium level
The nurse is preparing an infusion for a patient who has a deficiency in clotting factors. Which type of infusion is most appropriate?
Fresh frozen plasma
3 oz = _____mL
90
A patient with a new prescription for a diuretic has just reviewed with the nurse how to include more potassium in her diet. This reflects learning in which domain?
Cognitive
A patient has been treated for lung cancer for 3 years. Over the past few months, the patient has noticed that the opioid analgesic is not helping as much as it had previously and more medication is needed for the same pain relief. The nurse is aware that this patient is experiencing which of these?
Opioid tolerance
The nurse is preparing to transfuse a patient with a unit of packed red blood cells (PRBCs). Which patient would be best treated with this transfusion?
A patient with severe anemia
When assessing a patient who is about to receive an albumin infusion, what conditions must a nurse recognize as a possible contraindication to albumin infusion?
Heart failure and Renal insufficiency
76 mg = _______mcg
76,000