pharm
An 86-year-old patient is being discharged to home on digitalis therapy and has very little information regarding the medication. Which statement best reflects a realistic outcome of patient teaching activities?
a. The patient and patient's daughter will state the proper way to take the drug.
b. The nurse will provide teaching about the drug's adverse effects.
c. The patient will state all the symptoms of digitalis toxicity.
d. The patient will call the prescriber if adverse effects occur.
a. The patient and patient's daughter will state the proper way to take the drug.
A nurse on a medical-surgical unit is caring for a group of clients. For which of the following clients should the nurse anticipate a prescription for fluid restriction?
A. A client who ha a new diagnosis for adrenal insufficiency
B. A client who has heart failure
C. A client who is receiving treatment for DKA
D. A client who has abdominal ascites
B. A client who has heart failure
During routine suctioning of a client with a tracheostomy, the client becomes diaphoretic and nauseous, and thee heart rate decreases to 39 beats/min. What is the nurse's best action at this time?
A. Continue to clear the airway.
B. Stop suctioning the patient.
C. Administer atropine.
D. Call the health care provider immediately.
B. Stop suctioning the patient.
D. Stroking the inside of the infant’s hand with an object and assessing if the hand closes around the object helps assess the palmar grasp reflex.
The body strives to create and maintain perfect balance in the body using all the body systems. This balanced state is called
homeostasis
The nurse is reviewing medication orders. Which digoxin dose is written correctly?
a. digoxin .25 mg
b. digoxin .250 mg
c. digoxin 0.250 mg
d. digoxin 0.25 mg
d. digoxin 0.25 mg
A nurse on a medical-surgical unit is caring for a group of clients. The nurse should identify that which of the following clients is at risk for hypovolemia?
A. A client who has nasogastric suctioning.
B. A client who has chronic constipation.
C. A client who has syndrome of inappropriate antidiuretic hormone.
D. A client who took an overdose of sodium bicarbonate antacids.
A. A client who has nasogastric suctioning.
Which client does the nurse caution to avoid self-monitoring of blood glucose (SMBG) at alternate sites?
A. 75-year-old client whose blood glucose levels show little variation
B. 55-year-old client who has hypoglycemic unawareness
C. 80-year-old client with type 2 diabetes mellitus
D. 45-year-old client with type 1 diabetes mellitus
B. 55-year-old client who has hypoglycemic unawareness
b. Sensorimotor. This stage includes children of the age of birth to 2 years (24 months).
Hormones are secreted by________.
A. osmosis
B. phagocytosis
C. pinocytosis
D. exocytosis
D. exocytosis
While caring for a patient with cirrhosis or hepatitis, the nurse knows that abnormalities in which phase of pharmacokinetics may occur?
a. Absorption
b. Distribution
c. Metabolism
d. Excretion
c. Metabolism
A nurse receives a lab report for a client indicating potassium level of 5.2 mEq/L. When notifying the provider the nurse should anticipate the following actions?
A. Starting an IV infusion of 0.9% sodium chloride
B. Consulting with dietician to increase intake of potassium
C. Initiating continuous cardiac monitoring
D. Preparing the client for gastric lavage
C. Initiating continuous cardiac monitoring
Which statement made by the client on the way to the catheterization laboratory requires an immediate action by the nurse?
A. "My allergies are bothering me, so I took some Benadryl last night before bed."
B. "I was nervous last night, but I still remembered to take my warfarin."
C. "I am sure am hungry. I haven't had anything to eat since I went to bed last night."
D. "I don't know what I will do if they find a blockage in my heart."
B. "I was nervous last night, but I still remembered to take my warfarin."
The nurse is preparing to give an oral dose of acetaminophen (Tylenol) to a child who weighs 12 kg. The dose is 15 mg/kg. How many milligrams will the nurse administer for this dose?
180 mg
What smaller cavity within the thoracic cavity houses the heart, great blood vessels, esophagus, and trachea?
mediastinum
Your patient’s blood glucose level is 215 mg/dL. The patient is about to eat lunch. Per sliding scale, you administer 4 units of Insulin Lispro (Humalog) subcutaneously at 1130. As the nurse, you know the patient is most at risk for hypoglycemia at what time?
A. 1145
B. 1230
C. 1430
D. 1630
B: 1230
A nurse is teaching a post-operative client how to use an incentive spirometer. Which statement by the client demonstrates correct understanding?
A. "I should exhale forcefully into the spirometer to clear my lungs."
B. "I should take slow, deep breaths through the mouthpiece and hold my breath for 3 to 5 seconds."
C. "I should use the spirometer only when I feel short of breath."
D. "I should breathe quickly into the device to raise the indicator to the highest level possible."
B. "I should take slow, deep breaths through the mouthpiece and hold my breath for 3 to 5 seconds."
A client with pulmonary artery hypertension on a continuous IV epoprostenol infusion is in the emergency department with symptoms of possible sepsis. The primary health care provider prescribes a broad-spectrum antibiotic to be administered IV immediately. What is the nurse's best action?
A. Request a prescription for an oral antibiotic.
B. Start a peripheral IV line and administer the antibiotic.
C. Administer the IV antibiotic through the continuous infusion's side port.
D. Stop the epoprostenol infusion for 15 minutes to administer the IV antibiotic.
B. Start a peripheral IV line and administer the antibiotic.
10. A 15-year-old patient is hospitalized for treatment of cancer. The patient has started to refuse medications and other treatments. In addition, the patient is yelling and screaming at staff. This patient may be experiencing what type of fear associated with this age group?(Required)
A. Separation Anxiety
B. Loss of Control
C. Invasion of Privacy
D. Fear of death
B: loss of control. When the adolescent experience a loss of control they may start to act out and refused procedures/medications…by doing this it gives them a sense of control. Therefore, the medical team should allow the teen to have control with certain situations so this doesn’t occur.
Hypoglossal nerve is known as cranial nerve?*
D. XII
The physician determines a patient needs to be started on a selective serotonin reuptake inhibitor (SSRI). As the nurse you know which medication below is NOT an SSRI?(Required)
A. Citalopram
B. Paroxetine
C. Fluoxetine
D. Rasagiline
D. Rasagiline
A nurse is caring for four clients with impaired gas exchange. Which client should the nurse see first?
A. A client with chronic obstructive pulmonary disease (COPD) who has an oxygen saturation of 91%
B. A client with pneumonia who has a temperature of 101.5°F (38.6°C)
C. A client with asthma who is experiencing audible wheezing and a respiratory rate of 30
D. A client with a history of pulmonary embolism who reports calf pain
C. A client with asthma who is experiencing audible wheezing and a respiratory rate of 30
The chest tube of a client who is 12 hours postoperative from a lobectomy separates from the drainage system. What is the nurse's best first action?
A. Immediately call the surgeon or rapid response team.
B. Notify respiratory therapy to set up a new drainage system.
C. Cover the insertion site with a sterile occlusive dressing and tape down on three sides.
D. Place the end of the disconnected tube into a container of sterile water positioned below the chest.
D. Place the end of the disconnected tube into a container of sterile water positioned below the chest.
You're providing an in-service to a group of new nurses who will be caring for patients who have Tetralogy of Fallot. Which statement below is INCORRECT concerning how the blood normally flows through the heart?*
A. This statement is INCORRECT. It should say: “Unoxygenated blood enters through the superior and inferior vena cava to the RIGHT (not left) atrium.
The large, triangual bone that begins below the lumbar vertebrae and wedges between the posterior of the pelvis is called the:*
Sacrum