IV Flow
The physician ordered an IV of Dobutamine at 5 mcg/Kg/min. The patient weighs 198 lbs. The IV solution is 500 mg Dobutamine in 250 ml D5W. How many mL/hr should the pump be set?
(14) mL/hr
Knowing that gluconeogenesis helps to maintain blood glucose levels, a nurse should:
D. Do all of the above.
Restraints can be used for all of the following purposes except to:
D. Prevent a patient from becoming confused or disoriented.
Flumazenil (Romazicon) has been ordered for a male client who has overdosed on oxazepam (Serax). Before administering the medication, nurse Gina should be prepared for which common adverse effect?
A. Seizures
B. Shivering
C. Anxiety
D. Chest pain
Seizures
A health care provider orders Morphine gr 1/10; Available: Morphine 10 mg/ml. How many ml will the nurse give?
(0.6) mL.
You have an order to administer heparin sodium IV at 1000 units per hour. It is supplied by your pharmacy as 25,000 units in 250 mL of D5W. For how many milliliters per hour should you program the controller?
(10) mL/hr
An external insulin pump is prescribed for a client with DM. The client asks the nurse about the functioning of the pump. The nurse bases the response on the information that the pump:
A. Gives a small continuous dose of regular insulin subcutaneously, and the client can self-administer a bolus with an additional dosage from the pump before each meal.
Nurses and other healthcare providers often have difficulty helping a terminally ill patient through the necessary stages leading to acceptance of death. Which of the following strategies is most helpful to the nurse in achieving this goal?
C. Reflecting on the significance of death.
A female client who’s at high risk for suicide needs close supervision. To best ensure the client’s safety, Nurse Mary should:
A. Check the client frequently at irregular intervals throughout the night.
A health care provider orders ceftazidime (Tazidime) 0.3 g IM tid; Reconstitution instructions: For IM solution add 1.5 mL of diluent. Shake to dissolve. Provides an approximate volume of 1.8 mL (280 mg/mL). How many mL will you give?
(1.1) mL.
An IVPB of ranitidine hydrochloride (Zantac) 50 mg in 100 mL D5W is to run over 45 minutes. The tubing has a drip factor of 15. How many drops per minute should you deliver?
(33) gtts/minute
The goal of preprandial blood glucose for those with type 1 diabetes mellitus is:
B. <130 mg/dl
Which of the following planes divides the body longitudinally into anterior and posterior regions?
A. Frontal plane
Which of the following drugs should Nurse Mary prepare to administer to a client with a toxic acetaminophen (Tylenol) level?
D. Acetylcysteine (Mucomyst)
You have on hand enoxaparin (Lovenox) 30 mg/0.3 mL. You need to administer 1 mg/kg SC. Your patient weighs 200 pounds. How many ml will you draw into a syringe?
(0.9) mL.
You need to infuse corticotropin (Acthar) 25 U in 500 mL D5W IV over 8 hours. How many milliliters per hour do you infuse on a controller?
(63) mL/hour
A 39-year-old company driver presents with shakiness, sweating, anxiety, and palpitations and tells the nurse he has type 1 diabetes mellitus. Which of the following actions should the nurse do first?
C. Give 4 to 6 oz (118 to 177 mL) of orange juice
A female patient with a terminal illness is in denial. Indicators of denial include:
A. Shock dismay
A male client is admitted to the substance abuse unit for alcohol detoxification. Which of the following medications is Nurse Alice most likely to administer to reduce the symptoms of alcohol withdrawal?
D. Chlordiazepoxide (Librium)
You have an order for heparin 3000 units SC every 12 hours. You have available 5000 units/mL. How many milliliters will you give?
(0.6) mL.
A health care provider prescribes cefazolin (Kefzol) 1 g IV three times a day to a patient with pneumonia. It is supplied in 100 mL dextrose and water, to run over 20 minutes. How many milliliters per hour should you set the controller to deliver?
(300) mL/hr
Tony is a night shift nurse who is assigned to a patient whose glucose levels remain normal at bedtime but experiences hypoglycemia at 3 am and hyperglycemia at 7 am. The patient is likely experiencing what kind of complication of insulin therapy?
D. Somogyi phenomenon
After having an I.V. line in place for 72 hours, a patient complains of tenderness, burning, and swelling. Assessment of the I.V. site reveals that it is warm and erythematous. This usually indicates:
C. Phlebitis
Nurse Isabelle enters the room of a client with a cognitive impairment disorder and asks what day of the week it is; what the date, month, and year are; and where the client is. The nurse is attempting to assess:
C. Orientation.
You need to administer prochlorperazine (Compazine) 10 mg IM to a nauseated patient. You have on hand Compazine 5 mg/mL. How many ml would you administer per dose?
(2) mL.