EXAMPREP COMPLETE QUESTIONS AND
SOLUTIONS GRADED A
⩥You are ordered to give digoxin. Your patient's vital signs are as
follows: Blood Pressure 130/75, Temp 97.9 oral, HR 52, O2 Sat 100%
room air. What should you do next? - Hold digoxin and call the provider
⩥Normal Saline (NS) is the solution of choice over D5W when
preparing to administer a blood transfusion because: - Normal Saline is
an isotonic solution and prevents cell hemolysis
⩥Patient is to receive 5mg/kg of medication. Patient weighs 80kg. How
much would you administer? - 400mg
⩥Your patient taking digoxin (Lanoxin) has an AM Potassium level of
3.0. This level may: - Increase risk of digoxin toxicity
⩥The patient is diagnosed with multiple myeloma. The physician has
ordered cyclophosphamide (Cytoxan). Which instruction should be
given to the patient? - Increase daily water intake
⩥Which of the following medications will crystalize when mixed with
D5NS? - phenytoin (Dilantin)
, ⩥Which of the following medications should be questioned by the
nurse, if ordered by the provider to treat a patient's complaint of nausea
and vomiting? - famotidine (Pepcid)
⩥Your patient has an epidural infusing hydromorphone with bupivacaine
at 6ml/hr continuously. The patient's blood pressure at the beginning of
your shift was 92/58 with a heart rate of 68. You noticed the patient's
blood pressures have been around 130/70. What should you do FIRST? -
Check infusion rate to confirm 6ml/hr, then notify anesthesia provider
⩥The dosage of which drug must be tapered off slowly to prevent acute
adrenal insufficiency? - prednisone (Deltasone)
⩥When teaching a new nurse on how to administer IV push furosemide
(Lasix), you emphasize that it should be given over two minutes to
avoid: - tinnitus
⩥A nurse is caring for a patient with hyperparathyroidism and notes that
the patient's serum calcium level is 13mg/dl. Which medication should
the nurse prepare to administer as prescribed to the patient? - calcintonin
(Miacalcin)
⩥A patient has a prescription to take Guaifenesin (Mucinex) every 4
hours, as needed. The nurse determines that the patient understands the
MOST effective use of the medication if the patient states that he or she
will: - take the medication with a full glass of water