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NR 567 Midterm Spring 25 questions and answers

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NR 567 Midterm Spring 25

Institution
NR 567
Course
NR 567

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Your ICU patient is admitted following multisystem trauma secondary to a motor vehicle
collision. The patient is ventilated and will be maintained on a neuromuscular blocking
continuous agent to maintain neuromuscular blockage and deep sedation. Which of the
following is a true statement?


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If dantrolene is needed postoperatively on the NMBA, care should be taken
to ensure muscle strength has returned prior to extubation




The nurse is caring for an 80-year-old patient who is taking warfarin (coumadin). Which
action does the nurse understand is important when caring for this patient?


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, Initiating a fall risk protocol




When prescribing intravenous acyclovir (Zovirax), the nurse practitioner knows that


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Adequate hydration should also be maintained




Adding epinephrine to a local anesthetic, such as 1% lidocaine for local infiltration, has
which of the following benefits?


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Extends the duration of the anesthesia block, useful for longer procedures




Treatments for Chronic Pain


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, buprenorphine patch (Butrans)
Lidocaine and mexiletine

Ziconotide, a blocker of voltage-gated N-type calcium channels, is approved
for producing analgesia in patients with refractory chronic pain

Multi modal approach




All of the following are beneficial effects of beta-blocker therapy for use in patients with
cirrhosis except ___


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Increased Cardiac Output




Insulin infusion CSII therapy


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appropriate for patients with type 1 diabetes who are motivated, mechanically
inclined, educated about diabetes (diet, insulin action, treatment of
hypoglycemia and hyperglycemia), and willing to monitor their blood glucose
four to six times a day. Known complications of CSII include ketoacidosis,
which can occur when insulin delivery is interrupted, and skin infections.
Another disadvantage is its cost and the additional time needed by the
clinician and staff to initiate therapy. Almost all patients use rapidly acting
insulin analogs in their pumps.

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Institution
NR 567
Course
NR 567

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