A patient with cardiogenic shock and pulmonary edema has the following vital signs:
BP 86/50, pulse 126, respirations 30. The nurse will anticipate
1. infusion of 5% human albumin.
2. titration of an epinephrine (Adrenalin) drip.
3. administration of hydrocortisone (SoluCortef).
4. administration of furosemide (Lasix) IV.
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4. administration of furosemide (Lasix) IV.
A patient with respiratory failure has a respiratory rate of 8 and an SpO2 of 89%. The
patient is increasingly lethargic. The nurse will anticipate assisting with
1. insertion of a mini-tracheostomy with frequent suctioning.
2. administration of 100% oxygen by non-rebreather mask.
3. initiation of bilevel positive pressure ventilation (BiPAP).
4. endotracheal intubation and positive pressure ventilation.
,Give this one a try later!
4. endotracheal intubation and positive pressure ventilation.
The nurse has administered 3% saline to a client with hyponatremia. Which of the
following assessment data will require the most rapid response by the nurse?
1. There are crackles audible throughout both lung fields (this is because of pulmonary
edema)
2. The client's radial pulse is 105 beats/minute.
3. There is sediment and blood in the client's urine.
4. The blood pressure increases from 120/80 to 142/94.
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1. There are crackles audible throughout both lung fields (this is because of
pulmonary edema)
A young adult calls the clinic to ask for a prescription for "the flu drug." He says he has
had "the flu" for almost 4 days and just heard about a drug that can reduce the
symptoms. Which statement about oseltamivir (Tamiflu®) and zanamivir (Relenza®) is
true?
1. These drugs have few adverse effects.
2. These drugs do not stop the spread of influenza.
3. As long as this patient starts treatment within the next 24 hours, the drug should be
effective.
4. Treatment with these drugs should begin within 24 to 72 hours of the onset of
influenza symptoms.
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, 4. Treatment with these drugs should begin within 24 to 72 hours of the
onset of influenza symptoms.
A 78-year-old patient is in the recovery room after lengthy hip surgery. While
gradually awakening, the patient requests pain medication. Within 10 minutes after
receiving a dose of morphine sulphate, the patient is very lethargic; respiration is
shallow, at a rate of nine respirations per minute. What necessary action may the nurse
need to perform?
1. Immediate intubation and artificial ventilation
2. Close observation for signs of opioid tolerance
3. Administration of an agonist opioid, such as fentanyl (Duragesic Mat)
4. Administration of naloxone, an opioid reversal agent
Give this one a try later!
4. Administration of naloxone, an opioid reversal agent
Which does the nurse identify as being a concern for patients receiving tetracycline?
1. Tetracycline used with warfarin decreases warfarin's effectiveness and enhances
clot formation
2. Tetracyclines has no impact on the effectiveness of oral contraceptives.
3. Tetracyclines should not be administered to anyone older that 65 years
4. Tetracyclines should not be administered with dairy products
Give this one a try later!
4. Tetracyclines should not be administered with dairy products
BP 86/50, pulse 126, respirations 30. The nurse will anticipate
1. infusion of 5% human albumin.
2. titration of an epinephrine (Adrenalin) drip.
3. administration of hydrocortisone (SoluCortef).
4. administration of furosemide (Lasix) IV.
Give this one a try later!
4. administration of furosemide (Lasix) IV.
A patient with respiratory failure has a respiratory rate of 8 and an SpO2 of 89%. The
patient is increasingly lethargic. The nurse will anticipate assisting with
1. insertion of a mini-tracheostomy with frequent suctioning.
2. administration of 100% oxygen by non-rebreather mask.
3. initiation of bilevel positive pressure ventilation (BiPAP).
4. endotracheal intubation and positive pressure ventilation.
,Give this one a try later!
4. endotracheal intubation and positive pressure ventilation.
The nurse has administered 3% saline to a client with hyponatremia. Which of the
following assessment data will require the most rapid response by the nurse?
1. There are crackles audible throughout both lung fields (this is because of pulmonary
edema)
2. The client's radial pulse is 105 beats/minute.
3. There is sediment and blood in the client's urine.
4. The blood pressure increases from 120/80 to 142/94.
Give this one a try later!
1. There are crackles audible throughout both lung fields (this is because of
pulmonary edema)
A young adult calls the clinic to ask for a prescription for "the flu drug." He says he has
had "the flu" for almost 4 days and just heard about a drug that can reduce the
symptoms. Which statement about oseltamivir (Tamiflu®) and zanamivir (Relenza®) is
true?
1. These drugs have few adverse effects.
2. These drugs do not stop the spread of influenza.
3. As long as this patient starts treatment within the next 24 hours, the drug should be
effective.
4. Treatment with these drugs should begin within 24 to 72 hours of the onset of
influenza symptoms.
Give this one a try later!
, 4. Treatment with these drugs should begin within 24 to 72 hours of the
onset of influenza symptoms.
A 78-year-old patient is in the recovery room after lengthy hip surgery. While
gradually awakening, the patient requests pain medication. Within 10 minutes after
receiving a dose of morphine sulphate, the patient is very lethargic; respiration is
shallow, at a rate of nine respirations per minute. What necessary action may the nurse
need to perform?
1. Immediate intubation and artificial ventilation
2. Close observation for signs of opioid tolerance
3. Administration of an agonist opioid, such as fentanyl (Duragesic Mat)
4. Administration of naloxone, an opioid reversal agent
Give this one a try later!
4. Administration of naloxone, an opioid reversal agent
Which does the nurse identify as being a concern for patients receiving tetracycline?
1. Tetracycline used with warfarin decreases warfarin's effectiveness and enhances
clot formation
2. Tetracyclines has no impact on the effectiveness of oral contraceptives.
3. Tetracyclines should not be administered to anyone older that 65 years
4. Tetracyclines should not be administered with dairy products
Give this one a try later!
4. Tetracyclines should not be administered with dairy products
