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A cardiac care nurse is monitoring a patient who is receiving lidocaine
(Xylocaine) per IV infusion pump for an acute ventricular arrhythmia
associated with an acute MI. Which of the following patient manifestations
would cause the nurse to notify the physician immediately?
A) Confusion
B) Headache
C) Nausea
D) Leg cramps
A nurse is caring for a patient who is admitted into the cardiac care unit
with acute, decompensated heart failure. Nesiritide (Natrecor) has been
ordered. When preparing for administration of the drug, the nurse will
A) add the reconstituted vial of medication to a 1,000 mL IV bag.
B) shake the vial vigorously to mix the medication for reconstitution.
C) administer the initial IV bolus over approximately 60 seconds.
D) use the reconstituted solution within a 36-hour period.
A nurse is discussing with a patient the efficacy of a drug that his physician has
suggested he begin taking. Efficacy of a drug means which of the following?
A) The amount of the drug that must be given to produce a particular response
B) How well a drug produces its desired effect
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C) A drug's strength of attraction for a receptor site
D) A drug's ability to stimulate its receptor
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A nurse is conducting a medication resolution of a new resident of a care
facility and notes that the woman has been taking neostigmine. The nurse
should recognize that the woman may have a history of what problem?
A) Alzheimer disease
B) Parkinson disease
C) Myasthenia gravis
D) Multiple sclerosis
A 77-year-old man's chronic heart failure is being treated with a regimen of
quinapril (Accupril) and furosemide (Lasix). Which of the following assessment
findings would suggest that the loop diuretic is contributing to a therapeutic
effect?
A) The man's glomerular filtration rate and creatinine levels are within reference
ranges.
B) The man's heart rate is between 60 and 70 beats per minute with a regular
rhythm.
C) The man's potassium and sodium levels remain with reference ranges.
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D) The man's chest sounds are clear and his ankle edema is lessened.
A nurse explains to a patient that nitroglycerin patches should be applied in the
morning and removed in the evening. This medication schedule reduces the
potential for
A) Adverse effects.
B) Nitrate dependence.
C) Nitrate tolerance.
D) Toxic effects.
A nurse who provides care on a busy medical unit of a large hospital is
constantly faced with new drugs on patients' medication administration records.
What strategy should the nurse employ to foster up-to-date information about the
nursing management of new or uncommon drugs?
A) Focus on learning about a prototype drug that is characteristic of a larger drug
class
B) Identify similarities between new drugs and older drugs that are commonly used
on the unit
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