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. "Red Man" Syndrome may occur during the administration of vancomycin (Vancocin), pr
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imarily due to - ANSWER: an increase in histamine production
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*WRONG* which medication is used to treat iron toxicity? -
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ANSWER: A) digoxin immune fab (Digibind)
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B) Naloxone (Narcan) j
C) Mephyton (Vitamin K) j j
D) *WRONG* deferoxamine (Digibind) j j
*WRONG* which of the following anticoagulant is MOST commonly administered fo
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r DVT prophylaxis in a patient who has undergone a hip replacement? -
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ANSWER: A)*WRONG* heparin
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B) Enoxaparin
C) Aspirin
D) Warfarin
A nurse is caring for a patient with hyperparathyroidism and notes that the patient's serum ca
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lcium level is 13mg/dl. Which medication should the nurse prepare to administer as prescri
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bed to the patient? - ANSWER: calcintonin (Miacalcin)
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A patient has a prescription to take Guaifenesin (Mucinex) every 4 hours, as needed. Th
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e nurse determines that the patient understands the MOST effective use
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of the medication if the patient states that he or she will: -
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ANSWER: take the medication with a full glass of water
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A patient's capillary blood glucose reading is 33mg/dl. Which of the following medications
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will the nurse administer if the patient is unable to tolerate PO? -
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ANSWER: Dextrose 50% IV push
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A provider orders one liter of NS to be infused over four hours. At what rate would you se
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t the IV pump? - ANSWER: 250ml/hr
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Acetylsalicylic acid (Aspirin) has which of the following pharmacological effects? j j j j j j j j j
- ANSWER: Anti-inflammatory, anti-pyretic, decrease platelet aggregation
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Convert 1.2 milligrams to micrograms - ANSWER: 1200 mcg
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Normal Saline (NS) is the solution of choice over D5W when preparing to administer a
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blood transfusion because: -
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ANSWER: Normal Saline is an isotonic solution and prevents cell hemolysis
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Patient is to receive 5mg/kg of medication. Patient weighs 80kg. How much would you a
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dminister? - ANSWER: 400mg j j j
Sildenafil (Viagra) is prescribed to treat a patient with erectile dysfunction. A nurse revi
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ews the patient's medical record and would question the prescription if which of the foll
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owing is noted in the history? - ANSWER: Use of nitroglycerin
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Sildenaphil (viagra) is prescribed to treat a patient with erectile dysfunction. A nurse re
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views the patient's medical record and would question the prescription of which of the fo
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llowing is noted in the history? - ANSWER: Use of Nitroglycerin
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The dosage of which drug must be tapered off slowly to prevent acute adrenal insufficiency
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? - ANSWER: prednisone (Deltasone)
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The patient is diagnosed with multiple myeloma. The physician has ordered cyclophospha
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mide (Cytoxan). Which instruction should be given to the patient? -
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ANSWER: Increase daily water intake
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The patient is diagnosed with multiple Myeloma. The physician has ordered cyclophospha
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mide (Cytoxan). Which instruction should be given to the patient? -
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ANSWER: Increase daily water intake
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When a patient has pernicious anemia, the nurse would expect to give them: -
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ANSWER: Vitamin B12
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When caring for a patient with a central line who is receiving TPN, what is the MOST im
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portant action on the part of the nurse to prevent CLABSI? -
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ANSWER: Perform correct sterile technique for dressing change at the CVC site
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When teaching a new nurse on how to administer IV push furosemide (Lasix), you emphasi
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ze that it should be given over two minutes to avoid: - ANSWER: tinnitus
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Which of the following is considered an antiplatelet medication? - ANSWER:
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clopidogrel (Plavix) j
Which of the following medications is known to cause orange-colored urine? -
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ANSWER: phenazopyridine (Pyridium)
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Which of the following medications should be held today considering that your patient r
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eceived IV contract two hours ago fir a CT scan? - ANSWER: Metformin (Glucophage)
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Which of the following medications should be questioned by the nurse, if ordered by the
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provider to treat a patient's complaint of nausea and vomiting? -
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ANSWER: famotidine (Pepcid)
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Which of the following medications will crystalize when mixed with D5NS? -
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ANSWER: phenytoin (Dilantin)
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While delivering the lunch tray of a patient who is taking warfarin (Coumadin), the nurse no
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tices diversity of food items. Which of the following foods would be a concern? -
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ANSWER: Spinach
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You are caring for a patient with diabetes. Humalog insulin is ordered via sliding scale A
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C and HS. When is the best time to administer Humalog insulin? -
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ANSWER: 15 minutes before meal arrives
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You are ordered to give digoxin. Your patient's vital signs are as follows: Blood Pressur
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e 130/75, Temp 97.9 oral, HR 52, O2 Sat 100% roomair. What should you do next? -
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ANSWER: Hold digoxin and call the provider
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Your patient has an epidural infusing hydromorphone with bupivacaine at 6ml/hr conti
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nuously. The patient's blood pressure at the beginning of your shift was 92/58 with a hear
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t rate of 68. You noticed the patient's blood pressures have been around 130/70. What sh
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ould you do FIRST? -
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ANSWER: Check infusion rate to confirm 6ml/hr, then notify anesthesia provider
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