A heparin infusion at 1,500 units/hour is ordered for a 64-year-old client with stroke in evolution. The infusion contains 25,000 units of heparin in 500 ml of saline solution. How many milliliters per hour should be given? A. 15 ml/hour B. 30 ml/hour C. 45 ml/hour D. 50 ml/hour … Read More »
A client with cystic fibrosis is taking pancreatic enzymes. The nurse should administer this medication: A. Once per day in the morning B. Three times per day with meals C. Once per day at bedtime D. Four times per day Correct Answer: B. Three times per day… Read More »
A client with preeclampsia has been receiving an infusion containing magnesium sulfate for a blood pressure that is 160/80; deep tendon reflexes are 1 plus, and the urinary output for the past hour is 100mL. The nurse should: A. Continue the infusion of magnesium sulfate while monitoring the client’s blood pressure B. Stop… Read More »
A male client was on warfarin (Coumadin) before admission and has been receiving heparin I.V. for 2 days. The partial thromboplastin time (PTT) is 68 seconds. What should Nurse Carla do? A. Stop the I.V. infusion of heparin and notify the physician. B. Continue treatment as ordered. C. Expect the warfarin to… Read More »
The physician has prescribed Novolog insulin for a client with diabetes mellitus. Which statement indicates that the client knows when the peak action of the insulin occurs? A. “I will make sure I eat breakfast within 10 minutes of taking my insulin.” B. “I will need to carry candy or some form of… Read More »
Corticosteroids are potent suppressors of the body’s inflammatory response. Which of the following conditions or actions do they suppress? A. Cushing syndrome B. Pain receptors C. Immune response D. Neural transmission Correct Answer: C. Immune response Corticosteroids suppress eosinophils, lymphocytes, and natural killer cells, inhibiting the natural… Read More »
A client with hypothyroidism asks the nurse if she will still need to take thyroid medication during the pregnancy. The nurse’s response is based on the knowledge that: A. There is no need to take thyroid medication because the fetus’s thyroid produces a thyroid-stimulating hormone. B. Regulation of thyroid medication is more difficult… Read More »
A child weighing 30 kg arrives at the clinic with diffuse itching as the result of an allergic reaction to an insect bite. Diphenhydramine (Benadryl) 25 mg 3 times a day is prescribed. The correct pediatric dose is 5 mg/kg/day. Which of the following best describes the prescribed drug dose? A. It is the correct dose… Read More »
A patient infected with human immunodeficiency virus (HIV) begins zidovudine therapy. Which of the following statements best describes this drug’s action? A. It stimulates the immune system. B. It destroys the outer wall of the virus and kills it. C. It interferes with viral replication D. It promotes excretion of viral antibodies. … Read More »
A client with leukemia is receiving Trimetrexate. After reviewing the client’s chart, the physician orders Wellcovorin (leucovorin calcium). The rationale for administering leucovorin calcium to a client receiving Trimetrexate is to: A. Treat iron-deficiency anemia caused by chemotherapeutic agents B. Create a synergistic effect that shortens treatment time C. Increase the number… Read More »