A female client is receiving IV Mannitol. An assessment specific to safe administration of the said drug is: A. Vital signs q4h B. Weighing daily C. Urine output hourly D. Level of consciousness q4h Correct Answer: C. Urine output hourly The osmotic diuretic mannitol is contraindicated in… 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 »
Honey, a 23-year old client complains of substernal chest pain and states that her heart feels like “it’s racing out of the chest”. She reports no history of cardiac disorders. The nurse attaches her to a cardiac monitor and notes sinus tachycardia with a rate of 136beats/minutes. Breath sounds are clear and the respiratory rate… Read More »
A clinic patient has recently been prescribed nitroglycerin for treatment of angina. He calls the nurse complaining of frequent headaches. Which of the following responses to the patient is correct? A. “Stop taking the nitroglycerin and see if the headaches improve.” B. “Go to the emergency department to be checked because nitroglycerin can… Read More »
Patrick who is hospitalized following a myocardial infarction asks the nurse why he is taking morphine. The nurse explains that morphine: A. Decrease anxiety and restlessness B. Prevents shock and relieves pain C. Dilates coronary blood vessels D. Helps prevent fibrillation of the heart Correct Answer: B.… Read More »
Nurse Michelle calculates the IV flow rate for a postoperative client. The client receives 3,000 ml of Ringer’s lactate solution IV to run over 24 hours. The IV infusion set has a drop factor of 10 drops per milliliter. The nurse should regulate the client’s IV to deliver how many drops per minute? A.… Read More »
Which of the following should the nurse teach the client about the signs of digitalis toxicity? A. Increased appetite B. Elevated blood pressure C. Skin rash over the chest and back D. Visual disturbances such as seeing yellow spots Correct Answer: D. Visual disturbances such as seeing… Read More »
Mickey, a 6-year-old child with a congenital heart disorder is admitted with congestive heart failure. Digoxin (lanoxin) 0.12 mg is ordered for the child. The bottle of Lanoxin contains .05 mg of Lanoxin in 1 ml of solution. What amount should the nurse administer to the child? A. 1.2 ml B. 2.4 ml… Read More »
Nurse Trisha teaches a client with heart failure to take oral furosemide in the morning. The reason for this is to help… A. Retard rapid drug absorption B. Excrete excessive fluids accumulated at night C. Prevents sleep disturbances during night D. Prevention of electrolyte imbalance Correct Answer:… Read More »
A hospitalized patient is receiving packed red blood cells (PRBCs) for treatment of severe anemia. Which of the following is the most accurate statement? A. Transfusion reaction is most likely immediately after the infusion is completed. B. PRBCs are best infused slowly through a 20g. IV catheter. C. PRBCs should be flushed with a… Read More »