Pharmacological and Parenteral Therapies QuestionDifficulty
You have had a challenging time controlling pain for your intubated patient who was in a motor vehicle accident. A combination of a Diprivan infusion with intermitent and alternating doses Oxycodone (administered via feeding time) and Fentanyl IV have seemed to provide the most consistent and adequate relief. Your patient is about to be extubated. Which of the following medication orders would you question, post-extubation?...
You are providing fluid resustitation to your pediatric patient who weighs 19 kg with burns on 38% of his body. The physician has utilized the Parkland Formula to calculate how much fluid to replace. How many mL of Lactated Ringers will you administer to this patient?...
Your patient who is in labor is being started on Indomethacin (Indocin) to stop contractions. Which of the following aspects of the patient’s medical history would cause you to question this order?...
Your patient has just been admitted to your floor post-operatively after a knee replacement. He recieved a total of 100 mcg fentanyl in the PACU, of which 25 mcg were administered just before traveling to your unit from the PACU. During your initial assessment, you note his respirations are 8, he requires sternal pressure to open his eyes but then falls back asleep again, and his oxygen saturation is 82%. What is your priority intervention at this time?...
Your patient has been on a heparin drip for 3 days for a pulmonary embolism. The day the drip was started, their platelet count was 152,000. Yesterday’s CBC showed a platelet count of 90,000. Today’s CBC showed a platelet count of 68,000. What is the nurse’s next priority at this time?...
Your patient has a dose of IV vancomyacin due at 1100 and a vanc trough lab draw due at 0930. You drew the lab and sent it off. Prior to administering the 1100 IV dose, you check the lab result. It is 47 mcg/L. What is your next priority?...
Your patient has a dose of IV vancomyacin due at 1730 and a vanc trough lab draw due at 1600. You drew the lab and sent it off. Prior to administering the 1730 IV dose, you check the lab result. It is 12 mcg/L. What is your next priority?...
You are working in the emergency department. Your patient presented with stroke-symptoms. A non-contrast head CT was performed and was negative for hemorrhagic stroke. The physician wants tissue plasminogen-activase administered, and has placed the following orders. Which of the following orders must be completed first?...
Your patient with Alzheimer’s has Galantamine (Razadyne) as a new medication. Which of the following aspect of the patient’s history would alert you to discuss this with the presciber?...
Your patient is scheduled to go to dialysis at 0930 and you are giving their 0900 meds beforehand. Which of the following medications would you need further clarifcation about?...
Your patient who is on hemodialysis has phosphate binders ordered. When should you administer them?...
Your patient has chronic kidney disease. Which of the following medications would you question?...
You are providing discharge teaching to your patient with tuberculosis. He asked if he really needs to finish the treatment regimen or if he can stop taking the meds once he feels better. What would the most appropriate response be?...
The nurse is administering packed red blood cells to a client when the client starts to develop a rash that is itchy, what should the nurse do first?...
Identify which of the following medications are for thyroid regulation...
Which of the following is the most important thing to ask a client who has fallen and bumped their head?...
A client has a history of seizures and takes carbamazepine (Tegretol). Which of the following drugs does the RN question for this patient?...
A client has just been started on a PCA pump of Morphine, the nurse should also expect which of the following orders?...
What should the nurse educate a teenage girl on as they start their new birthcontrol pills Ethinyl Estradiol and Norgestrel? Select all that apply....
When asking a mother how much tylenol she gave her child, the mother responds, “one tablespoon” The nurse knows that one tablespoon is the equivelant of how many ounces?...