Healthstream Test Exam Questions And Answers Verified 100% Correct

Healthstream Test Exam Questions And Answers Verified 100% Correct where the upper extremity limb leads are placed for continuous ECG monitoring- - ANSWER -(white- right- directly below the clavicle near the shoulder, black-left-directly below the clavicle near the shoulder) The reason that aspirin in high analgesic doses is usually avoided in the treatment of patients with gout- - ANSWER -(high dose aspirin can alter the blood level of urid acid) The type of antidepressant that can block the reuptake of dopamine when prescribed at higher doses - ANSWER --Bupropion(Wellbutrin) ECG leads in which changes will be seen during an acute lateral myocardial infarction - ANSWER -anterior leads V2-4 & lateral leads 1, AVL, V5-6 etiology of atrial flutter - ANSWER -(common, abn electrical circuit of upper chambers of the heart that decreases the squeeze-output- can be asymptomatic, caused by birth defects, medications, viruses, metabolic disorders -ie: dehydration) clinical presentation of right-sided heart failure - ANSWER -(JVD, edema, pleural effusions, fatigue, cool extremities, exercise intolerance, dizziness, syncope, ascites) evaluation of patient understanding of instructions given regarding digoxin administration - ANSWER -(Teach back- verbalization of understanding- hr 60 100 (1 full min), check levels visions changes) How to correctly administer ear drops to an adult - ANSWER -(earlobe up and out) The rate at which IV saline should be administered to a patient with diabetic ketoacidosis during the first hour of treatment - ANSWER -(bolus) The action of dexamethasone when given to patients with thyroid storm - ANSWER -(inhibit hormone production and decrease peripheral conversion from T4 to T3) The reason that enteric-coated tablets should not be broken - ANSWER -(may result in the drug being released too early, destroyed by stomach acid or irritating the stomach lining) An important characteristic of acetaminophen - ANSWER -(raises the body's pain threshold by inhibiting prostaglandin synthesis in the CNS) The thrombolytic drug that is more likely to cause an allergic reaction - ANSWER -alteplase The length of time the patient should be encouraged to retain a bisacodyl rectal suppository to relieve constipation - ANSWER -15 - 20 min most common cardiac valve dysfunction in the United States, often considered a disease of "wear and tear"- - ANSWER -aortic A continuous drip of a medication is ordered at a rate of 2 mg/min. The standard mixture of this medication to yield a final concentration of 2 mg/mL is 1 g of the medication in 500mL of IV fluid. At what rate in milliliters per hour should the IV pump be set? - ANSWER -60 mL/hr A continuous infusion of regular insulin at 7 units/hour has been ordered for a patient with type 1 diabetes mellitus. The pharmacy dispensed a standard insulin infusion containing 100 units of regular U-100 insulin in 100 mL normal saline. At what rate in milliliters per hour should the infusion pump be set? - ANSWER -7 mL/hr A practitioner has ordered 700 mg of an antibiotic. The medication label states, "Add 5 mL sterile water to 1 g of this medication; 0.5 g = 2 mL." How many milliliters should be given? - ANSWER -2.8 mL In patients who have angina, calcium channel blockers: - ANSWER -reduce myocardial oxygen consumption. The nurse is assessing neuromuscular deficiency in a patient with adrenal insufficiency and expects to find that the patient has: - ANSWER -joint/muscle pain. The nurse is caring for a patient who has atrial fibrillation. The patient is attempting to understand why this dysrhythmia developed in him. The nurse educates this patient about his risk factors, including: - ANSWER -diabetes mellitus. The nurse is differentiating between right- and left-sided heart failure in an assigned patient. For right-sided heart failure, the patient presents with edematous extremities, nausea/vomiting and - ANSWER -anorexia. A patient is receiving a unit of blood and begins to display signs and symptoms of a transfusion reaction. What primary nursing action should the nurse take? - ANSWER -Stop the blood transfusion. A patient has been admitted to the telemetry unit with infective endocarditis. During the nursing assessment, the nurse notes the confirmatory findings of petechiae, splinter hemorrhages, - ANSWER -Osler's nodes During an acute lateral myocardial infarction, changes will be seen in which ECG leads? - ANSWER -I, aVL, V5, V6 Acute pericarditis is most commonly associated with: - ANSWER -renal failure.