medical surgical/ healthstream telemetry knowledge-exam preparation 2023/2024

medical surgical/ healthstream telemetry knowledge-exam preparation 2023/2024 At what rate should IV saline be administered to a patient with diabetic ketoacidosis during the first hour of treatment? - CORRECT ANSWER- ml/hr Which antidepressant may also have a therapeutic effect on ADHD - CORRECT ANSWER-Atomoxetine A continuous drip of an antidysrhthmic 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 500 mL of IV. At what rate in mL/hr should the IV pump be set? - CORRECT ANSWER-60 mL/hr = 2x1x60/2x1 A practitioner order is written for a continuous infusion of insulin at 3 units/hr. The premixed solution is composed of 100 units of regular U-100 insulin mL normal saline. At which rate should the infusion run? - CORRECT ANSWER-3 mL/H = 100x3/100 A dose of opioid medication (45 mg) and an anticholinergic medication (0.3 mg) has been ordered for preoperative sedation. The opioid medication is provided in a prefilled syringe containing 50 mg/ml and the anticholinergic medication is provided in a viral containing 400 mcg/ml. What is the total volume that the nurse will inject? - CORRECT ANSWER-1.65 (opioid 1x45/50 = 0.9 - - - anticholinergic 1x1000x0.3/400 = 0.75) What is a good strategy to reduce errors when calculating dose? - CORRECT ANSWER-verify dose, order, pt, time, documentation etc which medication would likely be administered for thyroid storm - CORRECT ANSWERPropranolol which is an important characteristic of acetaminophen - CORRECT ANSWERantipyretic As long as the patient is receiving intravenous heparin therapy, the nurse should ensure that which of the following drugs is available on the unit? - CORRECT ANSWERProtamine sulfate Which of the following is the position of choice for a client with severe ascites? - CORRECT ANSWER-Fowlers Which law makes it illegal to discriminate against individuals with disabilities in the private sector as well as in the public sector - CORRECT ANSWER-ADA A patient with consistent blood pressure of 145/95 is classified as having - CORRECT ANSWER-Stage 2 HTN What concentration of dextrose should be administered to the unconscious adult patient with hypoglycemia - CORRECT ANSWER-D50W What is the purpose of administering lactulose to a patient with cirrhosis of the liver? - CORRECT ANSWER-Inhibits ammonia production Which type of insulin is used for intravenous administration - CORRECT ANSWERRegular What is the recommended liter flow of oxygen when utilizing a simple face mask? - CORRECT ANSWER-10-12L Which of the following is a side effect of atropine - CORRECT ANSWER-Generalized excitement Which of the following nursing actions would be most helpful in promoting communication in a patient experiencing aphasia? - CORRECT ANSWER-use short sentences Which of the following techniques is useful when resistance is met while inserting an indwelling urinary catheter - CORRECT ANSWER-Pt can cough or strain and if resistance remains stop procedure leave catheter in place and insert another into the urethral meatus What time of day is a patient at greatest risk of experiencing silent ischemia? - CORRECT ANSWER-Early morning hours Which class of diuretic can decrease calcium in the body - CORRECT ANSWER-Loop diuretic - Lasix Which emergency medication may cause cerebral hemorrhage - CORRECT ANSWERepinephrine When does the anticoagulant activity of intravenous heparin begin? - CORRECT ANSWER-Immediately