NUR 185 Questions And Answers With Latest
Solutions
What lab would you monitor for a patient with a HX of CHF and to doctor gives them Lasix/ furosemide 40
mg? ANS Potassium (loop diuretic is not potassium sparing)
Normal potassium range is 3.5-5
What would you teach about cancer medications? (neoplastic meds) ANS Teach patients about getting
immunizations during treatment. We want patients to be aware that with their weakened immune systems this
can cause serious adverse reactions. IMMUNIZATIONS ARE LIVE VIRUSES
What would you monitor for a patient who is on diphenhydramine/Benadryl? ANS -blood pressure
- respiratory system
SE: causes drowsiness, do not take with opiates or other sleep aids, do not operate heavy machinery
What would you monitor for when a patient has had a bilateral knee replacement surgery? ANS - infection
- DVT
- hemorrhage
Why do we use Lorazepam/Ativan? ANS - Alcohol withdrawal
- Anxiety
- Seizures
What do you want to monitor for when giving Ativan? ANS - respiratory depression
(ALERT)- do not take with other cns depressants
cause drowsiness
no heavy machinery
You are giving a patient LR IV, you forgot to prime the line, what is going to happen? ANS AIR
EMBOLUS
(intervention: left sided Trendelenburg, STOP IV, 100% o2 via non-rebreather, notify RN/PCP
, A patient is receiving 200ml/hr NS.. respiratory rate goes up to 32, JVD is present, crackles are auscultated,
what should you do? ANS STOP IV
Vancomycin is infusing when you notice the IV site has become edematous and red what are your next
actions? ANS - STOP IV
- take out IV
- call pharm for antidote
- call doctor
-start new IV on opposite arm
- culture tip
IS a central line dressing a sterile technique?
What do we want to remember about a central line dressing? ANS YES
BIO PATCH BLUE TO THE SKY
Patient comes into emergency room S/S are BS or 660 ABG: ph: 6.9 PCO2 31 HC03 19 ANS - Metabolic
acidosis
partially compensated
give insulin, stay with them monitor glucose closely Q30 minutes until stable
What type of diet would you want a patient with Renal disease to follow? ANS - Low sodium
- low potassium
WBC ANS 5000-10000
HGB ANS 12-18
HCT ANS Males: 42-52%
Females: 37-47%
Creatinine ANS 0.6-1.2 mg/dL
Solutions
What lab would you monitor for a patient with a HX of CHF and to doctor gives them Lasix/ furosemide 40
mg? ANS Potassium (loop diuretic is not potassium sparing)
Normal potassium range is 3.5-5
What would you teach about cancer medications? (neoplastic meds) ANS Teach patients about getting
immunizations during treatment. We want patients to be aware that with their weakened immune systems this
can cause serious adverse reactions. IMMUNIZATIONS ARE LIVE VIRUSES
What would you monitor for a patient who is on diphenhydramine/Benadryl? ANS -blood pressure
- respiratory system
SE: causes drowsiness, do not take with opiates or other sleep aids, do not operate heavy machinery
What would you monitor for when a patient has had a bilateral knee replacement surgery? ANS - infection
- DVT
- hemorrhage
Why do we use Lorazepam/Ativan? ANS - Alcohol withdrawal
- Anxiety
- Seizures
What do you want to monitor for when giving Ativan? ANS - respiratory depression
(ALERT)- do not take with other cns depressants
cause drowsiness
no heavy machinery
You are giving a patient LR IV, you forgot to prime the line, what is going to happen? ANS AIR
EMBOLUS
(intervention: left sided Trendelenburg, STOP IV, 100% o2 via non-rebreather, notify RN/PCP
, A patient is receiving 200ml/hr NS.. respiratory rate goes up to 32, JVD is present, crackles are auscultated,
what should you do? ANS STOP IV
Vancomycin is infusing when you notice the IV site has become edematous and red what are your next
actions? ANS - STOP IV
- take out IV
- call pharm for antidote
- call doctor
-start new IV on opposite arm
- culture tip
IS a central line dressing a sterile technique?
What do we want to remember about a central line dressing? ANS YES
BIO PATCH BLUE TO THE SKY
Patient comes into emergency room S/S are BS or 660 ABG: ph: 6.9 PCO2 31 HC03 19 ANS - Metabolic
acidosis
partially compensated
give insulin, stay with them monitor glucose closely Q30 minutes until stable
What type of diet would you want a patient with Renal disease to follow? ANS - Low sodium
- low potassium
WBC ANS 5000-10000
HGB ANS 12-18
HCT ANS Males: 42-52%
Females: 37-47%
Creatinine ANS 0.6-1.2 mg/dL