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The patient being admitted requires CRRT therapy. The nurse
assigned to admit the patient has not been educated on this
therapy. The charge nurse adjusts the assignment so that a
nurse with 3 years experience in CRRT therapy is assigned to
the patient. This type of
decision making is an example of: - CORRECT ANSWER-the synergy
model for patient care.
The patient diagnosed with acute tubular necrosis (ATN) and
experiencing severe dehydration, sepsis, and pneumonia is now
in the polyureic stage of ATN. The most important nursing
action is to: - CORRECT ANSWER-monitor electrolyte levels and signs
of fluid depletion.
A patient has an elevated central venous pressure (CVP)
measurement. The most likely reason is: - CORRECT ANSWER-right
heart failure.
Diabetes insipidus is usually treated with - CORRECT ANSWER-
vasopressin.
,Which physiologic effect is produced by alpha-1 receptors? -
CORRECT ANSWER-Vasoconstriction
The patient experiencing an acute myocardial infarction (AMI)
arrived on the unit an hour ago with TPA infusing. Initially, the
patient's neurologic exam was normal. The nurse assesses the
patient and finds him now disoriented. The next nursing action
should be to: - CORRECT ANSWER-discontinue the TPA.
A patient has cardiomyopathy and is unstable. The nurse
understands that the treatment goal is to improve contractility,
reduce preload and reduce afterload. The nurse anticipates that
medication management will include: - CORRECT ANSWER-
dobutamine and nitroprusside infusions
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 500
mL of IV fluid. At what rate in milliliters per hour should the IV
pump be set? - CORRECT ANSWER-60 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? - CORRECT ANSWER-2.8 mL
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 in 100 mL normal saline. At
which rate should the infusion run? - CORRECT ANSWER-3 ml/hr
, A dose of 35 mg of a corticosteroid is ordered to be given IM to
treat inflammation. The medication is available as 250 mg/10
mL. How many milliliters should be administered? - CORRECT
ANSWER-1.4 ml
A practitioner's order prescribes levothyroxine 0.075 mg PO
daily. The available medication is levothyroxine 25-mcg tablets.
What will the nurse administer? - CORRECT ANSWER-3 tabs
The actions of nitroglycerin in the management of angina
include - CORRECT ANSWER-coronary artery dilation and peripheral
venous dilation.
The most common cause of right heart failure is: - CORRECT
ANSWER-left heart failure.
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: - CORRECT ANSWER-anorexia.
The nurse is assigned to a patient with acute adrenal
insufficiency (Addisonian crisis). The practitioner orders the
steroids to be discontinued quickly. The nurse knows to
question the order because: - CORRECT ANSWER-steroids should be
withdrawn slowly to allow for pituitary production of ACTH
The nurse is caring for a patient who has atrial fibrillation. The
patient is attempting to understand why this dysrhythmia