NUR 185 Exam 1 Questions with 100% Correct
Answers
What lab would you monitor for a patient with a HX of CHF and to doctor gives them
Lasix/ furosemide 40 mg?
Potassium (loop diuretic is not potassium sparing)
Normal potassium range is 3.5-5
What would you teach about cancer medications? (neoplastic meds)
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?
-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?
- infection
- DVT
- hemorrhage
Why do we use Lorazepam/Ativan?
, - Alcohol withdrawal
- Anxiety
- Seizures
What do you want to monitor for when giving Ativan?
- 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?
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?
STOP IV
Vancomycin is infusing when you notice the IV site has become edematous and red
what are your next actions?
- STOP IV
- take out IV
- call pharm for antidote
- call doctor
-start new IV on opposite arm
- culture tip
Answers
What lab would you monitor for a patient with a HX of CHF and to doctor gives them
Lasix/ furosemide 40 mg?
Potassium (loop diuretic is not potassium sparing)
Normal potassium range is 3.5-5
What would you teach about cancer medications? (neoplastic meds)
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?
-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?
- infection
- DVT
- hemorrhage
Why do we use Lorazepam/Ativan?
, - Alcohol withdrawal
- Anxiety
- Seizures
What do you want to monitor for when giving Ativan?
- 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?
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?
STOP IV
Vancomycin is infusing when you notice the IV site has become edematous and red
what are your next actions?
- STOP IV
- take out IV
- call pharm for antidote
- call doctor
-start new IV on opposite arm
- culture tip
