Nclex Content Area--> Pharmacology
Questions And Answers 2027 |
Graded A+
Potassiumjchloridejintravenouslyjisjprescribedjforjajclientjwithjhypokalemia.jWhichjacti
onsjshouldjthejnursejtakejtojplanjforjpreparationjandjadministrationjofjthejpotassium?
jSelectjalljthatjapply.
1.
Obtainjanjintravenousj(IV)jinfusionjpump.
j2.
Monitorjurinejoutputjduringjadministration.
j3.
Preparejthejmedicationjforjbolusjadministration.
j4.
MonitorjthejIVjsitejforjsignsjofjinfiltrationjorjphlebitis.
j5.
Ensurejthatjthejmedicationjisjdilutedjinjthejappropriatejvolumejofjfluid.
j6.
Ensurejthatjthejbagjisjlabeledjsojthatjitjreadsjthejvolumejofjpotassiumjinjthejsolution.j-
jans-Answer:jAlljbutjnumberj3
PotassiumjchloridejadministeredjintravenouslyjmustjalwaysjbejdilutedjinjIVjfluidjandjinf
usedjviajanjinfusionjpump.jPotassiumjchloridejisjneverjgivenjbyjbolusj(IVjpush).jCouldj
resultjinjcardiacjarrest
Thejnursejmonitorsjurinaryjoutputjduringjadministrationjandjcontactsjthejhealthjcarejpr
oviderjifjthejurinaryjoutputjisjlessjthanj30jmL/hour.
Ajclientjwithjatrialjfibrillationjisjreceivingjajcontinuousjheparinjinfusionjatj1000junits/
hour.jThejnursejdeterminesjthatjthejclientjisjreceivingjthejtherapeuticjeffectjbasedjonjw
hichjresults?
, j1.
Prothrombinjtimejofj12.5jseconds
j2.
Activatedjpartialjthromboplastinjtimejofj60jseconds
j3.
Activatedjpartialjthromboplastinjtimejofj28jseconds
j4.
Activatedjpartialjthromboplastinjtimejlongerjthanj120jsecondsj-jans-Answer:j2.
Activatedjpartialjthromboplastinjtimejofj60jseconds
activatedjpartialjthromboplastinjtimej(aPTT)jarej30jtoj40jseconds.jBecausejthejaPTTjs
houldjbej1.5jtoj2.5jtimesjthejnormaljvalue,jthejclient'sjaPTTjwouldjbejconsideredjthera
peuticjifjitjwasj60jseconds.j
Prothrombinjtimejassessesjresponsejtojwarfarinjtherapy.
ThejnursejisjteachingjajclientjhowjtojmixjregularjinsulinjandjNPHjinsulinjinjthejsamejsy
ringe.jWhichjaction,jifjperformedjbyjthejclient,jindicatesjthejneedjforjfurtherjteaching?
j1.
WithdrawsjthejNPHjinsulinjfirst
j2.
Withdrawsjthejregularjinsulinjfirst
j3.
InjectsjairjintojNPHjinsulinjvialjfirst
j4.
Injectsjanjamountjofjairjequaljtojthejdesiredjdosejofjinsulinjintojeachjvialj-jans-
Answer:j1.
WithdrawsjthejNPHjinsulinjfirst
NPHjisjlongerjactingjsojdon'tjmixjwithjshotjactingjinsulinjsojwithdrawjregularjfirstjtojavo
idjcontamination
Thejhomejcarejnursejvisitsjajclientjrecentlyjdiagnosedjwithjdiabetesjmellitusjwhojisjtaki
ngjHumulinjNPHjinsulinjdaily.jThejclientjasksjthejnursejhowjtojstorejthejunopenedjvial
sjofjinsulin.jThejnursejshouldjtelljthejclientjtojtakejwhichjaction?
j1.
Questions And Answers 2027 |
Graded A+
Potassiumjchloridejintravenouslyjisjprescribedjforjajclientjwithjhypokalemia.jWhichjacti
onsjshouldjthejnursejtakejtojplanjforjpreparationjandjadministrationjofjthejpotassium?
jSelectjalljthatjapply.
1.
Obtainjanjintravenousj(IV)jinfusionjpump.
j2.
Monitorjurinejoutputjduringjadministration.
j3.
Preparejthejmedicationjforjbolusjadministration.
j4.
MonitorjthejIVjsitejforjsignsjofjinfiltrationjorjphlebitis.
j5.
Ensurejthatjthejmedicationjisjdilutedjinjthejappropriatejvolumejofjfluid.
j6.
Ensurejthatjthejbagjisjlabeledjsojthatjitjreadsjthejvolumejofjpotassiumjinjthejsolution.j-
jans-Answer:jAlljbutjnumberj3
PotassiumjchloridejadministeredjintravenouslyjmustjalwaysjbejdilutedjinjIVjfluidjandjinf
usedjviajanjinfusionjpump.jPotassiumjchloridejisjneverjgivenjbyjbolusj(IVjpush).jCouldj
resultjinjcardiacjarrest
Thejnursejmonitorsjurinaryjoutputjduringjadministrationjandjcontactsjthejhealthjcarejpr
oviderjifjthejurinaryjoutputjisjlessjthanj30jmL/hour.
Ajclientjwithjatrialjfibrillationjisjreceivingjajcontinuousjheparinjinfusionjatj1000junits/
hour.jThejnursejdeterminesjthatjthejclientjisjreceivingjthejtherapeuticjeffectjbasedjonjw
hichjresults?
, j1.
Prothrombinjtimejofj12.5jseconds
j2.
Activatedjpartialjthromboplastinjtimejofj60jseconds
j3.
Activatedjpartialjthromboplastinjtimejofj28jseconds
j4.
Activatedjpartialjthromboplastinjtimejlongerjthanj120jsecondsj-jans-Answer:j2.
Activatedjpartialjthromboplastinjtimejofj60jseconds
activatedjpartialjthromboplastinjtimej(aPTT)jarej30jtoj40jseconds.jBecausejthejaPTTjs
houldjbej1.5jtoj2.5jtimesjthejnormaljvalue,jthejclient'sjaPTTjwouldjbejconsideredjthera
peuticjifjitjwasj60jseconds.j
Prothrombinjtimejassessesjresponsejtojwarfarinjtherapy.
ThejnursejisjteachingjajclientjhowjtojmixjregularjinsulinjandjNPHjinsulinjinjthejsamejsy
ringe.jWhichjaction,jifjperformedjbyjthejclient,jindicatesjthejneedjforjfurtherjteaching?
j1.
WithdrawsjthejNPHjinsulinjfirst
j2.
Withdrawsjthejregularjinsulinjfirst
j3.
InjectsjairjintojNPHjinsulinjvialjfirst
j4.
Injectsjanjamountjofjairjequaljtojthejdesiredjdosejofjinsulinjintojeachjvialj-jans-
Answer:j1.
WithdrawsjthejNPHjinsulinjfirst
NPHjisjlongerjactingjsojdon'tjmixjwithjshotjactingjinsulinjsojwithdrawjregularjfirstjtojavo
idjcontamination
Thejhomejcarejnursejvisitsjajclientjrecentlyjdiagnosedjwithjdiabetesjmellitusjwhojisjtaki
ngjHumulinjNPHjinsulinjdaily.jThejclientjasksjthejnursejhowjtojstorejthejunopenedjvial
sjofjinsulin.jThejnursejshouldjtelljthejclientjtojtakejwhichjaction?
j1.
