NCLEX RN EXAM WITH COMPLETE SOLUTION QUESTIONS AND ANSWERS 2023

NCLEX RN EXAM WITH COMPLETE SOLUTION QUESTIONS AND ANSWERS 2023 when fusing packed red blood cells, which solution is hung with the Y tubing? - answer0.9% sodium in water (NS) Severe Preeclampsia, what are expected findings? - answerproteinuria, facial edema, blurred vision DM and glucose monitoring, what will increase blood flow and decrease risk of infection, before taking the sample? - answerwashing clients hands with soap and warm water What is an expecting finding of Hyperthyroidism? - answerTremors What is an expected finding of Hypothyroidism? - answerPeriorbital Edema Coping Strategies - answer Verapamil - answerCCB, treats hypertension, angina, arrhythmia. Do not take with Grapefruit (may cause hypotension). what should be administered for a Benzodiazepine overdose? - answerFlumazenil Which side does a cane go on? Weak side or Strong side? - answerStrong side Na+ - answerElectrolytes, Sodium 136-145 K+ - answerElectrolytes, Potassium 3.5-5 Ca++ - answerElectrolytes, Calcium 9-10.5 pH - answerABG, 7.35-7.45 PaCO2 - answerABG, 35-45 HCO3 - answerABG, bicarbonate, 21-28 PaO2 - answerABG, oxygen, 80-100 SaO2 - answerABG, Oxygen Saturation, 95%-100% Hgb - answerCBC, Hemoglobin, 12-16 (F) 14-18 (M) Hct - answerCBC, Hematocrit, 42-52% (M) 37-47% (F) RBC - answer4.7 (M) 6.1 (F) WBC - answerCBC, White Blood Cell, 5000-10,000 ESR - answererythrocyte sedimentation rate, < 20 mm/hr Cholesterol, Total - answer< 200 (risk for cardiac or stroke > 150) Platelets - answer150,000-400,000 PT - answer11-12.5 seconds therapeutic range is 1.5 - 2 times the normal aPTT - answerpartial thromboplastin time, 30-40 seconds therapeutic range is 1.5 - 2 times the normal INR - answer0.7-1.8 (unless on drug, therapeutic range 2-3) Glucose, Fasting - answerEndocrine, 70-105 HbA1c, glycosylated hemoglobin - answerEndocrine, Hemoglobin A1c, 4-6% under 6% for normal under 7% for Diabetes Control BUN - answerGU, 10-20 Creatinine - answerGU, 0.6-1.2 (M) 0.5-1.1 (F) Creatinine Clearance Test - answer90 - 139 (M) 80 -125 (F) calculation of GFR best indicator of overall renal function What type of solution is TPN? - answerhypertonic How can TPN be given and when is it prepared? - answerThrough a PICC line or tunneled catheter and prepared daily Which lab value is checked and how often, when TPN is initiated? - answerblood glucose, every 4-6 hours Every 24 hours a new TPN bag is hung with a new filter. True or False? - answerTrue Non-Pharmocological Interventions: HOT - answeron for 15min, off for 20min acts as an analgesia (pain relief) increase blood flow relaxes muscles diminishes muscles spasms eases muscles & joint stiffness Non-Pharmacological Interventions: COLD - answeron for 15min, off for 20min acts as an analgesia (pain relief) decreases/prevents swelling diminishes muscles spasms Diseases that need Private rooms? - answervaricella (chicken pox) herpes zoster (shingles) rubeola virus (measles) meningococcal disease pneumonia respiratory syncytial virus (RSV) rubella tuberculosis (TB) HIV/AIDS - answerStandard duration of illness blood & body fluids, including breast milk hand hygiene PPE if in contact with potential contaminated materials Varicella (chicken pox) - answerStandard, Airborne, Contact Private Room until lesions crust over leasions & respiratory secretions ppl who are pregnant or not had chicken pox of vaccine, should not care for client Clostridium difficile (C-diff) - answerStandard, Contact duration of illness feces hand hygiene PPE (enteric) if contact with potentially contaminated materials Hepatitis A (HepA) - answerStandard, Contact (if fecal incontinence) until 7 days after onset of jaundice Contact precautions used with clients wearing diapers or incontinent, min of 1 week depending on age Hepatitis B (HepB) - answerStandard duration of illness blood & body fluids hand hygiene contact for blood & body fluids Hepatitis C (HepC) - answerStandard (unless hemodialysis) duration of illness blood & body fluids hand hygiene contact for blood & body fluids Herpes Simplex Virus (HSV) - answerStandard, Contact recurrent oral, skin, genital until lesions crust over fluid from lesions horizontal transmission: skin & secretions vertical transmission: mother to child utero or birth Carbapenam-resistant enterobacteriacease (CRE) - answerStandard, Contact high mortality rate blood & body fluids, feces hand hygiene contact precautions Herpes Zoster (shingles) - answerStandard. Airborne, Contact Private Room disseminated or localized in immunocompromised duration of illness or visible lesions lesions ppl who never had chicken pox or vaccine should not care for client Rubeola virus (measles) - answerStandard, Airborne Private Room duration of illness respiratory secretions virus can live on infected surfaces up to 2 hours Meningococcal disease - answerStandard, Droplet Private Room until continuous 24 h therapy respiratory secretions postexposure prophylaxis to control outbreaks What is the antidote for Magnesium Sulfate? - answerCalcium Gluconate What is the number one complication after insertion of an epidural catheter and what should the nurse do? - answerHTN and nurse should infuse isotonic IV solution Specific Gravity (urine) - answerUrinalysis, 1.005 - 1.025 Protein (urine) - answerUrinalysis, 0.8 Glucose (urine) - answerless than 0.5 g/day Ketones (urine) - answerUrinalysis, none pH (urine) - answer4.6 - 8 WBC (urine) - answer0-3 (M) and 0-5 (F) What type of fluid am I? treatment of vascular system fluid deficit concentration equal to plasma prevent fluid shift between compartments 0.9% NS LR D5W - answerIsotonic Stays where "I" put it! What type of fluid am I? treatment of intracellular dehydration lower osmolality than ECF shifts fluid from ECF to ICF 0.45% NS 2.5% D in 45% NS - answerHypOtonic Go "O"ut of the vessel! and into cells What type of fluid am I? used only when serum osmolality is critically low osmolality higher than ECF shifts fluid from ICF to ECF D10W (10% dextrose in water) D50W (50% dextrose in water) D5NS (5% dextrose in NS) D5W in 0.45% NaCl (5% dextrose in 1/2 NS) D5LR (5% dextrose in LR) - answerHypErtonic "E"enter the vessel! nasal cannula - answer1-6 L/min 24-44% simple face mask - answer6-8 L/min 40-60% partial rebreather mask - answer8-11 L/min 50-75% non-rebreather mask - answer12 L/min 80-100% venturi mask - answer4-8 L/min 24-40% aerosol mask / face tent - answer8-10 L/min 30-100% T-piece - answer8-10 L/min 30-100% Hypokalemia - answerlow K+ (potassium) give K+ **NEVER give IV push **"No P = No K+" risk factors: -adverse affects of medications (steroids, diuretics, digitalis, laxative abuse) -body fluid loss (vomit, diarrhea, wound drain,NG suction) -excessive diaphoresis -kidney disease -dietary deficiency -alkalosis Manifestations: -muscle weakness, cramping -fatigue -n/v -dysrhythmias -flat or inverted T waves confusion, irritable decreased bowel mobility paresthesia interventions: -monitor: respiratory, ECG, I&Os, HCO3 and pH, -initiate and monitor K+ replacement (oral, IV) -fall precautions -dietary -client education Hyperkalemia - answerhigh K+ (potassium) risk factors: -renal failure -adrenal insufficiency -acidosis -excessive K+ intake -medications (K+ sparing diuretics, ACE inhibitors) manifestations: -peaked T waves -ventricular dysrhythmias -increased bowl motility -muscle twitching (early) -muscle weakness (late) interventions: -monitor: ECG, bowel sounds -initiate dialysis -administer (kayexalate, 50% glucose with insulin,calcium gluconate, bicarbonate, loop diuretics) Hyponatremia - answerlow Na+ (sodium) **risk of cerebral edema with hypertonic solutions risk factors: -GI loss -SIADH -adrenal insufficiency -water intoxication -excessive diaphoresis -medications (diuretics, anti-convulsants, SSRIs, lithium) manifestations: -muscle cramps, twitching -weakness -confusion -lethargy -seizures -headache -n/v -anorexia -hypotension -tachycardia -weight gain, edema interventions: -Na+ replacement (oral, GI tube, IV) -restrict oral fluid intake -daily weight -I&Os -medication (conivaptan hydrochloride: Vaprisol) Hypernatremia - answerhigh Na+ (sodium) risk factors: -water deficit -GI loss -hypertonic tube feedings -DI -burns -heatstroke manifestations: -fever -swollen, dry tongue -sticky mucous membranes -hyperreflexia, twitching -hallucinations -lethargy, restlessness, irritability -seizures -tachycardia -HTN -pulmonary edema interventions: -daily weight -I&Os -seizure precautions -IV infusion of hypotonic or isotonic fluids -increase oral fluid intake -dietary sodium restriction and education Hypocalcemia - answerlow Ca++ (calcium) **administer IV Ca++ slowly ! ** always dilute with D5W ! risk factors: -hypoparathyroidism -hypomagnesemia -kidney failure -Vitamin D deficiency -inadequate intake -disease process (celiac,lactose intolerance, Crohn's, alcohol use disorder) manifestations: -Trousseau's Sign -Chvostek's Sign -tetany, cramps -paresthesia -dysrhythmias -seizures -impaired clotting time -hyperreflexia interventions: -seizure precautions -IV Ca++ replacement -daily Ca++ supplements -Vitamin D therapy -monitor for orthostatic hypotension -dietary increase and education Hypercalcemia - answer Common medications for GERD - answerantacids histamine blockers pro-kinetic agents proton pump inhibitors (PPIs) Common medications for Peptic Ulcers - answerantacids antibiotics histamine blockers mucosal protectants pro-kinetic agents proton pump inhibitors (PPIs) Common medications for IBS - answerantidiarrehals bulk agents Common medications for inflammatory bowel disease (ulcerative colitis [bloody stools] and Crohn's) - answerantibiotics antidiarrehals immune modulators steroids Common medications for Diverticular Disease (diverticulosis is the process and diverticulitis is the inflammation) - answerantibiotics bulk agents Client post bariatric surgery, feels dizzy, tachycardia and eating after meals, What can the nurse tell the client to do ? - answeravoid lactose and concentrated sugars eat small, frequent meals have liquids 1 hour after meals lay down after meals to prevent dumping syndrome A client who gains 1 pound in 24 hours is about how much fluid retaining? - answer500mL Crutches: Going up and down stairs, which leg first? - answer"Good goes to Heaven, Bad goes to Hell" Up: good leg Down: affected leg GOUT - answeravoid organ meats (liver) Complications of Fractures - answerFat Emboli -Petechiae -tachycardia -tachypnea -confusion Compartment Syndrome -extreme pain -cyanosis -paresthesia -paralysis Posterior Pituitary Gland, Endocrine System - answeranti diuretic hormone (ADH) hyposecretion: DI (pee very very much, dehydrated, replace fluids) hypersecreation: SIADH, Water Intoxication (give vasopressin, low Na+ due to diluted with so much water, Adrenal Gland, function? - answersits on kidneys fight or flight, adrenaline cushing's disease (BIG S's) - answercuShingS diSeaSe client has an increase in: Steroid Sugar Sodium Skin (fragile, thin) addison's disease (small S's) - answer Grave's Disease (hyperthyroidism) - answerwith 1 degree of change in temp, start action! weight loss, high metabolism bulging eyes tachycardia heat intolerance hypothyroidism - answerweight gain constipation fatigue depression treatment: levothyroxine (sythroid) Anemias - answer**all have low Hbg and Hct renal disease: low erythropoietin iron deficiency: most common anemia aplastic: low RBC, WBC, platelets pernicious: B12 malabsorption, "shillings test" hemolytic: premature RBC destruction sickle cell: joint pain thalassemia: facial bone deformities C-Reactive Protein - answercardiac damage B-type natriuretic peptide (BNP) - answerindicator for diagnosing HF < 100 no HF 100-300 possible HF > 300 mild HF > 600 moderate HF > 900 severe HF Signs of impending MI - answerMALE: mid sternal pain (crushing pain, elephant) tachycardia anxiety pale, cold, clammy FEMALE: mid-back or epigastric pain sleep disturbance fatigue feel's "something is wrong" BOTH: pain radiates to should or arm n/v dizzy dyspnea heart burn MI interventions - answerO.N.A.M. Oxygen Nitroglycerin Aspirin (325mg) Morphine (helps to breath easier and lessens pain) HF - answer**too much fluid: "Pump it, Park it, Pee it" Left Side: LUNGS dyspnea frothy sputum crackles cough Right Side: REST OF BODY JVD weight gain edema *too much fluid: "Pump it, Park it, Pee it" Early signs of Shock - answerpallor tachypnea confusion tachycardia Late Signs of Shock - answercold, moist skin weak thready pulse anuria hypotension metabolic acidosis Hemodialysis - answerinterventions: asses circulation hold medications weight VS monitor labs complications: infections closure disequilibrium syndrome (removing fluids too fast) hypotension bleeding Peritoneal Dialysis - answerinterventions: weight don't hold medications VS and labs hypertonic solution is going in complications: infection poor outflow cold shock (warm solution in a heating blanket) bowel perforation cataracts - answerpainless procedure Kernig's Sign - answermeningitis feel pull and pain in neck autonomic dysreflexia - answerspinal cord injuries at T6 or higher Normal DTR? - answer2+ Glasgow Coma Scale - answer Cranial Nerves - answer Cerebrovascular Accident (Stroke) - answerFAST Face: droop, able to smile? Arm: equal, one stiff? Speech: has quality changed? Time: need immediate care, 4-5 hours Guillain-Barre Syndrome (GBS) - answeracute inflammatory polyneuropathy Amyotrophic lateral sclerosis (ALS) - answerupper and lower neuron disease progressive weakness, wasting and paralysis Multiple Sclerosis - answerautoimmune disease breakdown of the myelin sheath affects nerve conduction Myasthenia Gravis - answerautoimmune characterized by fatigue and weakness Parkinson's Disease - answerprogressive disease tremors rigidity, bradykinesia postural instability Cancer Risk Factors - answersun smoking genetics age race exposure to chemicals diet high in red meat and fat and low in fiber Western Blot - answertest for HIV once positive, always positive! Systemic Lupus Erythematous - answerbutterfly rash on face Kaposi's Sarcoma - answer Burns : Rule of 9s - answer Burn Degrees - answer Parkland Formula - answerAmount of fluid that needs to get into a burn victim from the time of the burn up to first 8 hours End-of-Life Care - answer Clear Liquid Diet - answer Full Liquid Diet - answer Pureed Diet - answer Soft Diet (bland - low fiber) - answer Mechanical Soft Diet - answer Low-Protein Diet - answer High-Protein Diet - answer Low-Cholesterol Diet - answer Modified-Fat Diet - answer Potassium-Modified Diet - answer Sodium-Restriced Diet - answer Vitamin A - answerliver egg yolk whole milk butter green & yellow vegetables Vitamin D - answersunlight fish oils fortified milk & margarine Vitamin K - answergreen leafy vegetables cheese egg yolks liver Vitamin C - answercitrus fruits tomatoes broccoli cabbage B1, Thiamine - answerlean meats (beef, pork, liver) legumes whole grain cereals B2, Riboflavin - answermilk green leafy vegetables organ meats enriched grains B3, Niacin - answerbeans peas peanuts meat enriched grains B6, Pyridoxine - answercorn yeast wheat organ meats B9, Folic Acid - answergreen leafy vegetables eggs liver B12, Cobalamin - answerlean meats liver kidneys PO4 - answerElectrolytes, Phosphorus 3 - 4.5 Cl - answerElectrolytes, Chloride 98 - 106 LDL - answerlow density lipids, < 130 HDL - answerhigh density lipids, 35 - 65 (M) 35 - 80 (F) Triglycerides - answer< 150 Albumin - answerliver function, 3.5 -5 Ammonia - answerliver function, 15 -45 Total Bilirubin - answerliver function, 0.1 - 1 Total Protein - answerliver function, 6 - 8 ABG - answerROME 1mg = mcg? - answer1000 mcg 1 g = mg? - answer1000 mg 1 kg = g? - answer1000 g 1 kg = lb? - answer2.2 lb 1 gr = mg? - answer60 mg 1 oz = mL? - answer30 mL 1 L = mL? - answer1000 mL 8oz glass of ice is about how many oz? - answer4 oz melts down to about half 1 tsp = mL? - answer5 mL 1 tbsp = mL? - answer15 mL 1 tbsp = tsp? - answer3 tsp 98.6 F = C? - answer37.0 Celcius Temperature Conversations F to C? & C to F? - answerC = (F -32) x (5/9) F = (C x 1.8) + 32 TPN - answerTotal Parenteral Nutrition about 700 calories a bag main concern is infection hypertonic solution admin through PICC line or tunneled catheter prepared Daily dressing change aseptic (sterile) technique (masks) check blood glucose every 4-6 hours a new bag and filter is hung every 24 hours Cardiovascular Medications: Antihypertensives - answerAntihypertensives: - Ace Inhibitors - ARBs - Ca++ Channel Blockers - Alpha Adrenergic Blockers - Centrally Acting Alpha2 Agonists - Beta Adrenergic Blockers - Vasodilators Cardiovascular Medications: Cardiac Glycosides - answerCardiac Glycosides: *Digoxin (Lanoxin, Lanoxicaps, Digitek) HF and a-fib therapeutic level 1.8 - 2 hold for HR under 60, check apical for 1 min Cardiovascular Medications: Antianginals - answerAntianginal: *Nitro Cardiovascular Medications: Antidysrhythmics - answerAntidysrhythmic Agents: Cardiovascular Medications: Antilipemics - answerAntilipemic: lowers LDL & increases HDL -statins do not give with grapefruit! drug interactions: prolonged bleeding with warfarin Respiratory Medications: Beta2 Adrenergic Agonists - answer-erol Respiratory Medications: Methylxanthines - answer Respiratory Medications: Inhaled Anticholinergics - answer Respiratory Medications: Glucocorticoids - answer Respiratory Medications: Leukotriene Modifiers - answer Respiratory Medications: Antitussives, Expectorants, Mucolytics - answer Respiratory Medications: Decongestants, Antihistamines - answer Endocrine Medications: Oral Hypoglycemics - answer Endocrine Medications: Insulin - answer Endocrine Medications: Glycemic Agents - answer Endocrine Medications: Thyroid Hormone - answerHypothyroidism Endocrine Medications: Thyroid Hormone Antagonist - answerHyperthyroidism Endocrine Medications: Anterior Pituitary / Growth Hormones - answer Endocrine Medications: Posterior Pituitary Hormones / ADH - answer Endocrine Medications: Adrenal Hormone Replacement - answer Hematologic Medications: Blood & Blood Products - answer Hematologic Medications: Hematopoietic Growth Factors - answer Hematologic Medications: Iron Preparations - answerOral: Vitamin C increases absorption causes GI upset, changes stool and constipation dilute liquid with juice or water and drink through straw to avoid teeth IM: use large bore needle (19-20 g, 3in) Hematologic Medications: Anticoagulants - answer Hematologic Medications: Antiplatelets - answerlow-dose aspirin, 81mg Hematologic Medications: Thrombolytics - answeracute MI, DVT, massive PE, ischemic stroke -teplase Gastrointestinal Medications: Antacids - answertaken 60 mins after PO Iron Gastrointestinal Medications: Blocking Agents / Antisecretory - answerprevent or block receptors in stomach - Gastric and Peptic Ulcers - GERD - Zollinger-Ellison Syndrome 1) Proton Pump Inhibitors (PPIs) -prazole 2) Histamine2 Receptor Antagonists -tidine Gastrointestinal Medications: Mucosal Protectants - answersucaralfate (Carafate) Gastrointestinal Medications: Antiemetics - answer Gastrointestinal Medications: Antidiarrheals - answer Gastrointestinal Medications: Stool Softeners / Laxatives - answer Urinary Medications: Diuretics - answerLoop Thiazide Potassium Sparing Urinary Medications: Osmotic Diuretics - answerMannitol Urinary Medications: Alpha-Adrenergic Blockers - answerUrinary Hesitancy Urinary Medications: Anticholinergics - answerOveractive Bladder Urinary Medications: Sexual Dysfunction - answer Immune System Medications: Immunizations - answer Immune System Medications: Antimicrobials - answer Musculoskeletal Medications: Bisphosphonates - answer Musculoskeletal Medications: Antiheumatics: DMARDs - answer Musculoskeletal Medications: Antiheumatics: NSAIDs - answer Musculoskeletal Medications: Antiheumatics: Glucocorticoids - answer Musculoskeletal Medications: Antigout - answer Nervous System Medications - answer Nervous System Medications: Antianxiety - answer-lam -pam Nervous System Medications: Antidepressants - answer Nervous System Medications: Bipolar Disorder - answer Nervous System Medications: Antipsychotics - answerTypical (conventional) Atypical (less severe side/adverse affects) Nervous System Medications: ADHD - answer Nervous System Medications: Sedative / Hypnotic - answer Nervous System Medications: Abstinence Maintenance - answer Nervous System Medications: Chronic Neurological Disorders: Cholinesterase Inhibitors - answer Nervous System Medications: Chronic Neurological Disorders: Anti-Parkinson's - answer Nervous System Medications: Chronic Neurological Disorders: Antiseizures - answer Pain & Inflammation Medications: NSAIDs - answer Pain & Inflammation Medications: Acetaminophen - answer Pain & Inflammation Medications: Opioid Analgesics - answer Reproductive Medications: Contraception - answermuch teaching the pill, risk age, smokers, DVTs antibiotic teaching Reproductive Medications: Oxytocic - answer*dinoprostone (Cervidill) cervical "ripening" softening *oxytocin (Pitocin) Reproductive Medications: Uterine Constritor - answer*methylergonovine (Methergine) stimulates uterine muscle to contrisct prevents postpartum hemorrhage Reproductive Medications: Tocolytics - answer Reproductive Medications: Atenatal Steriod - answer*betamethasone (Celestone) stimulates production of surfactant in fetus at 24-34 weeks promotes fetal lung maturity in preterm labor when delivery is likely Reproductive Medications: Postpartum - answer*Rho(D) Immune Globulin (RhoGAM) *Varicella Vacine Complementary & Alternative Therapies: Saw Palmetto - answera.k.a: Serenoa repens Complementary & Alternative Therapies: Valerian Root - answer Complementary & Alternative Therapies: St. John's Wort - answera.k.: Hypericum Perforatum Complementary & Alternative Therapies: Enchinacea - answera.k.a: Echinacea Purpurea Complementary & Alternative Therapies: Ginkgo - answer Complementary & Alternative Therapies: Ginseng - answer Complementary & Alternative Therapies: Glucosamine - answer Complementary & Alternative Therapies: Chondroitin Sulfate - answer Complementary & Alternative Therapies: Omega-3 Fatty Acids - answer Complementary & Alternative Therapies: Melatonin - answertreats insomnia and jet lag What 4 "G" herbs can enhance warfarin (coumadin)? - answerGarlic Ginger Ginseng Ginkgo biloba Antidote: Acetaminophen - answeracetylcysteine (Mucomyst) Antidote: Benzodiazepine - answerflumazenil (Romazicon) Antidote: Curare - answeredrophonium (Tensilon) Antidote: Cyanide Poisoning - answermethylene blue Antidote: Digitalis - answerdigoxin immune FAB (Digibind) Antidote: Ethylene Poisoning - answerfomepizole (Antizol) Antidote: Heparin & enoxaparin (Lovenox) - answerprotamine sulfate Antidote: Iron - answerdeferoxamine (Desferal) Antidote: Lead - answersuccimer (Chemet) Antidote: Magnesium Sulfate - answercalcium gluconate 10% (Kalcinate) Antidote: Narcotics - answernaloxone (Narcan) Antidote: warfarin (Coumadin) - answerphytonadione (Vitamin K) Drug Levels: Aminophylline - answerTherapeutic: 10 -20 Toxic: > 20 Drug Levels: Digoxin - answerTherapeutic: 0.8 - 2 Toxic: > 2.4 Drug Levels: Gentamicin - answerTherapeutic: 0.5 - 8 Toxic: > 12 Drug Levels: Lidocaine - answerTherapeutic: 1.5 - 5 Toxic: > 5 Drug Levels: Lithium - answerTherapeutic: 0.4 -1.4 Toxic: > 2 Drug Levels: Mag-Sulfate - answerTherapeutic: 4 - 8 Toxic: > 9 Drug Levels: Phenobarbital - answerTherapeutic: 10 - 30 Toxic: > 40 Drug Levels: Phenytoin - answerTherapeutic: 10 - 20 Toxic: > 30 Drug Levels: Quinidine - answerTherapeutic: 2 - 5 Toxic: > 10 Drug Levels: Salicylate - answerTherapeutic: 100 - 250 Toxic: > 300 Drug Levels: Theophylline - answerTherapeutic: 10 - 20 Toxic: > 20 Drug Levels: Tobramycin - answerTherapeutic: 5 - 10 Toxic: > 12 IV Complications: Infiltration - answer