PROPHECY MEDICAL SURGICAL-TELEMETRY LATEST 2023 REAL EXAM TEST BANK 120+ QUESTIONS AND CORRECT ANSWERS A+ GRADE

As long as the patient is receiving intravenous heparin therapy, the nurse should ensure that which of the following drugs is available on the unit? - ANSWER- Protamine sulfate Which of the following is the position of choice for a client with severe ascites? - ANSWER- Fowlers Which law makes it illegal to discriminate against individuals with disabilities in the private sector as well as in the public sector - ANSWER- ADA A patient with consistent blood pressure of 145/95 is classified as having - ANSWER- Stage 2 HTN What concentration of dextrose should be administered to the unconscious adult patient with hypoglycemia - ANSWER- D50W What is the purpose of administering lactulose to a patient with cirrhosis of the liver? - ANSWER- Inhibits ammonia production Which type of insulin is used for intravenous administration - ANSWER- Regular What is the recommended liter flow of oxygen when utilizing a simple face mask? - ANSWER- 10-12L Which of the following is a side effect of atropine - ANSWERGeneralized excitement Which of the following nursing actions would be most helpful in promoting communication in a patient experiencing aphasia? - ANSWER- use short sentences Which of the following techniques is useful when resistance is met while inserting an indwelling urinary catheter - ANSWER- Pt can cough or strain and if resistance remains stop procedure leave catheter in place and insert another into the urethral meatus At what rate should IV saline be administered to a patient with diabetic ketoacidosis during the first hour of treatment? - ANSWER- ml/hr Which antidepressant may also have a therapeutic effect on ADHD - ANSWER- Atomoxetine What time of day is a patient at greatest risk of experiencing silent ischemia? - ANSWER- Early morning hours Which class of diuretic can decrease calcium in the body - ANSWERLoop diuretic - Lasix Which emergency medication may cause cerebral hemorrhage - ANSWER- epinephrine When does the anticoagulant activity of intravenous heparin begin? - ANSWER- Immediately If a patient is receiving a TPN with lipids, the tubing should be replace every - ANSWER- 24 hrs How long should the patient be encourage to retain a bisacodyl rectal suppository to relieve constipatition - ANSWER- 15-20 minutes Why are MAOIs considered a last resort antidepressant? - ANSWERInteracts with certain foods and beverages Which type of antidepressant can block the reuptake of dopamine when prescribed at higher doses? - ANSWER- SNRIs A continuous drip of an antidysrhthmic 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. At what rate in mL/hr should the IV pump be set? - ANSWER- 60 mL/hr = 2x1x60/2x1 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 U100 insulin mL normal saline. At which rate should the infusion run? - ANSWER- 3 mL/H = 100x3/100 A dose of opioid medication (45 mg) and an anticholinergic medication (0.3 mg) has been ordered for preoperative sedation. The opioid medication is provided in a prefilled syringe containing 50 mg/ml and the anticholinergic medication is provided in a viral containing 400 mcg/ml. What is the total volume that the nurse will inject? - ANSWER1.65 (opioid 1x45/50 = 0.9 - - - anticholinergic 1x1000x0.3/400 = 0.75) What is a good strategy to reduce errors when calculating dose? - ANSWER- verify dose, order, pt, time, documentation etc which medication would likely be administered for thyroid storm - ANSWER- Propranolol which is an important characteristic of acetaminophen - ANSWERantipyretic A continuous drip of an antidysrhthmic 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. At what rate in mL/hr should the IV pump be set? - ANSWER- 60 mL/hr = 2x1x60/2x1 A practitioner order is written for a continuous infusion of insulin at 3 units/hr. The premixed solution is composed of 100 units of