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A patient complains of cramps in his calves, parasthesia to his toes and a feeling that his heart is
not beating normally. These symptoms may indicate which of the following imbalance?
Hyperkalemia
What is Lactated Ringer composed of? (Choose all that apply)
Sodium lactate
Potassium
Sterile water
Calcium
Sodium chloride
Match the category with its fluid replacement agent:
1 - Blood product
2 - Colloid
3 - Crystalloid
1 - Fresh frozen plasma
2 - Dextran 40
3 - Normal Saline
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,Match the category with its fluid replacement agent:
1 - Blood product
2 - Colloid
3 - Crystalloid
1 - Packed RBC's
2 - Albumin
3 - Lactated Ringers
Match the category with its fluid replacement agent:
1 - Blood product
2 - Colloid
3 - Crystalloid
1 - Whole Blood
2 - Plasma protein fraction
3 - D5W
The blood bank is going to separate out component parts of blood. Choose which part of the
blood matches which description:
1 - Red blood cells
2 - White blood cells
3 - Platelets
4 - Albumin
5 - Fresh frozen plasma
6 - Globulins
1 - Erythrocytes
2 - Leukocytes
3 - Thrombocytes
4 - Large (protein) molecules found in blood, often given to cirrhosis patients who are at risk
from compromised protein production
5 - Contain clotting factors (e.g. Factor VIII, but isn't considered a "blood product")
6 - Proteins in the blood, which when given can help the immune system fight - there are
actually 4 kinds of these
Choose the action and purpose of the elements given:
1- Dextran 40
2- Potassium chloride
3- Sodium chloride
4- Sodium bicarbonate
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,1- Given as a colloid to pull fluid back into the vascular space and thereby help BP increase
2- Given as an electrolyte replacement
3- Given as a crystalloid to patients to promote urinary output and reduce the effects of
dehydration
4- Given to help correct acid-base imbalances
Match the following:
1- Isotonic normal saline
2- Hypertonic saline
3- Hypotonic saline
4- Isotonic
1- 0.9% NS
2- 3% NS
3- 0.45% NS
4- Lactated Ringers
Match the interaction of sodium bicarbonate with the following medications:
1- Ketonoctozole
2- Pseudoephedrine and ephedrine
3- Lithium
4- Aspirin and other salicylates
5 -Milk or calcium supplements
1- May decrease the effectiveness of this antifungal
2- May decrease elimination causing more CNS symptoms of drowsiness
3- May cause this drug to be excreted faster
4- May cause this class to be excreted faster
5- Likely to cause hypercalcemia and kidney failure
Phenylephrine can be administered intranasal, ophthalmic, intramuscular (IM), subcutaneous,
and intravenous (IV).
With these options, IV is the preferred route for this medication.
False
Prazosin can be used for the following condition:
Hypertension
Bethanechol is used to decrease smooth-muscle tone and muscular contractions in the GI tract
following general anesthesia.
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, False
Low doses of Atropine decreases sweating, salivation, and respiratory secretions.
True
Administration alerts for Physostigmine include (select all that apply)
Continuous infusions should never be used
Monitor blood pressure, pulse, and respirations
Administer slowly over 5 minutes
Diphenhydramine can be used for the following conditions (select all that apply)
Anaphylaxis
Anxiety and insomnia
Allergic rhinitis
Parkinson's disease
The classification for Phenobarbital includes:Select all that apply.
Sedative/hypnotic
Anticonvulsants
Diazepam rapidly absorbs from both the GI tract and IM sites
False
Nursing care for patients receiving Phenytoin through an enteral tube feeding or NG tube
should include (select all that apply):
A two hour delay between feeding and phenytoin administration
Flushing tube with 2-4 oz of water before and after administration
Residual checks per facility policy
Valproic acid can be used as an anticonvulsant and a vascular headache suppressant. This
medication:
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