NRSG 106 (NRSG106)

A nurse caring for a patient who is undergoing a third round of chemotherapy is preparing to administer ondansetron (Zofran) 30 minutes before initiation of the chemotherapy. The patient tells the nurse that the ondansetron did not work as well the last time as It had the first time. What will the nurse do? A) Administer the ondansetron at the same time as the chemotherapy. B) Contact the provider to suggest using high-dose intravenous dolasetron (Anzemet). C) Request an order to administer...

Patient teaching correct answer: 1) General 2) Diet 3) Self-administration 4) Side effects 5) Cultural considerations General correct answer: - advise patient if medication temporarily impairs them - storage of meds instruction - advise about any necessary lab tests to monitor - advise them about expected therapeutic effect and length of time required for response - advise them on necessity to keep adequate drug supple (at work, school, while traveling) - advise them to contact h...

After teaching a group of students about beta-1 selective blockers, the instructor determines that the teaching was successful when the students identify what as a contraindication to using this group of drugs? correct answer: Sinus bradycardia A client has received a dose of dopamine intravenously. The client's IV was infiltrated, and the dopamine was injected into the subcutaneous tissues. Which medication will prevent the vasoconstriction and tissue necrosis based on this action? correct...

water classification in the body correct answer: intracellular and extracellular intracellular water correct answer: 2/3 of body's water within the cell, solvent, component of cell structure extracellular water correct answer: 1/3 of body's water, interstitial fluid, blood functions of water correct answer: chemical reactions solvent cell component temperature regulator lubricant shock absorber output of water correct answer: sensible loss: kidneys to urine intestine to...

Patients taking cholestyramine may experience which adverse effects? a. Blurred vision and photophobia b. Drowsiness and difficulty concentrating c. Diarrhea and abdominal cramps d. Belching and bloating correct answer: d. Belching and bloating The nurse will instruct the patient who is taking antilipemic drugs about which dietary measures? (SATA) a. Taking supplements of fat-soluble vitamins b. Taking supplements of B vitamins c. Increasing fluid intake d. Choosing foods th...

For best results when treating severe pain associated with pathologic spinal fractures related to metastatic bone cancer, the nurse should remember that the best type of dosage schedule is to administer the pain medication a) as needed. b) around the clock. c) on schedule during waking hours only. d) around the clock, with additional doses as needed for breakthrough pain. correct answer: d) around the clock, with additional doses as needed for breakthrough pain. A patient is receiv...

1. The nurse notes in a patient's medication history that the patient will be taking desmopressin. Based on this finding, the nurse interprets that the patient has which disorder? A. Diabetes mellitus B. Diabetes insipidus C. Adrenocortical insufficiency D. Carcinoid tumor correct answer: B. Diabetes insipidus (ADH hyposecretion disables the water-conserving capability of the kidneys; a condition of chronic polyuria without glucose) Insipidus means without taste. 2. A 16-year-old boy wh...

In assessing a patient before administration of a cardiac glycoside, the nurse knows that what condition can predispose a patient to digitalis toxicity? A. Hypokalemia B. Hyperkalemia C. Hypocalcemia D. Hypernatremia correct answer: A. Hypokalemia; control ventricular response to atrial fibrillation and a derived from foxglove. Digoxin is the only available cardiac glycoside---positive inotropic---inhibits sodium potassium pump (adenosine tripphophatase) Sodium and calcium rise. Cholinergic...

When administering a medication through an existing IV line via the IV push (IVP) method the nurse should inject the medication through the port nearest the patient. correct answer: True When administering IV medication via a continuous infusion, the nurse would: correct answer: Draw the medication up into a syringe, inject the medication into a bag of IV solution and infuse at a steady prescribed rate each hour until further orders are received. The primary purpose of the needleless sys...

A pulse oximetry monitor indicates that the patient has a drop in SPO2 from 95% to 85% over several hours. The first action the nurse should take is to correct answer: Check the position of the probe on the finger, toe, or earlobe What is the phrase that defines the volume of air inspired and expired with a normal breath? correct answer: Tidal volume You are caring for a patient who has returned to the unit following a bronchoscopy. The patient is asking for something to drink. Which cri...