QUESTIONS AND ANSWERS
Whichzofzthezfollowingzmedicationsziszknownztozcausezorange-coloredzurine?z-
zans✔✔phenazopyridinez(Pyridium)
Youzarezorderedztozgivezdigoxin.zYourzpatient'szvitalzsignszarezaszfollows:zBloodzPressurez
130/75,zTempz97.9zoral,zHRz52,zO2zSatz100%zroomzair.zWhatzshouldzyouzdoznext?z-
zans✔✔Holdzdigoxinzandzcallzthezprovider
NormalzSalinez(NS)ziszthezsolutionzofzchoicezoverzD5Wzwhenzpreparingztozadministerzazbl
oodztransfusionzbecause:z-
zans✔✔NormalzSalineziszanzisotoniczsolutionzandzpreventszcellzhemolysis
Patientzisztozreceivez5mg/
kgzofzmedication.zPatientzweighsz80kg.zHowzmuchzwouldzyouzadminister?z-
zans✔✔400mg
Yourzpatientztakingzdigoxinz(Lanoxin)zhaszanzAMzPotassiumzlevelzofz3.0.zThiszlevelzmay:z-
zans✔✔Increasezriskzofzdigoxinztoxicity
Thezpatientziszdiagnosedzwithzmultiplezmyeloma.zThezphysicianzhaszorderedzcyclophosph
amidez(Cytoxan).zWhichzinstructionzshouldzbezgivenztozthezpatient?z-
zans✔✔Increasezdailyzwaterzintake
WhichzofzthezfollowingzmedicationszwillzcrystalizezwhenzmixedzwithzD5NS?z-
zans✔✔phenytoinz(Dilantin)
Whichzofzthezfollowingzmedicationszshouldzbezquestionedzbyztheznurse,zifzorderedzbyzthez
providerztoztreatzazpatient'szcomplaintzofznauseazandzvomiting?z-
zans✔✔famotidinez(Pepcid)
Yourzpatientzhaszanzepiduralzinfusingzhydromorphonezwithzbupivacainezatz6ml/
hrzcontinuously.zThezpatient'szbloodzpressurezatzthezbeginningzofzyourzshiftzwasz92/58zwit
hzazheartzratezofz68.zYouznoticedzthezpatient'szbloodzpressureszhavezbeenzaroundz130/70.
zWhatzshouldzyouzdozFIRST?z-zans✔✔Checkzinfusionzrateztozconfirmz6ml/
hr,zthenznotifyzanesthesiazprovider