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Digoxin (Lanoxin) - positive inotrope (increases force of contraction); negative chronotrope (decreases heart rate). How do you assess for this? - correct answer -Always take apical pulse for one full minute Client with a long hx of daily digoxin and fourosemide (Lasix) use; creates a high risk for dig toxicity because - correct answer -Lasix can cause hypokalemia, which can lead to dig toxicity What can happen when Digoxin is taken with Dronedarone (Multaq), which is another anti-dysrhyth...

A client who is taking an oral dose of tetracycline reports gastrointestinal upset. Which snack should the nurse instruct the client to take with the tetracycline? a. Fruit-flavored yogurt b. Toasted wheat bread and jelly c. Cold cereal with skim milk d. Cheese and crackers - correct answer -B. The nurse is assessing the eyes of a client who just received mydriatic eye drops. Which physiological function of the eye will not respond during the therapeutic period after administration of eye...

A client is prescribed phenobarbital sodium (Luminal) for a seizure disorder. The medication has a long half-life of 4 days. Based on this half-life, the medication will most likely be prescribed A. once a day. B. twice a day. C. three times a day. D. four times a day. - correct answer -ANS: A Medication with long half-lives remain at their therapeutic levels between doses for long periods of time. Therefore, this medication can be administered once a day. A nurse educator is reviewing m...

A client with giardiasis is taking metronidazole (Flagyl) 2 grams PO. Which information should the nurse include in the client's instruction? - correct answer -Take the medication with food. A client is receiving metoprolol (Lopressor SR). What assessment is most important for the nurse to obtain? - correct answer -Blood pressure. A client with a dysrhythmia is to receive procainamide (Pronestyl) in 4 divided doses over the next 24 hours. What dosing schedule is best for the nurse to impl...

Penicillins indications - correct answer -Antiinfectives, used primarily for gram-positive infections Penicillins adverse reactions - correct answer -Allergic reactions, anaphylaxis, phlebitis at IV site, diarrhea, GI distress, superinfection If a patient is allergic to cephalosporins, which other drug may they also be allergic to? - correct answer -Penicillins Penicillins: Nursing Implications - correct answer -- Monitor for allergic reactions - Observe clients for at lest 30 minutes ...

Which actions should be completed by the manager of a group of nursing case managers? (SATA) - Study the current licensed to unlicensed staffing ration - Discuss revision of position descriptions for cross trained staff - Analyze status of clients movements through clinical pathways - Match clinical pathway actions with expected diagnostic related grouping activities - Coordinating communication among all departments in the organization - correct answer -- Analyze status of clients move...

Which act provides the laws that control and regulate the nursing practice in each state to protect the public from harm? - correct answer -Nurse Practice Act What are some requirements of Nurse Practice Acts? - correct answer -1. assignments should be commensurate with the nursing personnel's education preparation, skills, experience and knowledge 2. The nurse should supervise the care provided by nursing personnel for which he or she is administratively responsible 3. Sterile or invasive...

An RN distributes a task to four healthcare professionals. When are both accountability and responsibility transferred to the healthcare professional? - correct answer -- when the task is given to another RN (when the RN gives a task to another RN, the task can be assigned but not delegated ) Which component is the ability to preform duties in a specific role? - correct answer -- authority The nurse leader monitors the direct care nurse administering pain medication to a client. The le...

A 19-year-old male client who has sustained a severe head injury is intubated and placed on assisted mechanical ventilation. To facilitate optimal ventilation and prevent the client from "fighting" the ventilator, the health care provider administers pancuronium bromide IV, with adjunctive opioid analgesia. What medication should be immediately accessible for a potential complication with this drug? A. Dantrolene sodium B. Neostigmine bromide C. Succinylcholine bromide D. Epinephrine - c...

A new graduate nurse is employed in a small community hospital. The nurse notices practices which seem to be very physician driven and that patients have little input into their care. Families are seen as a nuisance rather than as partners in potential care provision. What is the best approach for the new nurse to use for improving care in this setting? a)Do nothing. They are too new to the organization to make change. b)Share with the physician the recommendations from various IOM reports. ...

Torts - correct answer -wrongful acts for which an injured party has the right to sue What are unintentional torts? - correct answer -accidents or mistakes that are not planned or intended that result in harm to another What are the two types of Unintentional Torts? - correct answer -negligence and malpractice Define negligence - correct answer -failure to take proper care or to fail in resulting in damage or injury to another person. "reasonableness" Define malpractice - correct a...

new policy to prevent med errors - correct answer -examine med admin data to determine use of new procedure old client to rn (going to give to most experienced nurse) - correct answer -72 year old with DM 1 4 clients, IV infusing - correct answer -ceftatriaxone in 5% dextrose UAP - colostomy - correct answer -record amount charge nurse, rn, pn - - correct answer -cardiac cath, no pedal pulses fall risk precautions - correct answer -mini mental state exam client with DKA - corre...

Laws Governing Nursing - correct answer -Nurse Practice Acts Nurse Practice Acts - correct answer -provide the laws that control the practice of nursing in each state. Mandatory Nurse Practice Acts - correct answer -authorize that, under the law, only licensed professionals an practice nursing. Nurse's Responsibility in making assignments - correct answer -governed by Nurse Practice Acts. 1. Assignments should be commensurate with the nursing personnel's educational preparation, exper...

The nurse is preparing assignments for the day shift. It is most important that the client with which diagnosis and description is assigned to a registered nurse? A. Menorrhagia: 24 hours post vaginal hysterectomy B. Myocardial infarction: 4-days post infarction, transferred from ICU yesterday C. Depression: Admitted during the night, following a suicide attempt with an overdose of Tylenol D. Pneumonia: A 4-year old who is receiving IV antibiotics - correct answer -C. Depression: Admitted du...

Nurse Practice Acts - correct answer -Provide the laws that control the practice of nursing in each state. Under the law, only licensed professionals can practice nursing. Nurse Practice Acts govern the nurse's responsibility in making assignments - correct answer --Assignments should be commensurate with the nursing personnel's educational preparation, experience, and knowledge - The nurse should supervise the care provided for which he or she is administratively responsible What proce...

Definition of leader - correct answer -Individual who influences people to accomplish goals Definition of manager - correct answer -Individual who works to accomplish the goals of the organization A nurse manager acts to... - correct answer -achieve the goals of safe, effective client care within overall goals of a healthcare facility Assertive Communication - correct answer -- Clearly defined goals and expectations - Verbal and nonverbal messages that are congruent -Critical to direc...

Newly hired UAP expresses fear to collect a sputum from HIV patient - correct answer -Determine the UAP's knowledge about HIV transmission. RN, PN, UAP are working as a team - correct answer -The UAP obtains an oxygen saturation level while RN reports finding to the health care provider. The most immediate follow-up - correct answer -An UAP is assigned to check a client for fecal impaction. Nurse receives a prescription over the telephone - correct answer -Administer a nebulizer breath...

A client who is taking an oral dose of tetracycline reports gastrointestinal upset. Which snack should the nurse instruct the client to take with the tetracycline? a. Fruit-flavored yogurt b. Toasted wheat bread and jelly c. Cold cereal with skim milk d. Cheese and crackers - correct answer -B. The nurse is assessing the eyes of a client who just received mydriatic eye drops. Which physiological function of the eye will not respond during the therapeutic period after administration of eye...

What is the overall mission of the fire service? - correct answer -Save lives and protect property and the environment A(An) ______ concept allows all responders to use a similar, coordinated approach with a common set of authorities, protections, and resources. - correct answer -all hazard A type of fire departmental organizational structure where decisions and information are directed from the top and filtered down through intermediate levels to the base can be described as: - correct an...

Fires involve a heat-producing chemical reaction between fuel and: (117) [4.3.11] A. a catalyst. B. an oxidizer. C. free radicals. D. a reducing agent. - correct answer -B. an oxidizer. When a substance changes from one type of matter into another, such as two or more substances combining to form compounds, the substance undergoes a: (118) [4.3.11] A. dissolution. B. metamorphosis. C. chemical reaction. D. physiological change. - correct answer -C. chemical reaction. Which sta...