Pharmacology

Ms. Phelps will turn 65 on June 10th. She has never previously qualified for Medicare. She is entitled to Medicare Part A and intends to enroll in Part B. She wants to know if she is eligible to enroll in a Medicare Advantage plan that includes prescription drug coverage. What do you tell her? a. Ms. Phelps can enroll in an MA-PD plan now since her initial election period (IEP) for Part D prescription drug coverage and initial coverage election period (ICEP) are occurring together beginning March 1st and ending September 30th. b. Ms. Phelps is currently eligible for a prescription drug plan (PDP) since she is in her initial coverage period (ICEP), but she must enroll in a MA plan later. c. Ms. Phelps can now enroll in an MA plan since she is in her initial coverage period (ICEP). During the annual enrollment period later that same year, she can select a standalone prescription drug plan d. Ms. Phelps must wait 3 months for the start of her initial coverage election period (ICEP) before she can enroll in an MA plan, but her initial election period (IEP) for drug coverage will allow her to enroll in a prescription drug plan now.

737 Clear What is the drug classification of dolasetron and ondansetron? H2 blockers Serotonin antagonists ◯ Phenothiazines ◯ Neurokinin-1 antagonists Search

ONS ONCC. A nurse is reviewing chemotherapy orders for a patient with breast cancer and notes it will be the patient's seventh dose of carboplatin today. The nurse should monitor for what potential complication? Dose reduction Increase in nausea and/or vomiting Hypersensitivity reaction Ice packs to hands and feet 7395 Clear Q Search 1034 7/31/2

What is the most appropriate management at this stage? Question 33 options: Add an SSRI as an adjunctive treatment Reassure the parents and recheck the patient in four weeks Begin behavioral therapy Stop the methylphenidate and begin dextroamphetamine Increase the dose of his current medication

Mrs. Hines has substantial income and has been enrolled in a Whole Health Medicare Advantage PPO that includes drug coverage for several years. Recently, Mrs. Hines' health has deteriorated, and she moved into Sunshine Lakes assisted living facility on July 15. Sunshine Lakes is in the same service area as the Whole Health MA plan. Care Assist Medicare Advantage Plan offers an IE-SNP that is only available to residents of certain assisted living facilities, including Sunshine Lakes. Mrs. Hines and her daughter approach you as to whether Mrs. Hines qualifies for a SEP that would allow her to enroll in Care Assist's (IE-SNP). What do you say? a. Mrs. Hines is not eligible for an SEP because she is still residing in the Whole Health MA plan service area. She must wait until the next annual open enrollment period to switch plans. b. Mrs. Hines is not eligible for a change of residence SEP, but she is eligible to change her election as a result of qualifying for the OEPI because she has permanently moved to an assisted living facility due to deteriorating health. c. Mrs. Hines is eligible for a change of residence SEP because of her permanent move, she has a new option available to her. The SEP will allow Mrs. Hines to enroll in Care Assist's institutional equivalent special needs plan (IE-SNP) without having to wait until the next annual open enrollment period. Because she did not notify the MAO the month before she moved, the SEP for a change of residence will run for 2 months following the month of the move. d. Mrs. Hines is eligible for an aligned enrollment SEP because she resides in an assisted living facility. This will allow her a one-time-per-month opportunity to switch MA plans.

A patient with lung cancer is receiving carboplatin with an AUC of 4; glomerular filtration rate is 82. Calculate the carboplatin dose using the Calvert formula. 352 mg 182 mg 328 mg 428 mg

Mr. Caleb Fields is entitled to Medicare Part A but has not yet enrolled in Part B, even though he is 69 years old. He would like to enroll in a Medicare Part D prescription drug plan but is concerned that he will have to sign up for Part B as well in order to qualify for enrollment in a Part D plan. What should you tell him? a. He need not be entitled to Part A or enrolled in Part B to be eligible for the Part D prescription drug benefit. He must only be aged 65 or older to qualify for enrollment in Part D, so he can go ahead and enroll in a Part D prescription drug plan. b. He does not have to enroll in Part B but, must pay a penalty for his failure to do so when he first turned 65. After that, he can enroll in a Part D prescription drug plan. c. He is eligible for the Part D prescription drug benefit because he is entitled to Part A and he does not have to be enrolled in Part B. d. He will have to enroll in Part B before he can enroll in a Part D prescription drug plan.

An 8 ½-year-old boy comes to the clinic for follow up of his ADHD. In the chart review, you note that the patient is taking short acting methylphenidate two times a day. His mother noted significant improvement in his morning classes but a significant problem with hyperactivity and in attentiveness as the day progresses. As you review comments on your patient's recent report card, you can see that his academic performance is stronger in his morning classes as compared to his afternoon classes. His mother is afraid that the treatment is not working well enough. In talking to the patient, it becomes clear that he is unhappy with the medication. He says, "I have to go to the nurse and take my medication when all of the other kids are playing. The other kid knows that I'm different." You initiated treatment with a long-acting form of methylphenidate. One month later, the child returns to the clinic for follow up. His parents report that he is doing very well throughout the school day. The teachers are reporting significant improvement in focus and attention. However, his parents note that his appetite has decreased, and it is somewhat difficult for him to fall asleep.

A nurse is reviewing the laboratory results of a client who is taking tobramycin and notes that the medication') peak level is 7mcg/mL. Which of the following actions should the nurse take? \geoquad A. Administer half of the prescribed dosage at the client's next scheduled dose \geoquad B. Tell the client that the medication seems to be effective \geoquad C. Advise the client to drink more water throughout the day \geoquad D. Continue to administer the medication as prescribed

Mr. Chavez's 65th birthday is April 21st. He has worked for many years and as a result is entitled to Medicare Part A. He is also eligible to sign up for Part B, which he intends to do. Mr. Chavez also expresses his interest in Medicare Part D prescription drug coverage and asks you if he can participate in this program and when he can first enroll. What do you say? a. Mr. Chavez is entitled to Medicare Part A as of April 1, the month of his 65th birthday. birthday. His part D initial enrollment period begins 2 months before the month an individual is first entitled to Part A (April 1). Therefore, his D initial enrollment period begins on February 1 and ends on June 30-2 months after he is first entitled to Part A. b. Mr. Chavez is entitled to Medicare Part A as of April 1st, the month of his 65th birthday. His part D initial enrollment period begins 3 months before the month an individual is first entitled to Part A (April 1st) or enrolled in Part B and ends three months after the first month of eligibility. Therefore, his Part D initial enrollment period (IEP) began on January 1 and ends on July 31. c. Enrollment in Medicare Part D is dependent on enrollment in Medicare Part B. Since Mr. Chavez has not yet enrolled in Part B, his initial enrollment period for Part D has not begun and he cannot sign up for prescription drug coverage. d. Mr. Chavez must first enroll in both Medicare Part A and Medicare Part B before his initial enrollment period can begin. Since at this juncture he has done neither his initial enrollment period for Part D has not begun and he cannot sign-up for Part D prescription drug coverage.

If PAC’s are treated the first line drug of choice is a beta blocker. Other medications used to treat PAC’s include

A nurse is writing a goal for a client's reaction following the administration of a medication. This action should take place during which of the following phases of the nursing process? \geoquad A. Pianning \geoquad B. Evaluation \geoquad C. Anshysing \geoquad D. Assessment

For older adult patients who are taking a neuroleptic medication the primary concern is the development of

A nurse is caring for a client who has a prescription for an oral contraceptive to prevent pregnancy. The nurse should lidentity that which of the following actions is the purpose of this medication? \geoquad A. Inhibition of ovulation \geoquad B. Thinning of the endometrial lining \geoquad C. Inhibition of luteinizing hormone \geoquad D. Thinning of eenvical mucus

Which lab results must be considered when prescribing medication for an older adult due to drug metabolism

A 23-year-old woman is seen in clinic for recurrent dysuria after two recent courses of antibiotics. She asks why similar symptoms occur more often in women than in her male partner. Which statements should the nurse include in her explanation? Select all that apply. Male defenses include a longer urethra and inhibitory secretions. Antibiotic use can disrupt protective vaginal microbiota. Female anatomy places the urethral opening closer to enteric flora. Female defenses depend mainly on a longer urethra and acidic urine.

Mrs. Hines has substantial income and has been enrolled in a Whole Health Medicare Advantage PPO that includes drug coverage for several years. Recently Mrs. Hines health has deteriorated, and she moved into Sunshine Lakes assisted living facility on July 15. Sunshine Lakes is in the same service area as the Whole Health MA plans. Care Assist Medicare Advantage Plan offers an IE-SNP that is only available to residents of certain assisted living facilities including Sunshine Lakes. Mrs. Hines and her daughter approach you as to whether Mrs. Hines qualifies for a SEP that would allow her to enroll in Care Assists (IE-SNP). What do you say? a. Mrs. hines is eligible for a change of residence SEP because of her permanent move, she has new options available to her. The SEP will allow Mrs. Hines to enroll in Care Assist's institutional equivalent special needs plan (IE-SNP) without having to wait until the next annual open enrollment period. Because she did not notify the MAO the month before she moved, the SEP for a change of residence will run for 2 months following the month of the move. b. Mrs. Hines is not eligible for a change of residence SEP, but she is eligible to change her election as a result of qualifying for the OEPI because she has permanently moved to an assisted living facility due to deterioration health. c. Mrs. Hines is not eligible for an SEP because she is still residing in the Whole Health MA plan service area. She must wait until the next annual open enrollment period to switch plans. d. Mrs. Hines is eligible for an aligned enrollment SEP because she resides in an assisted living facility. This will allow her a one-time-per-month opportunity to switch MA plans.

Two weeks after Layla’s initial visit for sexually transmitted urethritis, she returns to the clinic with her friend Sara, a 30-year-old woman who is in her second trimester of pregnancy. Layla encouraged Sara to seek care after Sara began experiencing dysuria, urinary urgency, and cloudy urine similar to Layla’s initial symptoms. Sara reports that her symptoms began three days ago and have gradually worsened. A urine culture is collected, and laboratory testing identifies Escherichia coli sensitive to multiple antibiotics. Because Sara is pregnant, the provider discusses treatment options that are both effective and safe during pregnancy. Which factor most directly affects Sara’s treatment plan for this urinary tract infection? Cloudy urine means treatment should be delayed until symptoms resolve Pregnancy requires choosing an effective treatment with fetal safety considered Dysuria alone shows that all antibiotic choices are equally appropriate The urine culture confirms E. coli, so pregnancy-safe treatment is needed

Mrs. Hudson suffers from two chronic diseases for which she takes several brand name drugs. She has recently enrolled in Part B and asks you what factors she should consider in selecting a Part D prescription drug plan. What do you say to her? a. You need to consider if the Part D plan formulary includes the brand name drugs you are taking but also evaluate which cost-sharing tier the drugs fall into. b. This is an easy choice since all Part D plans must cover all brand name drugs. C. You need to investigate whether Part D plan will reject you because they are allowed to consider your health status and do individual underwriting. d. All you have to consider is if the Part D plan formulary includes the brand name drugs you are taking.

.8.3.1.1 Adhere to a logical, safe, and disciplined procedure for dispensing medications. 5.8.3.1.2 Monitor the dispensing process to identify potential errors and take immediate action to mitigate them. 5.8.3.1.3 Recognize the interchangeability and bioequivalence of different proprietary products when applicable. 5.8.3.1.4 Adapt labeling instructions to cater to patient-specific needs, ensuring clarity and understanding. 5.8.3.1.5 Accurately document details of medication incidents and actions taken, including clinical and professional interventions, to minimize their impact and prevent recurrence. 5.8.3.1.6 Uphold the integrity of the medicine supply chain, ensuring the quality of medicines supplied and their safe disposal

8.1.5.1 Comprehend the patient's perspective and experience in medication management. 5.8.1.5.2 Make informed decisions based on the latest and most relevant medical evidence in medication selection. 5.8.1.5.3 Ensure medication safety through pharmacovigilance. 5.8.1.5.4 Optimize cost-effectiveness and other pharmacoeconomic aspects (cost benefit, cost minimization and cost utility) in medication selection. 5.8.1.5.5 Integrate medicine optimization principles into everyday medical practices for continuous improvement. 5.8.1.5.6 Demonstrate mastery in understanding and applying various reporting tools of Medication-Related Problems systems.

7.4.1.1 Utilise electronic health records (EHRs) and other health information technologies to optimise medication management and patient care. 5.7.4.1.2 Apply data analytics and informatics tools to identify trends, measure outcomes, and inform decision-making. 5.7.4.1.3 Evaluate and implement emerging technologies in pharmacy practice, such as telepharmacy and automated dispensing systems.

ms. bullock understands that medicare prescription drug plans may use various methods to control the use of specific drugs. She has heard about a technique called "step therapy" and is wondering if you can explain what that is. What should you tell her?

(1 point) Ligtee A six-year-old male accidentally ingested a bottle of baby aspirin less than 15 minutes before EMS arrival. Medical direction orders the administration of activated charcoal at a dose of 1 gram per kilogram of the patient's body weight. Which of the following dosages would be appropriate for this 40-pound patient? \geoquad 14 grams \geoquad 24 grams \geoquad 12 grams \geoquad 18 grams

When giving medication to a pediatric patient, the nurse notes that the ordered medication dose is considerably larger than what is recommended in the nursing drug gide. Which action should the nurse take? \geoquad Calling the pharmacist to obtain the usual dosage \geoquad Calling another nurse and ask what to do next \geoquad Documenting the findings in the chart after giving the medication \geoquad Notifying the physician of these findings before giving the medication

Agent Herman enrolls retiree Mrs. Martinez in a medical savings account (MSA) Medicare health plan. The MSA plan does not offer prescription drug coverage so Agent Herman also enrolls Mrs. Martinez in a standalone prescription drug plan (PDP). What CMS compensation rules apply to this situation? A. MSA Medicare health plans are subject to special rules limiting initial year compensation to 50% of the fair market value (FMV) published annually by CMS. Regular initial enrollment rules apply to the PDP. B. Regular CMS and renewal compensation rules applied to the PDP enrollment, but compensation is limited to $100 for the MSA health plan enrollment to recompense CMS for contributions made to their Rollies MSA account. C. This situation is considered a “dual enrollment” and CMS compensation rules are applied to the two plans at once and independently of each other. D. When an MSA Medicare health plan is combined with a PDP, initial and renewal year(s) compensation is paid only for the MSA enrollment to recompense CMS for contributions made to the enrolled MSA account.

A patient with lung cancer is receiving carboplatin with an AUC of 4; glomerular filtration rate is 82. Calculate the carboplatin dose using the Calvert formula. 352 mg 328 mg 428 mg 182 mg

(1 point) Listen A four-year-old child presents with labored breathing, nasal flaring, and intercostal retractions. The child is lethargic and has a decreased level of consciousness. Which of the following actions are appropriate regarding airway management? Select the two answer options that are correct. \geoquad Avoid airway adjuncts due to the risk of gag reflex stimulation \geoquad Place the child in a prone position to facilitate breathing \geoquad Assist the patient with their metered dose inhaler \geoquad Provide BVM ventilation with supplemental oxygen \geoquad Insert an appropriately sized OPA to maintain airway patency

A nurse administers a second dose of IV opioid shortly after the first dose without reassessing the patient. The nurse then does not monitor the patient. This situation represents malpractice by: \geoquad Commission only \geoquad Assault and battery \geoquad Omission only \geoquad Both commission and omission

A nurse is caring for a postoperative patient who reports sharp abdominal pain rated 8/10 two hours after surgery. The patient is grimacing and guarding the incision site. Which nursing action demonstrates the best application of knowledge about pain management? Encourage the patient to remain immobile until the pain decreases on its own. , Not Selected Tell the patient that pain is expected and to try to ignore it. , Not Selected Document the pain score and check again in 4 hours. , Not Selected Administer prescribed analgesic and evaluate the patient’s response within 30–60 minutes. , Not Selected

Which of the following have been identified as barriers to the assessment and management of acute pain in the pediatric population by the American Academy of Pediatrics? Select three. Question 34Answer a. Lack of pain treatment knowledge. b. Fear of adverse effects of medications such as respiratory depression or addiction. c. Lack of appropriate pain medication agents indicated for children. d. Belief that children do not feel pain the same as adults do. e. No education on the subject of pain management in children.

Share a peer-reviewed article published no more than 3 years ago on drug abuse. include references

What is the first step in writing a sate prescription? \geoquad Confurm the patient's insurance coverage \geoquad Write the medication dosage \geoquad Verify patient identity and aliergies \geoquad Choose the pharmany for dispensing Next , Not saved Submit 1 pts

7.4.2.1 Utilise medication safety technologies, such as barcode scanning and electronic prescribing, to prevent medication errors. 5.7.4.2.2 Contribute to the development and implementation of medication safety alerts and protocols within EHR and pharmacy information systems. 5.7.4.2.3 Educate other healthcare professionals and patients on the appropriate use of technology to enhance medication safety. 5.7.4.2.4 Cybersecurity awareness: understanding of cybersecurity principles relevant to health information technology. 5.7.4.2.5 Integration of pharmacogenomics: ability to integrate pharmacogenomic data into medication therapy decisions

es between mL/hr and drops/min. 5.8.1.8.6 Calculate drug clearance and volume of distribution to inform dosing regimens. 5.8.1.8.7 Correct potential errors in pharmaceutical calculations..1.3.7 Identify potential pharmacokinetic drug-drug interactions and adjust therapy accordingly. 5.8.1.3.8 Recognize and manage adverse drug reactions related to pharmacokinetics. 5.8.1.3.9 Calculate the amount of ingredients required to prepare compound medications. 5.8.1.3.10 Calculate the half-life of drugs and use it to determine dosing intervals.

8.3.1.1 Adhere to a logical, safe, and disciplined procedure for dispensing medications. 5.8.3.1.2 Monitor the dispensing process to identify potential errors and take immediate action to mitigate them. 5.8.3.1.3 Recognize the interchangeability and bioequivalence of different proprietary products when applicable. 5.8.3.1.4 Adapt labeling instructions to cater to patient-specific needs, ensuring clarity and understanding. 5.8.3.1.5 Accurately document details of medication incidents and actions taken, including clinical and professional interventions, to minimize their impact and prevent recurrence. 5.8.3.1.6 Uphold the integrity of the medicine supply chain, ensuring the quality of medicines supplied and their safe disposal.

name some drug examples of the blockers and identify their groupings succinylcholine

Which of the following is true about California's Death with Dignity Act? Group of answer choices a person must make two written requests for the medication the act accounted for more than 10% of California deaths in 2018 most of those using the Act were not getting hospice or palliative care in the article over 90% of those using the act were 70 years of age or older

APC 01 – M.A. is a 61-year-old female (height 163 cm, weight 78 kg) with a history of significant primary mitral regurgitation. Her echocardiogram reveals significant leaflet flaring that is not amendable to mitral valve repair. She also has a history of hypertension, dyslipidemia, and gout. Her medications include Enalapril 10 mg orally daily, hydrochlorothiazide 25 mg orally daily, atorvastatin 40 mg orally daily, and allopurinol 300 mg orally daily. Her heart rate is 68 beats/minute and blood pressure is 128/74 mm Hg. Her CrCl is 68 mL/minute. She is scheduled to undergo valve replacement surgery and will receive a mechanical mitral valve. You are discussing the oral anticoagulant postoperative plan with M.A.’s team. Which is the optimal regimen for preventing thrombosis? • [✓] Adjusted-dose warfarin to an INR goal of 2.5–3.5 plus aspirin 81 mg orally daily. (CORRECT) • Adjusted-dose warfarin to an INR goal of 2.0–3.0 plus aspirin 81 mg orally daily. • Adjusted-dose warfarin to an INR goal of 2.0–3.0. • Adjusted-dose warfarin to an INR goal of 2.5–

Which of the following drug classes is used in the treatment for acute pancreatitis especially if necrosis is suspected? Q SHOW CHARACTER HINT Bronchodilators Stool Softeners Antipyretics Antibiotics CNS Stimulants Multiple Vaginal Examinations

.8.1.3.1 Understand pharmacokinetic principles and demonstrate knowledge of absorption, distribution, metabolism, and excretion (ADME) processes. 5.8.1.3.2 Interpret pharmacokinetic parameters such as half-life, clearance, volume of distribution. 5.8.1.3.3 Calculate appropriate dosing regimens based on patient-specific factors (e.g., age, weight, renal and hepatic function). 5.8.1.3.4 Adjust doses in special populations (e.g., pediatrics, geriatrics, pregnant women). 5.8.1.3.5 Monitor drug levels for medications with narrow therapeutic indices. 5.8.1.3.6 Adjust therapy based on serum drug concentrations and patient response. 5.8.1.3.7 Identify potential pharmacokinetic drug-drug interactions and adjust therapy accordingly. 5.8.1.3.8 Recognize and manage adverse drug reactions related to pharmacokinetics. 5.8.1.3.9 Calculate the amount of ingredients required to prepare compound medications. 5.8.1.3.10 Calculate the half-life of drugs and use it to determine dosing intervals.

8.1.4.1 Demonstrate knowledge of drug-receptor interactions and the mechanisms of action. 5.8.1.4.2 Understand dose-response relationships and the concepts of potency and efficacy. 5.8.1.4.3 Apply pharmacodynamic principles to optimize therapeutic outcomes. 5.8.1.4.4 Correlate pharmacodynamic effects with pharmacokinetic data for individualized patient care. 5.8.1.4.5 Assess the therapeutic index of drugs and ensure safe and effective dosing. 5.8.1.4.6 Identify signs of toxicity and therapeutic failure. 5.8.1.4.7 Adjust drug therapy based on genetic, biochemical, and physiological factors affecting drug response. 5.8.1.4.8 Monitor and interpret pharmacodynamic responses in various patient populations. 5.8.1.4.9 Identify and manage pharmacodynamic drug-drug interactions. 5.8.1.4.10 Recognize adverse drug reactions related to pharmacodynamic mechanisms.

Calculate concentrations accurately (e.g., mg/mL, % w/v). Prepare solutions by diluting stock solutions to the desired concentration. Calculate IV flow rates in mL/hr or drops/min accurately. Determine the total infusion time for a given volume and rate. Use the correct drip factor to convert flow rates between mL/hr and drops/min. Calculate drug clearance and volume of distribution to inform dosing regimens. Correct potential errors in pharmaceutical calculations.

The nurse should first assess the client's pain level and characteristics, or administer prescribed analgesics/pain medication to address the immediate physiological need for comfort before attempting other interventions

Mr Bennett is one of your clients enrolled in the Uplifting MA-PD plan. She has heard that some items are considered true out of packet costs (TrOOP) that count toward the annual out-of-pocket threshold to move into the catastrophic coverage phase of Part D and some do not. She specifically inquires whether any of the following count toward TrOOP. I. A brand name drug included on the Uplifting formulary II. A brand name widely advertised drug that is not on the uplifting formula. III. An over-the-counter (OTC) allergy drug. IV. A generic version of a brand-name drug purchased through a pharmacy in Mexico. A. I, II, III only B. II, III and IV only C. I only D. II only

An 8-year-old patient is admitted to the hospital due to Reye’s syndrome. Which medication was most likely the cause? Question 22Select one: a. Ecotrin (aspirin) b. Benadryl (diphenhydramine) c. Motrin (ibuprofen) d. Tylenol (acetaminophen)

Ginny, who is planning on getting pregnant, is taking phenytoin (Dilantin). She states that she knows the drug is in category D and asks what that means. You know FDA category D indicates that Group of answer choices Positive evidence of human fetal risk exists, but benefits may outweigh risks in certain situations. Animal studies have not demonstrated a fetal risk, but there are no human studies in pregnant women; or animal studies have shown an adverse effect that was not confirmed in human studies. Studies or experience have shown fetal risk that clearly outweighs possible benefits. Controlled studies in women failed to demonstrate a risk to the fetus in the first trimester, and fetal harm appears remote.

7.3.2.1 Advocate for patients' rights and access to quality pharmaceutical care. 5.7.3.2.2 Engage in professional organisations and participate in policy development efforts related to medication use and pharmacy practice. 5.7.3.2.3 Educate policymakers and the public about the value of pharmacists and the role of pharmacy in improving health outcomes.

Mrs. Ricardo is one of your clients. She suffers from obesity and asks you if CMS will eventually allow Part D prescription drug plans to cover GLP-1 weight loss medications. What do you say? a. Starting in 2029 the Inflation Reduction Act (IRA) permits Part D beneficiaries access to weight loss drugs. b. Drugs used for weight loss have been found to be medically unsafe by the Department for Health and Human Services (HHS)and will soon be withdrawn from the market. c. Beginning in 2026, CMS is implementing a short-term demonstration program under which it will directly pay for GLP-1 weight loss medications for individuals who meet certain criteria. d. Drugs used for weight loss are statutorily excluded from coverage under Part D and CMS has been adamant that this will not change.

(1 point) Listen A 10 -month-old patient is being treated for bronchiolitis. During the secondary assessment, you observe nasal flaring, intercostal retractions, and a respiratory rate of 60 . What is the most important next step? \geoquad Decrease oxygen to prevent oxygen toxicity \geoquad Prepare to assist ventilations with a bag-valve mask \geoquad Place the patient flat for better airway access \geoquad Delay further reassessment until arrival of ALS

If a beneficiary is enrolled in a stand-alone prescription drug plan and wants to keep that plan, what type of Medicare health plan could the individual also enroll in, without being automatically disenrolled from the stand alone prescription drug plan? a. The beneficiary could enroll in a private fee-for-service (PFFS) plan that does not include prescription drug coverage; a Cost plan; or a Medicare Medical Savings Account (MSA) plan. b. The beneficiary could only choose a Medicare Medical Savings Account (MSA) plan. c. The beneficiary could only choose a cost Plan. d. The beneficiary could only stay in a stand-alone prescription drug plan if he or she has Original fee-for- service Medicare.

Regular use of which of the following drug classes would most likely cause acute gastritis? Q SHOW CHARACTER HINT Oral Hypoglycemics Fluoroquinolones NSAIDs (Non-Steroidal AntiInflammatory Drugs) Macrolides Oral Contraceptives Acetylcholinesterase Inhibitors

A nurse is developing a teaching plan for a patient who states, “I don’t understand why I feel stressed and unfocused even though I slept most of the day.” Which explanation by the nurse demonstrates an appropriate application of the concept of sleep? “Stress and concentration levels are mostly unrelated to sleep, so you may need medication instead of sleep improvement.” , Not Selected “Feeling rested depends mainly on how long you sleep, so sleeping more hours should eventually improve concentration.” , Not Selected “Sleep allows muscles and organs to completely shut down, so sleeping longer than usual will always improve mood and focus.” , Not Selected “Sleep is a structured and active process involving cycles of different stages, so long periods of sleep without proper cycling may not be restorative.” , Not Selected (response not displayed) Results for question 9.

A 45-year-old is taking an SSRI (selective serotonin reuptake inhibitor). When reviewing the herbal medication they are taking, which herbal supplement would you have the patient discontinue? Question 24Select one: a. Glucosamine b. Hot chili juice c. Turmeric d. St. John’s wort

Which adverse effect should the nurse instruct the client receiving dextran 40 (Gentran 40) to report? \geoquad Unexplained cough \geoquad Ototoxicity \geoquad Difficulty urinating \geoquad Diarrhea

Which action should the nurse take when initiating a prescription of intravenous dextran 40 (Gentran 40 )? Select all that apply. \geoquad Monitor the patient's vital signs continuously during administration. \geoquad Monitor the client for deep vein thrombosis. \geoquad Discard any unused portion of the infusion. \geoquad Start the infusion no faster than

A patient undergoing cancer chemotherapy has an increase in urinary frequency with much discomfort. No specific findings are apparent on physical examination. Lab results show hematuria and mild leukopenia, But no bacteria or crystalluria. If symptoms are drug related then what is the most likely cause

an iv infusion of drug is started 400 mg/hr if cl=50mg/hr what us the anticipated plasma levels at steady state

Ana is prescribed an oral antibiotic based on local guidelines for uncomplicated cystitis. The provider emphasizes that she must complete the full course of therapy. Before discharge, the nurse reviews prevention strategies with her. Which patient education points should be included to help reduce Ana’s risk of future infection? Select all that apply. Wipe front to back Increase daily water intake Urinate after intercourse Delay urination when possible Avoid irritating hygiene products

The provider prescribes an intravenous antibiotic regimen for suspected pyelonephritis and reviews Mr. Lopez’s current medication list. The nurse notes that a previous outpatient prescription of nitrofurantoin is still listed on his profile. The nurse considers which medications are appropriate for kidney infections. Which medication order should the nurse question for treatment of Mr. Lopez’s infection? Fluoroquinolone antibiotic, oral Aminoglycoside antibiotic, IV Cephalosporin antibiotic, IV Nitrofuran antibiotic, oral

A nurse is caring for a client who has just begun therapy with alprazolam to treat anoiety. The nurse should monitor the client for which of the following adverse effects of this medication? \geoquad Insomnia \geoquad Bradycardia \geoquad Hearing loss \geoquad Hypertension

Calculate the loading dose if: Vd = 5 L/kg Target plasma concentration = 3–5 ng/mL Wt 72kg

A nurse is caring for a client who is experiencing extreme anger. Which of the following client statements should the nurse identify as being consistent with adverse childhood experiences (ACEs)? (Select all that apply.) \geoquad "My parents separated when I was 9 years old." \geoquad "My sibling and I would stay alone for days at a time while my parent was gone." \geoquad "My older sibling died of a heroin toxicity when I was 12 years old." \geoquad "My parent remarried and just celebrated their fifth wedding anniversary." \geoquad "My parent used to hit my sibling and I with a belt when we were younger." \geoquad "When I was younger, I experienced drive-by shootings in my neighborhood."

What is the equivalent oral prednisone dose to 50 mg IV hydrocortisone? At steady state, if the rate of elimination = 10 mg/h and plasma concentration = 5 mg/mL, calculate clearance in ml/h A. 2 mL/h B. 4 ml/h C.5 mL/h

Which drug used in non-valvular atrial fibrillation does not require renal dose adjustment: warfarin, apixaban, dabigatran, or argatroban

. A patient on IV gentamicin has a trough level of 10 µg/mL (normal <2 µg/mL) and creatinine = 10. What type of adverse effect is this: A. Type I allergic reaction B. Type II allergic reaction Overdose toxicity? Mcq questions

A nurse in an acute care mental health facility is preparing to administer morning medication for a client who has been taking lithium for 2 weeks and has current lithlum level of

A pregnant patient with bipolar disorder on lithium should be switched to which alternative drug with the least

1 p Based on the information given and the Infectious Diseases Society of America Guidelines (2016), which of the following medication regimens should be ordered as initial dosing for patients diagnosed with acute tuberculosis? \geoquad Isoniazid (INH) rifampin (RIF) pyrazinamide (PZA) ethambutol (EMB) for 2 months \geoquad Isoniazid (INH) pyrazinamide (PZA) ethambutol (EMB) for 2 months \geoquad Isoniazid (INH) rifampin (RIF) pyrazinamide (PZA) ethambutol (EMB) for 6 months \geoquad Isoniazid (INH) rifampin (RIF) pyrazinamide (PZA) for 6 months Question 6 1 pts

A nurse is caring for a client who has bipolar disorder and a new prescription for valproate. Which of the following instructions should the nurse give the client about the use of this medication? \geoquad Thyroid function tests should be performed every 6 months. \geoquad A pretreatment electroencephalogram (EEG) will be done. \geoquad Liver function tests must be monitored. \geoquad High serum sodium levels can cause toxic levels of valproate.

The doctor orders the following iv’s for 8 hours (1) 500 mL d5ns with 1 ampule Mai (multivitamins): (2) 250 mL d5w. The drop factor is 15 gtt/mL. What is the infusion rate in gtt/min for both fluids. What is the total infusion rate?

A nurse is caring for a client who has bipolar disorder and a new prescription for valproate. Which of the following instructions should the nurse give the client about the use of this medication? \geoquad Thyroid function tests should be performed every 6 months. \geoquad A pretreatment electroencephalogram (EEG) wril be done. \geoquad Liver function tests must be monitored. \geoquad High serum sodium levels can cause toxic levels of valproate.

A nurse is caring for a client on a medical-surgical unit. Exhibit 1 Exhibit 2 Nurses' Notes 1000: Client admitted two days ago for shortness of breath and productive cough. Diagnosed with aspiration pneumonia. History of hypertension and Parkinson's disorder. Currently taking captopril and amantadine. Denies chest pain, dizziness, palpitations, and shortness of breath. 1100: Assistive personnel found client lying on floor. Difficult to awaken. Client is breathing and has a carotid pulse +1 . Orientated to person, not to place or time. Reports dizziness, feeling weak, and shortness of breath. ECG monitor applied and rhythm is sinus bradycardia. Denies chest pain and palpitations. Which of the following actions should the nurse take? Select all that apply. Monitor for tachycardia Administer atropine 1 mg IV bolus Assess for medication interactions Monitor for bradycardia Assess mental status Administer adenosine 6 mg IV bolus Administer magnesium sulfate 1 mg IV bolus Administer physostigmine 0.5 mg IV bolus Collect blood sample for magnesium sulfate Assess deep tendon reflexes

1 pts You treat a 35-year-old otherwise healthy individual with Community Acquired Pneumonia (CAP). You determine that outpatient therapy is indicated with monotherapy. The best choice of antibiotic is: \geoquad Azithromycin 250 mg daily x 7 days \geoquad Keflex 500 mg bid for 10 days \geoquad Ciprofloxacin 250 mg bid for 3 days \geoquad Oseltamivir 75 mg daily for 5 days 1 pts Question 10 recommendations from the Surviving Sepsis Campaign: International

A nurse is providing discharge teaching to a client who has bipolar disorder and will be discharged with a prescription for lithium. The nurse should teach the client that which ef the following factors puts her at risk for lithium toxicity? \geoquad \geoquad The client orinks 2 liners of liquids daily. \geoquad The client eass 2 to 3 gm of sodium-containing foods daily. \geoquad The client eass foods high in tyramine.

The HCP refers the patient to a surgeon for removal of tissue in the throat to treat the obstructive sleep apnea. The patient is admitted to the hospital, and an apnea monitor is prescribed. The nurse facilitates care and comfort both pre- and post-surgery, centered around the sleep apnea, pain management, and post-surgical complications. To promote sleep for a hospitalized patient, which intervention should the nurse implement? Question 6 options: a) Avoid performing the prescribed assessments every 4 hours during the night. b) Withhold the patient's pain medication during the day to decrease napping episodes. c) Ensure that the patient's room is kept completely dark during the night with no outside lighting. d) Close the door to the patient's room whenever possible to decrease the noise level and light coming into the room.

In a patient with type 1 diabetes who complains of bloating and sour taste in the mouth, which drug is the drug of choice: famotidine, omeprazole, or metoclopramide?

The recommended initial dose of mercaptopurine is 2 mg/kg/day by mouth. The recommended daily dosage for a child weighing 44 lb is?

The recommended dosage of erythromycin suspension is 20 mg/kg/day in four equally divided doses. The child weighs 55 lb. How many milligrams are needed for the total daily dose?

Paracetamol 5 mL every 4–6 hours is prescribed for a 12-kg child. Is this dose adequate, inadequate, or should be given every 6 hours only? Mcq questions

The health care provider orders to infuse 250 mL packed cells in 4 hours. What would you set on the infusion pum?

911 call dispatches you to a scene where a patient is in respiratory distress. IM epinephrine is administered. What of the following was the desired effect of the medication?

A nurse is reviewing medication records for several clients who have bipolar diserder. The nurse should recognize that which of the following medications are used to treat clients who have bipolar disorder? (Select all that apply.) \geoquad Parcxetine \geoquad Lithium \geoquad Donepers \geoquad Valproate \geoquad Carbamazepine

The doctor orders the following iv’s for 8 hours (1) 500 mL d5ns with 1 ampule Mai (multivitamins): (2) 250 mL d5w. The drop factor is 15 gtt/mL. What is the infusion rate in gtt/min for both fluids

The recommended dosage of iv vancomycin is 30 mg/kg/day divided ash. The child weighs 35 kg. The amount for one dose is?

A nurse is caring for a client who has bipolar disorder and has been taking lithlum for 1 year. Before administering the medication, the nurse should check to see that which of the following tests have been completed? \geoquad Thyrold hormone assay \geoquad Uver function tests \geoquad Erythrocyte sedimentation rate \geoquad Brain natriuretic peptide Google S

The health care provider orders to infuse 1 L of Ms in 12 hours. What would you set on the infusion pump?

Which of the following maternal situations is considered an absolute contradiction to breastfeeding? \geoquad Early HIV infection \geoquad History of breast cancer \geoquad History of tuberculosis medication \geoquad Hepatitis C infection

The process of learning the key facts about a clinical trial before deciding whether or not to participate is called A) Arm B) Toxicity C) Protocol D) Informed consent E) Efficacy

Which medication is commonly used to treat bradycardia during cardiac arrest? \geoquad a. Dopamine \geoquad b. Atropine \geoquad c. Sodium bicarbonate \geoquad d. Adenosine

Use the scenario below to answer questions 1-6 Barrett’s Esophagus (Older Adult) A 70-year-old female admitted into the hospital for treatment of Barrett’s Esophagus has a history of chronic and severe gastroesophageal reflux disease. She used to be a frequent smoker and alcohol user but has stopped since her health conditions have become more severe. A year ago, she underwent a fundoplication procedure, and for the last few months has been receiving radiation therapy. She is now preparing to undergo a gastric pull-up following an esophagectomy. Her medication list includes proton pump inhibitors, antacids, and she takes a multivitamin. She currently weighs 125 lbs. and is 5’11”. Last year at this time she weighed 135 lbs. During radiation, it was painful for her to swallow, and she would only consume limited foods and liquids. At this time, she consumes liquids and pureed foods daily. She has reported one stool per week that is difficult to pass. A Basic Metabolic Panel was collected, and the results are presented below. Test Client’s Result Reference Interval Glucose 105 65 – 100 mg/dL BUN 28 8 – 25 mg/dL Creatinine 1.6 0.8 – 1.4 mg/dL Sodium 160 133 – 146 mEq/L Potassium 2.5 3.5 – 5.3 mEq/L Chloride 95 97 – 110 mEq/L Carbon Dioxide 24 18 – 30 mEq/L Question 21 pts The client’s BUN and [ Select ] ["creatinine", "chloride", "sodium", "glucose", "carbon dioxide"] levels suggest muscle wasting. Her low [ Select ] ["electrolytes", "carbon dioxide", "weight", "glucose", "medication"] levels place her at risk of [ Select ] ["refeeding", "reyes", "irritable bowel", "Cushing’s", "inflammatory bowel"] syndrome due to inadequate oral intake. Flag question: Question 3 Question 31 pts The client’s [ Select ] ["dysphagia", "fundoplication", "gastroesophageal reflux disease", "anorexia"] makes it hard for her to swallow food safely. Therefore, she may not be consuming adequate [ Select ] ["protein", "fluid", "vitamins"] or [ Select ] ["calories", "vitamins", "fluid"] which is likely contributing to her recent weight loss. Her weight history indicates [ Select ] ["moderate", "acute", "mild", "severe"] malnutrition.

Which patient statement indicates an understanding of instructions provided by the nurse for esomeprazole 20 mg for a patient diagnosed with gastroesophogeol reflux disease (GERD)? \geoquad A "I will take the drug at bedtime." \geoquad B "I will increase the dose if abdominal pain persists." \geoquad C "I will take the drug with a meal." \geoquad D "My stomach acid secretion will decrease because of the medicine."

Use the scenario below to answer questions 1-6 Barrett’s Esophagus (Older Adult) A 70-year-old female admitted into the hospital for treatment of Barrett’s Esophagus has a history of chronic and severe gastroesophageal reflux disease. She used to be a frequent smoker and alcohol user but has stopped since her health conditions have become more severe. A year ago, she underwent a fundoplication procedure, and for the last few months has been receiving radiation therapy. She is now preparing to undergo a gastric pull-up following an esophagectomy. Her medication list includes proton pump inhibitors, antacids, and she takes a multivitamin. She currently weighs 125 lbs. and is 5’11”. Last year at this time she weighed 135 lbs. During radiation, it was painful for her to swallow, and she would only consume limited foods and liquids. At this time, she consumes liquids and pureed foods daily. She has reported one stool per week that is difficult to pass. A Basic Metabolic Panel was collected, and the results are presented below. Test Client’s Result Reference Interval Glucose 105 65 – 100 mg/dL BUN 28 8 – 25 mg/dL Creatinine 1.6 0.8 – 1.4 mg/dL Sodium 160 133 – 146 mEq/L Potassium 2.5 3.5 – 5.3 mEq/L Chloride 95 97 – 110 mEq/L Carbon Dioxide 24 18 – 30 mEq/L Which action will the nurse take to prepare the client for an esophagectomy and gastric-pull up? Select all that apply. Group of answer choices Do not allow the client anything by mouth for 6-8 hours before the procedure. Verify the client’s understanding of the procedure as explained by the surgeon. Provide enteral nutrition to replete nutrients as soon as possible days before surgery. Replete and monitor electrolytes such as potassium, phosphorous and magnesium before feeding. Place a nasogastric tube to provide enteral nutrition pre and post-surgery. Verify that an informed consent form has been signed by the client. Explain that she will be able to consume foods orally immediately after surgery.

of 10 A nurse has a sample of the medicine nystatin. Which type of patient will receive this medication? \geoquad A Patients with aspergillosis infection \geoquad B Patients with cryptococcosis infection \geoquad C Patients with histoplasmosis infection \geoquad D Patients with oral candidiasis infection

Which adverse effect would the nurse include when teaching a patient about the administration of aluminum-containing antacids? \geoquad A Diarrhea \geoquad B Flatulence \geoquad C Constipation \geoquad D Muscle twitching

Which medication is the antifungal drug of choice for the treatment of many severe systemic fungal infections? \geoquad A Nystatin \geoquad B Griseofulvin \geoquad C Ketoconazole \geoquad D Amphotericin B

History and Physical Day 1: Client admitted with diagnosis of major depressive disorder. They report intermittent feelings of hopelessness over the last 3 months, with persistent hopelessness during the past 2 weeks. They are distressed by recurring suicidal ideation. They have missed work 6 of 10 workdays in the last 2 weeks. They report insomnia, fatigue, and lack of energy. They are unable to concentrate on tasks and are not enjoying their normal activities. Medications include nonprescription ibuprofen 2 to 3 times per week for headaches. Plan of Care Day 2: During an interdisciplinary conference, provider stated they will prescribe a MAOI for client. Will request a consult with dietitian and perform client teaching about medication.

Which drug is indicated for the treatment of gout because of its ability to inhibit the enzyme xanthine oxidase? \geoquad A Celecoxib \geoquad B Colchicine \geoquad C Probenecid \geoquad D Allopurinol

The parent of an infant experiencing colic asks about using a probiotic medication. What will the primary

Use the scenario below to answer questions 1-6 Barrett’s Esophagus (Older Adult) A 70-year-old female admitted into the hospital for treatment of Barrett’s Esophagus has a history of chronic and severe gastroesophageal reflux disease. She used to be a frequent smoker and alcohol user but has stopped since her health conditions have become more severe. A year ago, she underwent a fundoplication procedure, and for the last few months has been receiving radiation therapy. She is now preparing to undergo a gastric pull-up following an esophagectomy. Her medication list includes proton pump inhibitors, antacids, and she takes a multivitamin. She currently weighs 125 lbs. and is 5’11”. Last year at this time she weighed 135 lbs. During radiation, it was painful for her to swallow, and she would only consume limited foods and liquids. At this time, she consumes liquids and pureed foods daily. She has reported one stool per week that is difficult to pass. A Basic Metabolic Panel was collected, and the results are presented below. Test Client’s Result Reference Interval Glucose 105 65 – 100 mg/dL BUN 28 8 – 25 mg/dL Creatinine 1.6 0.8 – 1.4 mg/dL Sodium 160 133 – 146 mEq/L Potassium 2.5 3.5 – 5.3 mEq/L Chloride 95 97 – 110 mEq/L Carbon Dioxide 24 18 – 30 mEq/L Question 61 pts For each client response, use the dropdown menus to indicate whether the nurse’s teaching was Effective (helped the client understand how to care for herself at home), Ineffective (did not help the client understand how to care for herself at home or Unrelated (not related to the health teaching about caring for self at home). Client Response Impact “I need to consume 6 small meals per day.” [ Select ] ["effective", "ineffective", "unrelated"] “I should limit fluid intake with meals.” [ Select ] ["effective", "ineffective", "unrelated"] “I may have to utilize my tube feeds until I reach optimal oral intake.” [ Select ] ["effective", "ineffective", "unrelated"] “I should limit the amount of fat and protein that I eat at each meal.” [ Select ] ["ineffective", "effective", "unrelated"] “Skins on nuts, fruits, and seeds should be avoided.” [ Select ] ["effective", "ineffective", "unrelated"] “Coffee and caffeinated beverages are safe once I can eat orally.” [ Select ] ["ineffective", "effective", "unrelated"] “I should avoid citrus fruits, alcohol, and sugars.” [ Select ] ["effective", "ineffective", "unrelated"] “Eating meals quickly will be beneficial.” [ Select ] ["ineffective", "effective", "unrelated"] “I should avoid laying down and exercising after eating meals.” [ Select ] ["effective", "ineffective", "unrelated"] “I need to stop taking Bethanechol to avoid increasing my risk of dumping syndrome.” [ Select ] ["effective", "ineffective", "unrelated"] “Losing weight reduces risk of GERD” [ Select ] ["unrelated", "effective", "ineffective"]

Which example related to the use of aspirin relates to the "evaluation" step of the nursing process? \geoquad A Administering aspirin with food \geoquad B Patient remains pain-free with aspirin therapy \geoquad C Obtaining the medication history of the patient \geoquad D Decreased pain in the patient's joint

A student nurse is studying the GI system in preparation for an exam. Which statement indicates correct understanding? \geoquad Most absorption of water occurs in the small intestine. \geoquad The mcending colon would be found in the right side of the patient s abdomen. \geoquad A patient s heart rate may increase with rectal manipulation, such as removing an impaction. \geoquad The use of oploids for pain relief and antibiotic therapy places a person at risk for developing diarrhea.

of 15 Which patients are candidates to receive antitussive cough medication? \geoquad A Patients with pharyngitis and rhinitis \geoquad B Patients with chronic paranasal sinusitis \geoquad C Patients who have undergone hernia surgery \geoquad D Patients with bronchitis with productive cough

Which medication is best for a patient with glaucoma who has chronic paranasal sinusitis and cough? \geoquad A Loratadine \geoquad B Naphazoline \geoquad C Guaifenesin \geoquad D Fexofenadine

of 15 Why does the nurse ask the patient to rinse the mouth after each dose of inhaled corticosteroids? \geoquad A To relieve the patient's dry mouth \geoquad B To minimize the chance of nasal congestion \geoquad C To reduce the risk of sore throat and infection \geoquad D To prevent the development of oral candidiasis

of 20 Which disease-modifying antirheumatic arthritis drug is contraindicated during lactation? Select all that apply. One, some, or all re \geoquad A Methotrexate \geoquad B Infliximab \geoquad C Leflunomide \geoquad D Abatacept \geoquad E Etanercept

Which nursing action is correct for a patient who receives a dose of metaproterenol? \geoquad A Monitoring for sedation \geoquad B Monitoring for heart rate (100 beats/ min ), \geoquad C Telling the patient not to drive for 2 hours \geoquad D Assessing for decreased blood glucose levels

A nurse is preparing to administer a third dose of Docetaxel for a patient with a white blood cell count 2,800/mm3 and an absolute neutrophil count of 1,400/mm3. The nurse

Which drug will the primary health care provider prescribe for a patient who has nighttime insomnia and motion \geoquad A Cetirizine \geoquad B Loratadine \geoquad C Fexofenadine \geoquad D Diphenhydramine

D. Serum Creatinine 2.0 30. The morning weight for a client with emphysema indicates that the client has gained 5 pounds in less than a week, even though his oral intake has been modest. The client's weight gain may reflect which associated complication of COPD? \geoquad A. Polycythemia \geoquad B. Cor pulmonale \geoquad C. Left ventricular failure \geoquad D. Compensated acidosis 31. The nurse has reinforced medication information with a client with emphysema which is prescribed a xanthine bronchodilator about beverages to avoid. The nurse determines that the client understands the information if the client chooses which beverage from the dietary menu?

of 15 Which instruction would the nurse provide a patient who reports feeling drowsy after beginning drug therapy with diphenhydramine? \geoquad A "Use caution when driving." \geoquad B "This may worsen over time." \geoquad C "Stop taking the drug immediately." \geoquad D "Take a stimulant to combat fatigue."

Which statement by the patient indicates an understanding of the teaching regarding beclomethasone dipropionate? \geoquad A "I need to take this medication only when my symptoms get bad." \geoquad B "I will need to taper off the medication to prevent acute adrenal crisis." \geoquad C "I will need to monitor my blood sugar more closely because it may increase." \geoquad D "This medication will help prevent the inflammatory response of my allergies."

What is the primary reason needles should not be recapped? \geoquad a. It may damage the needle \geoquad b. It contaminates the medication \geoquad c. It increases risk of needlestick injury \geoquad d. It wastes time during procedures

Which drug is the recommended nonsteroidal antiinflammatory (NSAID) medication for a patient with diabetic neuropathy? \geoquad A Aspirin \geoquad B Sulindac \geoquad C Ibuprofen \geoquad D Indomethacin

Order: carbamazepine 150 mg p.o. b.i.d. for a child who is 5 years old and weighs 40 Ib. The recommended dosage for children under 6 years of age is 10 to 20 mg/kg/day in 2 to 4 divided doses per day, not to exceed 400 mg/day. Child's weight: - kg Recommended minimum daily dosage for this child: mg/day Recommended minimum single dosage for this child: mg/dose Recommended maximum daily dosage for this child: - mg/day Recommended maximum single dosage

A nurse is preparing to administer medication to a client who has gout. The nurse discovers that an error was made during the previous shit in which the client received atenolol instead of allopurinol. Which of the following interventions is the nurse's priority?

Which drug interaction could occur when taking diphenhydramine and consuming alcohol? \geoquad A Allergic rhinitis \geoquad B Motion sickness \geoquad C Nighttime insomnia \geoquad D Central nervous system (CNS) depression

My Course Plan Question 6 of 10 Which antitubercular drug can be used as prophylaxis against tuberculosis? \geoquad A Isoniazid \geoquad B Ethambutol \geoquad C Streptomycin \geoquad D Pyrazinamide

Which medication is considered first-line treatment for cardiac arrest? \geoquad a. Atropine \geoquad b. Epinephrine \geoquad c. Dopamine \geoquad d. Lidecaine

Order: amoxicillin/clavulanate 200 mg p.o. q. 12h for a 5-year-old child who weighs 45 lb. The recommended dosage of this combination drug is based on the amoxicillin at 25 mg/kg/day in divided doses q. 12h or 20 mg/kg/day in divided doses q.8h.

A client recovering from abdominal surgery has not had a bowel movement for three days. The nurse plans interventions to promote bowel elimination. Which interventions should the nurse use? Select all that apply. \geoquad Encournive Nigh: Naw foods as told rated \geoquad humbune coul fruid intable \geoquad Austing with early ambulation \geoquad Administering an antid researther medication \geoquad

Which assessment finding in a patient who is on nonsteroidal antiinflammatory drug (NSAID) therapy does the nurse report to the primary health care provider? \geoquad A Fever \geoquad B Swelling \geoquad C Black stools \geoquad D Loss of function

A 16-year-old male newly diagnosed with osteosarcoma is undergoing his diagnostic work up to assess his baseline organ function prior to initiating came out therapy that consist of high-dose methotrexate doyens is platinum Ayomide topside what diagnostic is not clinically indicated

What is the common organ system affected in older people by adverse drug reactions?

Calculate the number of tablets needed to provide each dose of the orders as written using the available stock. Levothyroxine 0.075mg po daily. Available 25mcg tablets

Use the scenario below to answer questions 1-6 Barrett’s Esophagus (Older Adult) A 70-year-old female admitted into the hospital for treatment of Barrett’s Esophagus has a history of chronic and severe gastroesophageal reflux disease. She used to be a frequent smoker and alcohol user but has stopped since her health conditions have become more severe. A year ago, she underwent a fundoplication procedure, and for the last few months has been receiving radiation therapy. She is now preparing to undergo a gastric pull-up following an esophagectomy. Her medication list includes proton pump inhibitors, antacids, and she takes a multivitamin. She currently weighs 125 lbs. and is 5’11”. Last year at this time she weighed 135 lbs. During radiation, it was painful for her to swallow, and she would only consume limited foods and liquids. At this time, she consumes liquids and pureed foods daily. She has reported one stool per week that is difficult to pass. A Basic Metabolic Panel was collected, and the results are presented below. Test Client’s Result Reference Interval Glucose 105 65 – 100 mg/dL BUN 28 8 – 25 mg/dL Creatinine 1.6 0.8 – 1.4 mg/dL Sodium 160 133 – 146 mEq/L Potassium 2.5 3.5 – 5.3 mEq/L Chloride 95 97 – 110 mEq/L Carbon Dioxide 24 18 – 30 mEq/L Select the assessment findings that require follow-up by the nurse. Group of answer choices Proton pump inhibitors Antacids Weight history Multivitamin Oral intake Stool output Glucose BUN Creatinine Sodium Potassium Chloride Carbon Dioxide

Read the say abstract and identify the type of research conducted. The aim of the study was to develop a valid evaluation instrument for assessing nurses as educators to improve clients, medication management focus groups of nurses explore desired nursing behaviors as educators and medication management using grounded theory, a list of behaviors was generated and characterized categorized into themes after the data analysis was completed, the researchers developed a questionnaire based on the list of behaviors from the focus group participants rated the behaviors using leichardt scale 0 equals not important to 7 and extremely important based on their importance to the medication management and patient center communication. What type of research was conducted experimental study correlation study , qualitative studies , sequential mixed methods or concurrent next methods

Page of 4 Medication Administration Practice Worksheet Instructions: Use the provided Medication Administration Records (MARs) for each patient to complete the following tasks. Ensure you apply the 6 Rights of Medication Administration and document thoroughly. Patient #1: Luanne Smith (MAR 1) - Diagnosis: Pneumonia - Allergies: Codeine Task 1: Select one scheduled morning medication. Medication Name: ____________________________________ Dosage: _____________________________________________ Route: _______________________________________________ Scheduled Time: ______________________________________ Task 2: Apply the 6 Rights of Medication Administration. Right Patient: _______________________________________ Right Medication: _________________ Right Dose: _________________________________________ Right Route: ________________________________________ Right Time: _________________________________________ Right Documentation: _______________________________ Task 3: Document administration. Time Administered: __________________________ Site (if applicable): _________________________ Initials: _________ Observations/Comments: ____________________________________________________ _Patient #2: Kate Thompson (MAR 2) - Diagnosis: Pernicious Anemia - Allergies: None Task 1: Review and prepare Vitamin B12 injection. Dosage Ordered: ____________________________ Route/Site: ________________________________ Time Due: _________________________________ Task 2: Complete verification. Injection Site Rotated? _____________________ Checked Expiration Date? ____________________ Label Verified Against MAR? _________________ Task 3: Document administration. Time Administered: __________________________ Site: ______________________________________ Initials: ____________________________________ Observations: ______________________________________________________________ Patient #3: John Stenson (MAR 3) - Diagnosis: Acute DVT - Allergies: Penicillin, ACE Inhibitors, Contrast Dye Task 1: Select anticoagulant medication from MAR. Medication Name: ____________________________ Dose: ______________________________________ Route: _____________________________________ Task 2: Allergy & Safety Checks Does the patient have allergies related to med? ______ Bleeding Precautions in Place? _______________ Lab Monitoring Required? ____________________ Task 3: Document administration. Time Administered: __________________________ Site (if applicable): _________________________ Initials: ____________________________________ Comments: _________________________________________________________ Reflection Questions: 1. What documentation errors could result in harm to the patient? 2. How do patient allergies impact medication administration? 3. What steps must be taken before administering injections?

Jane was seen today for a 2 week follow up appointment after her annual physical. Her health care provider orders (medication orders) were signed during her physical and are good for a year, so they do not need to be signed again at this appointment. \geoquad True \geoquad False

Treatment of vascular dementia may include Select one: \geoquad a. carotid endarterectomy and drug therapy. \geoquad b. vitamin

ACTIONS TO TAKE: Assess medication interactions Hold theophylline POTENTIAL CONDITIONS: Drug Toxicity PARAMETERS TO MONITOR: Theophylline blood levels cardiac rhythm

A nurse is administering medication to a client who asks the nurse to leave the medication at the bedside to be taken at a later time. Which of the following responses should the nurse make? \geoquad A. "Call me when you are ready, and I will return with the medication." \geoquad B. "Since you were taking this medication at home, I will leave it for you to take." \geoquad C. "I will come back in 30 minutes to check that you took the medication so I can chart the time." \geoquad D. "If you refuse to take the medication now, I can't give it again until your next scheduled time."

The nurse is assisting with a bedpan for a client who had knee surgery 24 hours ago. What is the best way for the nurse to maximize comfort while the client uses the bedpan? \geoquad Offer subset of the clenit's prescribed oral pain medication \geoquad Gevate the head of the bed to between 30 and 60 degrees. \geoquad Evaluate the client's ab lity to move in bed. \geoquad Dolve the knee pth.

Use the scenario below to answer questions 1-6 Barrett’s Esophagus (Older Adult) A 70-year-old female admitted into the hospital for treatment of Barrett’s Esophagus has a history of chronic and severe gastroesophageal reflux disease. She used to be a frequent smoker and alcohol user but has stopped since her health conditions have become more severe. A year ago, she underwent a fundoplication procedure, and for the last few months has been receiving radiation therapy. She is now preparing to undergo a gastric pull-up following an esophagectomy. Her medication list includes proton pump inhibitors, antacids, and she takes a multivitamin. She currently weighs 125 lbs. and is 5’11”. Last year at this time she weighed 135 lbs. During radiation, it was painful for her to swallow, and she would only consume limited foods and liquids. At this time, she consumes liquids and pureed foods daily. She has reported one stool per week that is difficult to pass. A Basic Metabolic Panel was collected, and the results are presented below. Test Client’s Result Reference Interval Glucose 105 65 – 100 mg/dL BUN 28 8 – 25 mg/dL Creatinine 1.6 0.8 – 1.4 mg/dL Sodium 160 133 – 146 mEq/L Potassium 2.5 3.5 – 5.3 mEq/L Chloride 95 97 – 110 mEq/L Carbon Dioxide 24 18 – 30 mEq/L Use the dropdown menus to indicate whether the nursing action listed below are Indicated (appropriate or necessary), Contraindicated (could be harmful), or Non-Essential (make no difference or are not necessary) for the client’s care at this time. Nursing Action Status Request that the client be NPO for the first 24 hours after surgery. [ Select ] ["contraindicated", "indicated", "non-essential"] Provide EN through jejunostomy tube as soon as possible. [ Select ] ["indicated", "contraindicated", "non-essential"] Monitor tube insertion site for infection. [ Select ] ["contraindicated", "indicated", "non-essential"] Provide education to transition to oral feedings with clear liquids and soft, moist foods for the next 3 months. [ Select ] ["indicated", "contraindicated", "non-essential"] Educate client to increase fluids at mealtimes. [ Select ] ["contraindicated", "indicated", "non-essential"] Encourage client to consume 3 large meals per day when consuming food orally. [ Select ] ["contraindicated", "indicated", "non-essential"] Provide education regarding dumping syndrome and future reflux prevention. [ Select ] ["indicated", "contraindicated", "non-essential"] Suggest a multivitamin supplement. `indicated` Educate client about parenteral nutrition recommendations. [ Select ] ["non-essential", "indicated", "contraindicated"]

Which advice would the nurse give to a patient who has taken guaifenesin for 1 week and still has a productive cough? \geoquad A "Decrease your fluid intake." \geoquad B "Take loratadine twice a day." \geoquad C "Increase the dose of guaifenesin." \geoquad D "Consult your primary health care provider."

Would you choose Naltrexone or Campral as the initial medication for this patient?

A client recovering from abdominal surgery has not had a bowel movement for three days. The nurse plans interventions to promote bowel elimination. Which interventions should the nurse use? Select all that apply. \geoquad Encouraging high-fiber foods as tolerated \geoquad Increasing orat flud intake \geoquad Assisting with early ambulation \geoquad Administering an antidiarrheal medication \geoquad Providing a warm beverage with meals

the patient weighs 100kg.The order says to administer Vancomycin 10mg/kg IVPB every 8 hours. How many mg of Vancomycin will you administer in each dose?

PrEp is a medication, in which people at risk of getting HIV can take. Check below ALL of the possible answer choices that pose barriers for individuals to take this medication. \geoquad Stigna of HIV \geoquad Stigna of talking Prep \geoquad Low areareness of PYEp \geoquad Low perception of rist of getting HIV

receiving prednisone for several months the nurse observes that the client has developed an extremely rounded face. Which prescription should the nurse anticipate from the healthcare provider/ A A diuretic may be necessary to reduce facial swelling. B A low-fat diet to help prevent further abnormal fat deposits. C An adjustment in the medication dosage to help resolve this problem. D The medication will need to be stopped immediately to prevent an adrenal crisis.

A client who is receiving heparin infusion calls the nurse to report sudden bleeding from the nose and mouth. Which action is most important for the nurse to implement? A Give a PRN dose of ptomaine sulfate subcutaneously. B Apply pressure and ice to the nasal bridge. C Flush IV site with normal saline to maintain latency. D Encourage the client to remain sitting upright.

The nurse is calculating a dose of ceftriaxone 1 gram in 250ml 0.9% NS to infuse over 30 minutes to a patient. How many ml/hour will the nurse program the IV pump?

A client who fell at home fractured the left hip. The client has a history of atrial fibrillation and is currently taking warfarin 5mg by mouth daily. The nurse receives a call from the laboratory regarding the client's INR value of 20. After writing down and reading the value, which intervention should the nurse implement first? A Give a dose of Vitamin K intramuscular (IM) now as prescribed. B Assess the client's oral mucosa for signs of bleeding. C Encourage the client to eat vitamin K rich foods. D Hold the next dose of warfarin as instructed

The mu receptor is responsible for most opioid analgesic adverse effects. Group of answer choices True False

You patient has hypothyroidism. MD writes an order for levothyroxine 125 mcg PO in the am daily. Pharmacy dispenses you with 62.5 mcg tablet. How many tablets do you administer with this dose?___tabs

Which nursing action is an example of professional autonomy? Novice nurse seeks out their mentor for assistance with a blood transfursion. Nurse on a medical unit calls respiratory to draw arterial blood gases. Experienced nurse in the intensive care unit draws their client's blood. Nurse contacts the primary care provider to clarify a new medication order,

of 15 Which of the following applies to a patient with infective endocarditis? IV drug users may be at increased risk. The infection often resolves on its own due to increased immunity of the heart. The Harvard criteria are used to classify patients. Infective endocarditis is usually diagnosed with a single blood test.

Using a graph sheet, enter the following data. 16. Write today's date. 17. Record the following vital signs: Using the vital signs information above, answer the following questions. 18. What time did the patient have the highest temperature: 19. What happened to the temperature throughout the day? 20. What time did the patient have the highest blood pressure 21. What time did the patient have the lowest blood pressure? 22. What was the total oral fluid intake? 23. What was the total IV and IV medication intake 24. What was the total urine output? 25. What was the total drain output? 26. Which was higher, intake or output?

A 24-year-old patient presents with a confirmed vaginal candidiasis infection. She has used 1% clotrimazole 2% cream without cure. Which of the following medications would be an appropriate treatment? Answer choices: * Butoconazole 2% cream, 5 g × 1 dose * Fluconazole (Diflucan) 150 mg PO × 1 dose * Metronidazole (Flagyl) 500 mg PO BID × 5 days * Terconazole 0.4% cream, 5 g × 7 days ⸻ Question 4 Erin is a 28-year-old male who engages in MSM and has symptoms consistent with acute cystitis. A urine culture confirms that E. coli is the causative agent. Which of the following antibiotics is the most appropriate treatment? Answer choices (partially readable): * Clarithromycin (Biaxin) * Azithromycin (Zithromax) * Ceftriaxone (Rocephin) * Doxycycline (Vibramycin)

elearning.heart.org ACLS Precourse Self-Assessment a... Advanced Cardiovascular Life Su... and select Submit. Q21. A patient is in pulseless ventricular tachycardia. Two shocks and 1 dose of epinephrine have been given. Which medication should you prepare to give next? Adenosine 6 mg Amiodarone 300 mg Lidocaine 0.5 mg/kg Epinephrine 3 mg

A patient with possible ST-segment elevation myocardial infarction has ongoing chest discomfort. What is a contraindication to nitrate administration? \geoquad Use of a phosphodiesterase inhibitor within the previous 24 hours \geoquad Heart rate less than 90/min \geoquad Anterior wall myocardial infarction \geoquad Systolic blood pressure greater than 180 mm Hg \geoquad 31 of 61

Which of the following options describes a tracheostsmy? a long-acting medication, such as a corticosteroids, taken daily to prevent asthma attacks passage of a tube through the mouth into the traches to establish or maintain an open airway Surporal creation of a stoma into the traches below the wock cords for insertion of a breating tube an inhaled medication that relaxes and expands the bronchial passages into the lungs

A patient is in cardiac arrest. Highquality chest compressions are being given. The patient is intubated, and an IV has been started. The rhythm is asystole. What is the first drug and dose to administer? Atropine 1 mg IV Epinephrine 1 mg IV Dopamine 2 to

You are treating a fireman who has received a puncture wound in the right thigh from a piece of metal at a crash scene. Which of the following is the best method to deal with this injury? Open the wound, clean with sterile water and then bandage. Open the wound, attempt to clean with alcohol and then bandage. Bandage with sterile dressing and transport the patient for wound care. Apply a triple antibiotic ointment and leave the wound open to the air.

of 50 Study Mode On In which order will the nurse take the specific steps to mix two medications in a cartridge? Draw air into the cartridge to equal the amount of solution to be withdrawn from the vial. Withdraw the desired amount of solution from the vial. After checking the drug dose and amount of solution in the cartridge, expel excess solution from the cartridge. Invert the vial and inject air into vial.

Drug Calculation #3 A patient is ordered to start an IV Dopamine drip at 5 mcg/kg/min. The patient weighs 180 lbs. You have a bag of Dopamine that reads 400 mg/250 mL. What will you set the IV pump drip rate (mL/hr) at?

When assessing older adults compared to younger adults, several differences in assessment data may be observed: Vital Signs, 2. Skin Changes, Cognitive Changes, Gait and Mobility, Medication Management

Dosage Calculation #4 The MD has ordered 240 mL levity tube feeding to be administered at (1)/(3) strength. How much water will you add to create the proper dilution? 

Recommend one FDA-approved drug, one off-label drug, and one nonpharmacological intervention for treating your chosen disorder in older adults or pregnant women. Explain the risk assessment you would use to inform your treatment decision-making. What are the risks and benefits of the FDA-approved medicine? What are the risks and benefits of the off-label drug? Explain whether clinical practice guidelines exist for this disorder, and if so, use them to justify your recommendations. If not, explain what information you would need to take into consideration. Support your reasoning with at least three current, credible scholarly resources, one each on the FDA-approved drug, the off-label use, and a nonpharmacological intervention for the disorder.

Dosage Calculation #5 The MD prescribes 10 mg/minute of Micafungin IV as a continuous infusion. The pt weighs 185 pounds. Micafungin comes in a 250 mL bag containing 8 grams of medication. You hung a new bag at 0700 and it is currently 1100. How many mg of Micafungin has your patient recewed? 

A health care practitioner prescribed fludrocortisone for a patient with Addison disease. Which assessment would a nurse implement before administering the medication? Select all that apply. One, some, or all responses may be correct. Liver function tests Last bowel movement The patient's alertness Signs of an infection History of hyperuricemia

a nurse is administering magnesium sulfate to a client for severe eclampsia. during administration of the medication, the nurse:

a patient is having preterm labor, she is 32 weeks and dilated 5 cm. she was given magnesium sulfate what medication would be prescribed if the labor can be delayed for 2 days

Mobiserv, a collaboration of several European companies, created a touch-screen-equipped, humanoid-looking social companion robot to do all EXCEPT the following tasks. Promotes exercise Encourages healthy eating Assist into bed Reminders of medication

Examples of daily clinical shuations that could pose moral dilemers for the student NP and/or preceptor, Check all that apply: \geoquad A. Pred eptor asks you to complete a procedure for which pas have not received adequate training or ede attion \geoquad B. Filend asks for medication retit even though not in four practice \geoquad C. Neighbor anks for antibiotics even though not in pour practice \geoquad D. Heath care provider asks you to cover for practice in his absence without access fo patient records بтطباں

a client with hypothryroidism asks the nurse is she will still need to take thyroid medication during the pregnancy. the nurses response is based on the knowledge that

Patient Profile: Name: Stephen Jenkins Age: 75 Gender: Male Medical History: Congestive Heart Failure (CHF), Hypertension, Atrial Fibrillation, Chronic Kidney Disease (Stage 2) Current Medications: Furosemide 40 mg daily, Metoprolol 50 mg BID, Warfarin 5 mg daily, Lisinopril 10 mg daily Scenario: Stephen Jenkins presents to the clinic with complaints of increased shortness of breath, swelling in his legs, and fatigue. His blood pressure is 145/90 mmHg, and his recent lab results show elevated BNP levels and a serum creatinine of 1.8 mg/dL. He admits to occasionally missing doses of his medications due to forgetfulness. CDSS Alerts Heart Failure Exacerbation Alert: Reason: Increased shortness of breath, leg swelling, fatigue, elevated BNP levels. Action: Consider adjusting diuretic therapy, evaluating for potential hospital admission, and reviewing adherence to heart failure management plan. Hypertension Management Alert: Reason: Blood pressure of 145/90 mmHg. Action: Assess current antihypertensive regimen, consider increasing Lisinopril dose or adding another antihypertensive agent, and reinforce medication adherence. Renal Function Alert: Reason: Serum creatinine of 1.8 mg/dL, indicating worsening renal function. Action: Review nephrotoxic medications, adjust dosages if necessary, and consider consulting a nephrologist. Medication Adherence Alert: Reason: Patient admits to occasionally missing doses. Action: Provide education on the importance of medication adherence, consider a pill organizer or reminder system, and possibly involve a caregiver in medication management. Anticoagulation Management Alert: Reason: Patient on Warfarin with potential for missed doses. Action: Check INR levels, assess for signs of bleeding or clotting, and reinforce the importance of consistent Warfarin intake.

Advanced Cardiovascular Life Su... oose the correct answer, and select Submit. Q33. Which medication or intervention is most appropriate for the treatment of a patient in asystole who is currently receiving high-quality CPR? Atropine Transcutaneous pacing Defibrillation Epinephrine 34 of 61

Advanced Cardiovascular Life Su... Q32. A patient is in refractory ventricular fibrillation and has received multiple appropriate defibrillation shocks, epinephrine 1 mg IV twice, and an initial dose of amiodarone 300 mg IV. The patient is intubated. Which best describes the recommended second dose of amiodarone for this patient? \geoquad 1 to 2 mg/min infusion \geoquad 1 mg/kg IV push \geoquad 150 mg IV push \geoquad 300 mg IV push \geoquad

Advanced Cardiovascular Life Su... Q36. A patient is in ventricular fibrillation. High-quality CPR is in progress. Your team shocked the patient twice, delivered 1 milligram of epinephrine, shocked a third time, and then gave an antiarrhythmic drug. What is the next medication you should administer? \geoquad Epinephrine 1 mg \geoquad Sodium bicarbonate 50 mEq \geoquad A second dose of the antiarrhythmic drug \geoquad Epinephrine 3 mg \geoquad

According to the Medication Administration Training Course, when should you wear gloves in the work environment? Select one: A. Any time that there is a possibility of coming into contact with blood or body fluids. B. Any time that you are worried about getting dirty. C. While assisting an individual in dressing. D. While pouring medications. Clear my choice

Precise control of a 100 mL IV medication is necessary. Which device will the nurse use to administer the medication? IV piggyback ADD-Vantage system Volume control device Infusion by gravity

Advanced Cardiovascular Life Su... oose the correct answer, and select Submit. Q38. A patient is in ventricular fibrillation cardiac arrest and received a second shock. Which medication should be administered first? Lidocaine 1 mg/kg IV/IO Atropine 1 mg IV/IO Sodium bicarbonate 50 mEq IV/IO Epinephrine 1 mg IV/IO

Dosage Calculation #2 The doctor orders Vancomycin 1 g. Instructions on the vial say to reconstitute with water for a concentration of 100m(g)/(3)mL . How many milliliters will make this ordered dose? 

Study Mode On Report content erro 65% complete (1) How many tablet(s) would a nurse administer daily to a patient who is prescribed digoxin (Lanoxin) 0.125 mg po daily when the drug is dispe 125 -mcg tablets?

32% complete © Which statement about the use of an intravenous (IV) pump indicates the need for further instruction? \geoquad A "The IV pump will improve the accurocy of the infusion." \geoquad 8 'The IV pump will deliver the fluid in milliliters per hour,' \geoquad C "Using the TV pump may be more time consuming to monitor." \geoquad D "I will still calculate the rate of fluid before I program the pump." 

6% complete (1) Which component is required on a medication order for an intravenous fluid? \geoquad A Volume to be administered \geoquad B Brand of infusion device to use \geoquad C Type of catheter to use for administration \geoquad D Drip factor to use for drip rate calculation 

Questian B 18% complete (D) Which factor would the nurse contrider when preparing to infuse un intravenous piggyback (IVPB) into the primary intravenaus (IV) line using an IV pump? \geoquad h No Muid colculation is naeded. \geoquad s IVPB pump tubing iz required. \geoquad C The IVPB will infuse in milliters per how, \geoquad \geoquad the IVPB is oloces lower than the primory infusion: 

70% complete (1) Which infusion set would the nurse obtain that has a drop factor of 60 drops /mL ? \geoquad A Microdrip set \geoquad B Macrodripset \geoquad C Intravenous piggyback (IVPB) set \geoquad D Infusion pump set 

56% comolete (7) The nurse is rewiewing the electronic medical record of a patient and sees a prescription for vancampcin 1250 mg in 250 mL dextrase 55 ain infuse over 90 min. At what rate will the num set the infusion pump to administer this medication? Round the answer to the tenth. 

An obese patient comes into a clinic presenting with blurred vision, a Report an Error question 2 of 5 fasting blood glucose level of 110 mg/dL, and some fatigue. Based on these symptoms alone, what would you tell her? \geoquad She is showing symptoms of type 2 diabetes and recommend she start a medication to improve insulin uptake. \geoquad She is showing symptoms of prediabetes and recommend she watch her diet, increase her activity level, and return to the clinic for testing in a month. \geoquad She is showing symptoms of type 1 diabetes and recommend she start insulin right away. \geoquad She should monitor her diet more closely, but there is nothing to be concerned about.

A nurse is performing preoperative teaching for a patient who is having urological surgery. The nurse informs the patient he will likely require closed bladder irrigation following the surgeny. The patient asks what the purpose is for bladder irrigation. What would be a correct response by the nurse? (Select all that apply.) \geoquad "Bladder irrigation may be used to instill medication into the bladder." \geoquad The infepting saturion heber till any bacterlo that may be present th the bladder: \geoquad "Irrigating the bladder prevents any clots or sediment from blocking urinary drainage." \geoquad "bhader Integtion is one method uned to treat pain stor urological surgery" \geoquad "Irrigating the bladder applies pressure to prevent bleeding at the operative site."

A child received the first dose of hepatitis A vaccine several years ago but never returned for the second. What is the appropriate next step? No additional doses are needed Wait until adulthood to administer the second dose Give one dose now to complete the series Restart the vaccine series and give two doses six months apart

Which oction is the nurse's priority when coring for client odmitted for dehydrotion on on introvenous (IV) infusion of normol soline of 125 mL/h who begins screoming, "I con't breathel" one hour ofter the IV is initiotied? \geoquad A Elevote the head of the bed and obtain vital signs. \geoquad B Discontinue the IV and contact the primary heolth core provider. \geoquad C Change the IV to on intermittent infusion device. \geoquad D Contact the primary health core provider to obtain a prescription for a sedotive.

During change-of-shift report the furse states that a patient has early renal failure and to be alert to this when administering medications. Why would this be a concern? \geoquad The kidneys ausist in the detowitication of medication metabolites. \geoquad The pattent may not be she to short be the medcattons. \geoquad The bladder acts as a filter to remove wastes and form urine. \geoquad The the wess are the primary site for medication metabofsm.

Which symptom might be explained by a medication-alcohol interaction of a client who mentions taking cefoteton and drinking a few cocktoils of dinner? Select all that apply. One, some, or-oll responses may be correct. \geoquad A Chest poin \geoquad B Stomoch cromps \geoquad C Hypertension \geoquad D Hypotension \geoquad E. Diophoresis \geoquad F Pruritus

Which method would the nurse recommend when teoching the client with osthma how to determine if an inhaler is empty? \geoquad A Trock the number of doses taken. \geoquad B. Taste the medication when sproved into the oir. \geoquad C Shoke the conister. \geoquad D Place the conister in water to see if it floots.

*20/17 / _(_())_(_()) The liemsed prescriber orders mognesie- suifate 3 g/hr interrenous (IV) to be g ven gs a holut over 20 mi , followed by a cont nuous infurian af 2 afh The meanesiam subore is available in a rancontration of 30 g in 1000 mL of lactored Rignets. How muny millizters per how will the nurse set the electrenic infusion pump for the bolus dase? _(_())_(_()) mL/hr 

The licensed preseriber order 20 g af magnesium sulfate in 2090 mL of loctnied Ringar's, with 3=> to be infused as a boius aver 10 min and then a cantinuaus infusion maimoined at 1 g/hr. Haw many milliliers per hour will the nerse set the electranc infusion pump for the balus? _(_())_(_()) mL/hr 

The licensed prescriber orders 20 g of magnesium sulfore in 1000 mL of luciated förger's, with 3 g to be infused as a balus aver 30 min and then a continuous infusion maintained at

My Course Pinn Questian 40% cantinit © The health eare provider orders a 7 g /hr cont nupes infusion of mognesium sulfote. The concentration is 40 g of magnesium sulfate in 1000 mL of lactuted Ringers. How many mililiters per hour will the nurse set the electronic infaion pumpi

20% canter The licensed prescriber orders 20 g af magnesium sufata in 1000 ml loctated Ri-ger't to infuse at 1 g/hryid o continusus infusion. How mary milliters per hour will the nurse set the electronic infusion pump?

35% complete (1) In ababetric narzing, which medication is commonly used in an intraensus infusion to prevent sciures in pregnant women abgeased with precolampsid? \geoquad A Crytocin \geoquad B Om \geoquad C Betumethesone \geoquad o Magnesum vilfate 

34% complete ◯ The licensed prescriber orders 10 g of magnesium sulfate in 500 mL of lactated Ringer's to infuse at 1 g/hr. How many milliliters per hour will the nurse set the electronic infusion pump to deliver the dose?

45% camplete © Teelicensed procriber urders 900 mL of actoted Ringer's with 20 g of magnesium saifute to he odministered as a 4g bolus in 30 min faltwad by a Co tinuas intusion of 2(g)/(h) : How mury millikers per hour wil the nurse set the electranic infusan pump for the bolas dose? _(_())_(_()) mL/or 

ples the 7M corplate (1) The nurse is assigned in care for a potient with preeclampaig us well as hypatonic uterina dysfunction and sigs of a slowing lobar. The licensed preceriber has ordered asytocin and magnesium sufate infusions. Which is the mast impartent for the nurse to usiles for this patient? \geoquad A Bod rest \geoquad - Restric coschs \geoquad C Electronic infusion pamp \geoquad n-Increased hidration 

When catching up on a multi-dose vaccine series (e.g., hepatitis B), which principle should guide scheduling? Give all remaining doses at once Restart the series if doses are delayed Shorten the interval between doses to finish quickly Maintain minimum intervals; no need to restart the series16 weeks

The health core provider orders a 2 @/hr Continusus infusion of mogresium sufate. the concerbution is 40 a of mognesiam sulfote in 1000 mLof iactated Ringer's. How many mililiters per hour will the nerse set the elactronic infusion pump: _(_())_(_()) mL/hr 

Which factors can affect a patient's bowel movements? Select all that apply. \geoquad Dietary intake \geoquad Medication use \geoquad Marital status \geoquad Pain \geoquad Recent surgery

The nurse is reviewing dietary supplements and US Food and Drug Administration (FDA) requirements. Which of these actions are required by the FDA for manufacturers of dietary supplements?