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- Question 8: After contacting the provider for an order for pain medication, you check the electronic MAR and see the following order has been entered: “hydromorphone 0.5 mg STAT”, What should you do? Administer the medication intravenously Administer the medication by mouth Verify the order with the prescriber Ask the client how they would like their medication to be given.Question 1 - A patient has an order for 750000 units of penicillin g potassium to be administered IM. How many ml will the nurse administer if 33 ml is added to be the diluent? 75 ml (diluent) - 250,000 u/ml (units per ml of solution) 33 ml (diluent) - 500,000 (units per ml of solution) 11.5 ml (diluent) - 1,000,000 (units per ml of solution) Question 2 - A patient has an order for 250000 units of penicillin g potassium to be administered IM. How many ml will the nurse administer if 75 ml is added to be the diluent? 75 ml (diluent) - 250,000 u/ml (units per ml of solution) 33 ml (diluent) - 500,000 (units per ml of solution) 11.5 ml (diluent) - 1,000,000 (units per ml of solution)Question: Would you add medications to address the pt’s lipid profile? If so, what would you add? CC: My blood sugars have not been very good lately. I’m doing everything I am supposed to be doing HPI: A 24-year-old male patient comes to your primary care clinic to establish care. He has type 1 diabetes mellitus diagnosed at age 11. He has not seen a provider in about 9 months. Currently, he is taking NPH insulin 30 units bid (8 a.m. and 6 p.m.) with 10 units Humalog before each meal. He does not take any other medications. He does not use tobacco products but does drink alcohol on the weekends. He reports checking blood glucose (BG) levels three to four times daily but did not bring his glucose log or meter. He reports his fasting blood sugar runs 150 to 190 and prandial glucose readings are 140- 250. He reports hypoglycemic episodes one to two times per week. He exercises intermittently but is not on a regular schedule. He does not eat on a regular schedule every day although…
- Question 4 A 54-year-old man with a medical history significant for bipolar disease presents to his physician with complaints of polyuria. He states that he must get up three or four times each night to urinate. He also notes frequent thirst. He denies polyphagia, urinary urgency, difficulty initiating urination, and postvoid dribbling. His medical history is notable only for bipolar disease. He has a long-standing history of noncompliance with medications for this disease, with frequent hospitalizations for both mania and depression, but has been stable on lithium for the past 6 months. He denies any symptoms of mania or depression at this time. He takes no other medications. Family history is notable for depression and substance abuse but is otherwise negative. The patient has a history of polysubstance abuse but has been “clean and sober” for the past 6 months. On examination, the patient’s vital signs are within normal limits. Head-neck examination reveals slightly dry mucous…I NEED an explanation... A patient has been receiving therapy with the aminoglycoside tobramycin, and the nurse notes that the patient's latest trough drug level is 3 mcg/mL. This drug is given daily, and the next dose is to be administered now. Based on this trough drug level, what is the nurse's priority action? a. Administer the drug as ordered.b. Hold the drug, and notify the prescriber.c. Call the laboratory to have the test repeated and verified.d. Hold this dose, but administer the next dose as scheduled.Question 32 Ms. TW is a 47 year old female with known rheumatoid arthritis (RA). She was s placed on prednisone 5 mg PO qd. In teaching the patient about her medication, it would be important for the nurse practitioner to include what information? When the symptoms of arthritis subside, she will be able to quit taking her medication. Increase fluid intake is important to prevent renal damage by the steroids The medication should be taken about 30 minutes before eating It is important to take the medication as prescribed, even after the redness and swelling decrease
- Question 1: Write a 1-2 page analysis stating your decision regarding whether the nurse was liable for the death of the patient in the scenario below. IT’S YOUR GAVEL… CHANCE OF SURVIVAL DIMINISHED On the afternoon of May 20, the patient, Mr. Ard, began feeling nauseated. He was in pain and had shortness of breath. Although his wife rang the call bell several times, it was not until sometime later that evening that someone responded and gave Ard medication for the nausea. The nausea continued to worsen. Mrs. Ard then noticed that her husband was having difficulty breathing. He was reeling from side to side in bed. Believing that her husband was dying, she continued to call for help. She estimated that she rang the call bell for 1.25 hours before anyone responded. A code was eventually called. Unfortunately, Mr. Ard did not survive the code. There was no documentation in the medical records for May 20, between 5:30 PM and 6:45 PM, that would indicate that any nurse or physician…I need an answer with steps please help me A patient has to take Prednisolone each tablet containing 5 mg. Instruction says start 35 mg and then taper by 5 mg every 1 day. How many tablets are needed? Also calculate the days supply.Question 68 An 80-year-old client with arthritis in both hips is rating her pain as 3 out of 10 while ambulating. Which of the following ordered medications would be BEST for the pain? Question 68 options: Ibuprofen (Advil) 50 mg PO Meperidine (Demerol) 300 mg PO Hydromorphone (Dilaudid) 2mg PO Acetaminophen (Tylenol) 650 mg PO
- Question 66 A client who is receiving sustained-release morphine sulfate every 12 hours for chronic pain reports breakthrough pain at a 9 out of 10. Which of these prescribed medications will be BEST for the nurse to administer? Question 66 options: Lorazepam (Ativan) 2 mg PO Carbamazepine (Tegretol) 200 mg PO Immediate-release morphine 30 mg PO Ibuprofen (Motrin) 600 mg POQuestion 43 A Nurse Practitioner has completed a medication reconciliation of a patient who has been admitted following a motor vehicle accident. Among the many drugs that the patient has received in the previous year is rituximab. The nurse would be justified in suspecting the patient may have received treatment for which of the following diseases? Non-Hodgkin's lymphoma Malignant melanoma Nonsmall cell lung cancer Renal cell carcinomaQuestion 33 A 34-year-old male has been diagnosed with TB and will be started on INH therapy. The medication history reveals that he currently takes antacids on a regular basis. The nurse will instruct the patient to take antacids during the day and INH only at night. antacids before meals and INH 1 or 2 hours after meals. INH before meals and antacids 1 or 2 hours after meals. antacids not less than 1 hour before or 2 hours after taking INH.