Question

A nurse should carefully monitor a patient who is receiving intravenous lidocaine hydrochloride for which adverse effects?

• Flank pain

• Hypertension

• Photosensitivity

• Bradycardia

Why is pancrelipase prescribed for a child diagnosed with cystic fibrosis?

• To decrease production of flatus

• To prevent intestinal mucous accumulation

• To enhance gastrointestinal motility

• To promote absorption of nutrients ad fat

A patient who has had a kidney transplant is receiving cyclosporine. A nurse observes the patient for signs of which problem?

• Postural hypotension

• Infection

• Impaired circulation

• Gastric ulcer

A patient who takes a theophylline preparation tör the treatment of' asthma has recently given birth and plants to breast-feed her newborn. The nurse should inform the woman that theophylline excreted in breast milk and

• She should supplement breast-feeding with formula

• May cause her infant to develop drug dependency

• May cause irritability or sleeplessness in her infant

• She should use breast shield when breast-feeding

An adult patient is to receive a blood transfusion. A nurse selection of the size of the intravenous needle should be based on which factor?

• The volume of blood to be infused

• The need to avoid injury to the blood cells

• The reason for the blood transfusion

• The rate of infusion of the blood products.

A- patient is receiving an intravenous infusion of one liter of 5% dextrose in water with 20,000 units of heparin sodium to infuse at 125 mL/hr. How many units per hour?

• 3,125

• 2,500

• 3,750

• 1,250

Answer 1

1. The adverse effect of IV Lidocaine Hydrochloride is Bradycardia. So the nurse should monitor for Bradycardia.

2. Pancrelipase it a generic name of Pancreatic lipase, In Cystic fibrosis the Pancreatic duct is blocked and the Pancreatic enzymes could not reach to intestine and food not digest.Pancreatic lipase is responsible for fat digestion.

Pancrelipase prescribe for a child with Cystic fibrosis To promote absorption of nutrients and fat.

3.In kidney transplantation the chances of graft rejection is there, so the immune system is suppress to prevent graft rejection.

Cyclosporine is a Immunosuppressive drug which prevent the rejection of transplanted kidney.

the nurse should observe for signs of Infection because the immunity power is dicreased of this patient.

4.Theophyline is a bronchodilator it relax airway and improve breathing.

The drug excrete in breast milk and may cause irritability or sleeplessness in her infant.

The breastfeeding recommend after 2 to 4 hours after drug taken.

5.In blood transfusion a wide gauge needle (Normally 18 Gauge in Adult) is used.

The selection of size of IV needle should based on the factor the need to avoide injury to blood cells. A narrow gauge needle have narrow internal lumen to pass the blood and have more chance to injury to blood cells and clot formation.

6.

The infusion is 1 Litter of 5% Dextrose in water means 1000ml.

Adding of 20,000 units of heparin

In 1 ml of water the heparin is- 20,000÷1000=20 Unit

The rate of infusion is 125ml/hr.

In 1 ml water heparin concentration is 20 Unit then

In 125 ml water is - 125×20=2500 unit

Means 2500 unit heparin per hhour.