Question

Which prescribed drug is best for the nurse to give before scheduled open reduction internal fixation on a patient with a fracture?

1. Ketorolac

2. Lorazepam (Ativan)

3. Gabapentin (Neurontin)

4. Hydromorphone (Dilaudid)

The nurse caring for the patient during the wound healing phase should be aware of which of the following causes of hypernatremia? (SELECT ALL THAT APPLY)

1. Vomiting or diarrhea

2. Prolonged GI suction

3. Improper tube feedings

4. Successful fluid replacement

5. Inappropriate fluid administration

The nurse is reviewing laboratory results on a patient who experienced a large amount of fluid loss. Which results require priority action by the nurse?

1. Hematocrit of 53%
2. Serum sodium of 147 mEq/L
3. Serum potassium of 5.9 mEq/L ?
4. Blood urea nitrogen of 37 mg/dL

A patient has had a myocardial infarction and has been diagnosed as having damage to the layer as a result of impaired friction between the lining of the heart. The nurse is aware that the damage occured where?

1. Pericardium

2. Myocardium-

3. Endocardium

4. Visceral pericardium

Which finding indicates a need to contact the health care provider before the nurse administers metformin (Glucophage) (SELECT ALL THAT APPLY)

1. The patients blood glucose level is 174 mg/dL

2. The patient is currently taking Lisinopril (Zestril)

3. The patient is scheduled for a chest x-ray in an hour

4. The patient has gained 2 lb (0.9 kg) in the past 24 hours (indicates fluid overload= kidney problems )

5. The patients blood urea nitrogen (BUN) level is 52 mg/dL

Answer 1

Which prescribed drug is best for the nurse to give before scheduled open reduction internal fixation on a patient with a fracture?

Lorazepam (Ativan) :Ativan may be given to help calm a patient and may be combined with anesthesia before, during or after the procedure. After surgery, Ativan can be used to improve sleep, treat anxiety, decrease agitation, improve symptoms of postoperative delirium, and enhance relaxation.

The nurse caring for the patient during the wound healing phase should be aware of which of the following causes of hypernatremia?

Vomiting or diarrhea

Inappropriate fluid administration

The nurse is reviewing laboratory results on a patient who experienced a large amount of fluid loss. Which results require priority action by the nurse?

Serum potassium of 5.9 mEq/L :A potassium level higher than 5.5 mmol/L is critically high and life threatening

A patient has had a myocardial infarction and has been diagnosed as having damage to the layer as a result of impaired friction between the lining of the heart. The nurse is aware that the damage occured where?

Myocardium -The damaging or death of an area of the heart muscle(myocardium) resulting from a blocked blood supply to that area. It's also the medical term for a heart attack.

Which finding indicates a need to contact the health care provider before the nurse administers metformin (Glucophage)

• The patients blood urea nitrogen (BUN) level is 52 mg/dL

• The patient has gained 2 lb (0.9 kg) in the past 24 hours (indicates fluid overload= kidney problems )