A shipment of a radiopharmaceutical is received by your facility and the survey measurement you take at one meter is 108 mR / hr. How should you label and handle this shipment?

1) Which of the following drugs may cause reddish color urine?

A) Vancomycin

B) Methotrexate (Rheumatrex)

C) Doxorubicin (Adriamycin)

D) Cyclophosphamide (Cytoxan)

2) A patient is presented to ED in hyperosmolar hyperglycemia state. His O2 saturation is 90% and BP is 90/55. His K is low. Prioritize the following interventions in the correct order of administration based on patients condition.

1) Insulin 10 units IV
2) Normal Saline IV fluids

3) Oxygen therapy

4) KCL IV replacement dose

A) B,C,A,D

B) C,A,D,B

C) C,B,D,A

3. Which of the following medication absorption maybe affected by antacid administration?

A) Vitamin C

B) Vitamin D

C) Iron supplement

4) Which of the following is NOT regarded as GI defensive factor?

A) Pepsin

B) GI mucosa

C) Bicarbonate

D) Prostaglandin

Read the case study, then answer the questions that follow.

Case study (questions 7-9)

Mrs Hampshire has now been in the facility for 10 weeks. During this time, Mrs Hampshire has gradually improved in her health status. Regular physiotherapy sessions have maintained the muscle tone of the affected side of her body and she has been able use an electric wheelchair, which has increased her level of social interaction and physical mobility.

On admission, communication was noted to be a problem for Mrs Hampshire and was also contributing to her depression and isolation. A communication board was used and Mrs Hampshire also communicated via written words on a notepad, though this was difficult as she was previously left-handed.

Improvement in her speech through regular speech therapy sessions has also meant that Mrs Hampshire is able to communicate her needs more easily.

Mrs Hampshire still requires a special diet. By recording how much Mrs Hampshire is eating and drinking, it is found that she is not taking adequate fluids. After discussion with the supervisor and Mrs Hampshire’s daughter, a plan is made for Mrs Hampshire’s daughter to give her extra fluid after lunch each day. Her daughter also remembers that her mother doesn’t like coffee or tea but prefers chocolate milk. Mrs Hampshire’s fluid is changed to chocolate milk and the fluid intake increases to a healthy level.

What problem-solving activity did the support worker take to assist with fluid intake to improve urinary system functioning? (Approx. 50 words).

Identify the health issues that Mrs Hampshire had and may experience. Explain how each problem affects other systems of the body in supporting healthy functioning. You are required to identify and explain eight health issues (or potential issues) in your answer. (Approx. 160 words).

Case Studies, Chapter 40, Fluid, Electrolyte, and Acid--Base Balance

You are a nurse who frequently cares for postsurgical patients in your hospital unit. Most of the medical-surgical patients have IV fluids infusing during their admission. Due to the frequent use of IV fluids on your floor, understanding fluid balance and electrolyte function is primary to your nursing practice. (Learning Objectives 1, 6, and 7)

What conditions might lead to the development of hypovolemia?

How would the amount of patient fluid loss be determined?

Describe how hypovolemia and third-space fluid shift correlate.

Outline the major difference between hypovolemia and third-space fluid shift.

Which conditions can result in third-space fluid shift?

You are a nurse in a nonsurgical cardiac unit caring for a 92-year-old patient who has two sons, 15 grandchildren, and 49 great-grandchildren. She lives in assisted living and has a history of congestive heart failure (CHF). She consistently struggles with balancing her fluids and electrolytes and has an affinity for dill pickles and sauerkraut. While hospitalized, she remains on a fluid restriction---much to her chagrin, as she loves ice cream.

What within her history would indicate she was at risk for hypervolemia?

How would dill pickles and sauerkraut impact her fluid volume?

What body areas offer observational evidence of excessive interstitial extracellular fluid (ECF)?

Why would your patient be on a strict fluid restriction while hospitalized?

Outline nursing interventions used while a patient is on fluid restriction.

Explain about the plans and p[romotion related to hypertension

1. why is selection of mode important during initiation and throughout the course of mechanical ventilation

2. What is the purpose of using modes that control or limit pressure delivery with each breath?

3. Do you feel ventilators that offer advanced modes with artificial intelligence systems are a necessary choice for patients receiving ventilator support?

1. An RN was searching through the electronic medical record at the hospital in which she worked. A co-worker came up and asked what she was doing. The RN replied, “My husband had his blood drawn a couple of days ago, and I wanted to see what his results were”. Is this a HIPAA violation? Explain your answer

2. Dr. Smart called the unit and asked the nurse to look up the patient’s current EKG results. The nurse notices that Dr. Payne is the physician assigned to the patient. Is this a HIPAA violation? Explain your answer.

3. Although the staff have been efficient and frequently attempting to meet the high demands of the patient, the patient has been complaining of the nurses each and every shift. The charge nurse talks to the nurse manager about the situation. Is this a HIPAA violation? Explain your answer.

Describe the initial postoperative management of the nephrectomy patient and discuss collaborative management designed to prevent complications?2. What is the purpose of a bulb-type surgical drain? How does it work? Discuss the expected drainage amount and characteristics in a surgical drain immediately postoperatively.3.What are the nurse’s responsibilities to the family?

Which nursing and counseling theories are significant in group and family psychotherapy?

1. Which is NOT a factor in the demand for change to electronic-based records?

a. An increase in medical errors

b. Rising health care costs

c. Need for coordination of care

the Theory of Successful Aging provides the scaffolding between nursing interventions and successful aging. In this discussion question, you will discuss the following from Troutman-Jordan's theory: please include references and in-text citation

1.What grand theories provide a foundation for the Theory of Successful Aging?

2.What instruments can be used to assess the successful aging of an older adult?

3.What are your thoughts about this theory?

explain quality-assurance logs related to sterilization procedures.

-Identify a problem or crisis affecting the community where you live.
-Write a nursing diagnosis based on the problem identified in your community.
-Identify five (5) nursing roles that you would apply to the problem identified in the community where you reside.
-Write five (5) nursing interventions that address the problem identified in your community