Questions
61. A nurse is assessing a toddler who has cystic fibrosis. Which of the following findings...

61. A nurse is assessing a toddler who has cystic fibrosis. Which of the following findings should the nurse expect?

a. Weight gain

b. Visible peristalsis

c. Rhinorrhea

62. A nurse is preparing to initiate IV antibiotic therapy for a newly admitted 12-month-old infant. Which of the following actions should the nurse plan to take?

a. Start the IV in the infant’s foot

b. Cover the insertion site with an opaque dressing

c. Use a 24-gauge catheter to start the IV

d. Change the IV site every 3 days

d. Steatorrhea

63. A nurse is providing teaching about the effects of sun exposure to a parent of a toddler. Which of the following responses by the parent indicates an understanding of the teaching?

a. “I should dress my child in loose-weave clothing”

b. “My child should remain under a beach umbrella during morning hours”

c. “I should apply a 10 SPF sunscreen to my child’s entire body”

d. “My child should wear a wide-brimmed hat”

64. A nurse is reviewing the laboratory results of a preschooler who has gastroenteritis and notes the client’s potassium level is 3.2mEq/L. Which of the following assessment findings should the nurse expect?

a. Hyporeflexia

b. Oliguria

c. Hypertension

d. Hyperactive bowel sounds

65. A nurse is providing support to a family whose infant died from sudden infant death syndrome (SIDS). Which of the following actions should the nurse take?

a. Avoid discussing details of the attempt to revive the infant

b. Provide a follow-up phone call 1 week following the infant’s death

c. Discourage the parents from allowing siblings to view the body

d. Acknowledge the family members feelings of guilt

In: Nursing

66. A nurse is monitoring an infant who is receiving opioids for pain. Which of the...

66. A nurse is monitoring an infant who is receiving opioids for pain. Which of the following findings should indicate to the nurse that the medication is having a therapeutic effect?

a. Limb withdrawal

b. Increased blood pressure

c. Bradycardia

d. Relaxed facial expression

67. A nurse is preparing to administer amoxicillin 80mg/kg/day divided into two doses daily to a 2-year-old client who weighs 10kg (22lb). Available is amoxicillin suspension 400mg/5mL. How many mL of amoxicillin should the nurse administer per dose? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero).

68. A nurse is caring for a preschooler who refuses to take a stat dose of oral diphenhydramine. Which of the following statements should the nurse make?

a. “The medication isn’t bad. It tastes like candy”

b. “The medication will treat your hypersensitivity reaction”

c. “Let me know when you want to take the medication”

d. “Sometimes, when a child has to take medication, they feel sad”

69. A nurse is evaluating a 4-year-old child who has cystic fibrosis and has been receiving chest physiotherapy treatments. The nurse should identify which of the following findings as an indication that the therapy has been effective?

a. Increased expectoration

b. Increased urine output

c. Increased heart rate

d. Reduced pain

70. A nurse is assessing an infant who has intussusceptions. Which of the following findings should the nurse expect?

a. Board-like abdomen

b. Sausage-shaped abdominal mass

c. Increased urinary output

d. Constipation

In: Nursing

Prior to class, and after reading/viewing the module assignment, select one of the following and conduct...

Prior to class, and after reading/viewing the module assignment, select one of the following and conduct an assessment.

Musculoskeletal System Neurological System

You may conduct the assessment on a fellow student, friend, or family member. Remember to secure their permission.

Collect both subjective and objective data using the process described in the textbook. Then, document your findings and bring them to class.

In: Nursing

Take a moment and reflect on what you've learned from chapters 12-13 and use this knowledge...

Take a moment and reflect on what you've learned from chapters 12-13 and use this knowledge to investigate how the new Pfizer COVID-19 vaccine might work to stimulate the immune system. Discuss how the mRNA-based vaccine strategy may effectively induce BOTH a humoral and cellular immune response and talk about the key players. You'll need to take some time to learn a bit more about the vaccine if you're unfamiliar with the mRNA-based approach before answering this question.

In: Nursing

MD has ordered Cyclosporine (Neoral) 12 mg/kg/day. Patient weighs 150 lb. How many mg will nurse...

  1. MD has ordered Cyclosporine (Neoral) 12 mg/kg/day. Patient weighs 150 lb. How many mg will nurse administer? (If needed, round to nearest whole number).
  1. MD orders 3,000 mL of total parenteral nutrition (TPN) to be infused from 1900-0700. How many mL/hr should the IV pump be programmed for?
  1. MD orders 500 mL of Dextran to be infused over 24 hours. How many mL/hr should the IV pump be programmed for?

  1. Mr. C who has peptic ulcer disease, has Pepcid 20 mg in 100 mL D5W ordered every 12 hr. The Pepcid is to be infused over 30 minutes. With a drop factor of 10 gtt/mL, how many drops per minute should be given?

  1. Mrs. T has an order for 500 mL of 0.9% NaCl IV over 4 hours for Oliguria. The drop factor is 10 gtt/mL. How many gtt/min should be given?
  1. A terminal patient has an order for Dilaudid at 0.5 mg/hr by continuous drip. Given a bag with a concentration of 20 mg Dilaudid in 100 mL of D5W, how many mL/hr should the IV pump be programmed at?

  

In: Nursing

1} List the benefits of providing good customer service to both internal and external customers in...

1} List the benefits of providing good customer service to both internal and external customers in relation to health care.

2} Discuss how each interaction and response may differ when providing customer service to internal and external customers in relation to health care.

Include your personal experience.

Task: Write 3 paragraphs (5 to 7 sentences each) please. thank you.

In: Nursing

What are some issues that are associated with Cross Cultural Heath care?

What are some issues that are associated with Cross Cultural Heath care?

In: Nursing

Mr FG experiences a chest infection 4 days post admission and is prescribedamoxicillin 500 mg three...

Mr FG experiences a chest infection 4 days post admission and is prescribedamoxicillin 500 mg three times daily and erythromycin 500 mg four times daily.What problems may this cause with this patient’s statin therapy and what advicewould you give in order to avoid this problem occurring? (Drug interaction)

In: Nursing

CASE STUDY. You are working on an inpatient psychiatric unit and need to do an initial...

CASE STUDY.

You are working on an inpatient psychiatric unit and need to do an initial assessment of R.B., who has just been admitted. He has a diagnosis of schizophrenia, paranoid type. He is 22 years old and has been attending the local university and living at home with his parents. He has always been a good student and has been active socially. Last semester his grades began declining and he became very withdrawn. He spends most of his time alone in his room. His grooming has deteriorated; he can go days without bathing. For several weeks before admission, he insisted on keeping all of the blinds and curtains in the house closed. He refuses to join family gatherings and games. For the past 2 days he has refused to eat, saying, "They have contaminated the food." As you approach R.B., you note that he appears to be carrying on a conversation with someone, but there is no one there. When you talk to him, he looks around and answers in a whisper but gives you little information. He states, "They are watching me and told me not to cooperate.


Explain what a negative symptom of schizophrenia is, and identify at least three negative
symptoms of schizophrenia that R.B. might be experiencing.


Explain what a positive symptom of schizophrenia is, and identify at least two positive
symptoms of schizophrenia that R.B. might be experiencing


What are the most important initial interventions in treating R.B.?

In: Nursing

Betty, the chief nursing officer, had to make a decision about buying 120 new hospital beds...

Betty, the chief nursing officer, had to make a decision about buying 120 new hospital beds for patient rooms. After she interviewed nurse managers at the units where the beds were going to be placed, Betty compiled her findings and decided to contact a well-known equipment company to obtain prices and contracts. The equipment company’s executive salesperson, Jim, discussed options at length with her and invited her and her significant other to an upcoming all-expenses-paid lavish retreat at a five-star hotel in Hawaii to see demonstrations of the beds and to hear a comprehensive sales pitch. Betty thought to herself, “We badly need some relaxation and stress relief. Hawaii would be so much fun. Would it be wrong for us to go?” In your paper, address all of the following prompts: What action should Betty take in this situation? Give your rationale. Justify your answer with an ethical framework—a theory, approach, or principle. What ethical principles are at stake? What breaches? Do you consider this situation a conflict of interest? Why or why not? Give your rationale. How would Betty handle this case if she believed she needed to seek advice from someone in a higher authority? With whom would she discuss this issue? What policies should be in place regarding a scenario such as this one?

In: Nursing

The synapse is an area between two neurons that allows for chemical communication. In 3 or...

The synapse is an area between two neurons that allows for chemical communication. In 3 or 4 sentences, explain what part of the neurons are communicating with each other and in which direction does this communication occur? Be specific.

In 3–5 sentences, explain the concept of “neuroplasticity.” Be specific and provide examples.

In: Nursing

1.what is the treatment for type 2 diabetes mellitus? 2. How would you complete a focused...

1.what is the treatment for type 2 diabetes mellitus?

2. How would you complete a focused assessment on a homeless person or veteran with type 2 diabetes mellitus?

3. How do you mix NPH insulin with regualr insulin?

In: Nursing

Which of the following is a potential adverse effect when taking a tumor necrosis factor blocking...

Which of the following is a potential adverse effect when taking a tumor necrosis factor blocking agent (e.g., etanercept)?

Question 6 options:

a)

Sexual dysfunction.

b)

Headaches.

c)

Diarrhea.

d)

Infections.

Question 7 (1.25 points)

Which of the following is NOT an adverse effect of corticosteroids?

Question 7 options:

a)

Hypertension.

b)

Water retention (edema).

c)

Upset stomach.

d)

Hypotension.

Question 8 (1.25 points)

Just like prescription drugs dietary supplements have to prove safety and efficacy to the Food and Drug Administration.

Question 8 options:

True
False

Question 9 (1.25 points)

Rivastigmine (Exelon) and donepezil (Aricept) work to treat Alzheimer's Disease by increasing the levels of which of the following neurotransmitters?

Question 9 options:

a)

Acetylcholine.

b)

Dopamine.

c)

Epinephrine.

d)

Histamine.

Question 10 (1.25 points)

Which of the following best describes the mechanism of action of octreotide?

Question 10 options:

a)

Beta-2 agonist.

b)

Stimulates the release of cortisol.

c)

Inhibits insulin and growth hormone secretion.

d)

Stimulates the release of thyroxine and triiodothyronine.

Question 11 (1.25 points)

Vinca alkaloids (e.g., vincristine) should never be given intrathecally because they will lead fatal neuropathies.

Question 11 options:

True
False

Question 12 (1.25 points)

Amphetamines are controlled substances, but rarely lead to addiction or abuse.

Question 12 options:

True
False

Question 13 (1.25 points)

Please match the correct mechanism of action to the correct drug.

Question 13 options:

1234

Atomoxetine (Strattera).

1234

Guanfacine Extended Release (Intuniv).

1234

Amphetamine /Dextroamphetamine Mixture (Adderall).

1234

Modafinil (Provigil).

1.

Decreases the effects of GABA.

2.

Selective norepinephrine reuptake inhibitor.

3.

Alpha-2 Agonist.

4.

Releases norepinephrine and dopamine and blocks the reuptake of norepinephrine and dopamine.

Question 14 (1.25 points)

Which of the following medications can be used to treat extrapyramidal symptoms (drug-induced parkinsonism)?

Question 14 options:

a)

Entacapone (Comtan).

b)

Benztropine (Cogentin).

c)

Amantadine (Symmetrel).

d)

Levodopa-carbidopa (Sinemet).

Question 15 (1.25 points)

Tricyclic Antidepressants are rarely used for the treatment of depression and are more commonly used for insomnia or neuropathic pain.

Question 15 options:

True
False

Question 16 (1.25 points)

Which of the following is NOT an adverse effect of iron?

Question 16 options:

a)

Constipation.

b)

Diarrhea.

c)

Nausea and vomiting.

d)

Dark stools.

Question 17 (1.25 points)

Atropine is given prior to the administration of irinotecan to prevent this adverse effect.

Question 17 options:

a)

Constipation.

b)

Diarrhea.

c)

Bradycardia.

d)

Seizures.

Question 18 (1.25 points)

All corticosteroids have the same degree of potency.

Question 18 options:

True
False

Question 19 (1.25 points)

Which of the following is the preferred treatment for status epilepticus?

Question 19 options:

a)

Lacosamide (Vimpat).

b)

Lorazepam (Ativan).

c)

Lamotrigine (Lamictal).

d)

Ethosuximide (Zarontin).

Question 20 (1.25 points)

Which of the following lab values should be monitored while taking lithium?

Question 20 options:

a)

Lithium levels and serum creatinine.

b)

Lithium levels and liver enzymes.

c)

Serum creatinine and liver enzymes.

d)

No monitoring of lab values is required.

Question 21 (1.25 points)

Pembrolizumab (Keytruda) is an anti-CD-20 Monoclonal antibody.

Question 21 options:

True
False

Question 22 (1.25 points)

Antidepressants will take ______________ to achieve their full therapeutic effect.

Question 22 options:

a)

3-4 months.

b)

3-4 days.

c)

4-6 weeks.

d)

4-6 days.

In: Nursing

methotrexate 4 mg PO daily for a child with leukemia Child weighs 70 lb and is...

methotrexate 4 mg PO daily for a child with leukemia

Child weighs 70 lb and is 67 inches tall

The safe dosage range is 3 – 3.5 mg per square meter per day

A. Calculate the BSA for this child.

B. Is the BSA needed to calculate the safe dosage range, in mg per day, for this child? Why or why not?

C. Calculate the safe dosage range, in mg per day, for this child.

D. Is the order safe? Why or why not? Explain.

In: Nursing

Case study (3)Myocardial Infarction (MI) Scenario Mr FG is a 69-year-old retired school teacher who was...

Case study (3)Myocardial Infarction (MI)
Scenario
Mr FG is a 69-year-old retired school teacher who was admitted to the emergencydepartment complaining of severe chest pain after climbing stairs at hisdaughter’s house. In the ambulance he is administered aspirin 300 mg. Onarrival at hospital and subsequent examination and review by the admittingdoctor the following information is obtained.
Previous medical history
Hypertension (10 years). Type 2 diabetes mellitus (recently diagnosed, currentlydiet controlled). The patient is a regular cigarette smoker (>40 per day) anddrinks approximately 10 units of alcohol per week. He has osteoarthritis of theknee.
Family history
Father died following a myocardial infarction at 60 years of age. No maternal
history of cardiovascular disease.
Drug history
Allergies: Trimethoprim. Mr FG has been taking diclofenac MR tablets 75 mg
(twice daily) and nifedipine (Adalat Retard) MR tablets 20 mg (twice daily). Both
were stopped on admission.
Signs and symptoms on examination
▪ Temperature 36.4°C
▪ Blood pressure 160/80 mmHg
▪ Heart rate 75 b/m, regular
▪ Respiratory rate 15 breaths per minute
▪ No basal crackles in the lungs.
▪ An ECG taken immediately on arrival reveals ST elevation of 3 mm in the inferior
▪ leads.
Diagnosis
A preliminary diagnosis of myocardial infarction is made.
Relevant test results
Full blood counts, liver function tests, electrolytes and renal function, CXR,total cholesterol, full blood count and blood glucose were taken at admission.
The following tests taken at admission are reported:
Na+ 134 mmol/L (135–145 mmol/L)
K+ 4.3 mmol/L (3.5–4.0 mmol/L)
Urea 5.2 mmol/L (0–7.5 mmol/L)
Creatinine 81 micromol/L (35–125 micromol/L)
Total cholesterol 5.9 mmol/L (<4 mmol/L)
Blood glucose 4.4 mmol/L (4–10 mmol/L)
Initial treatment
About 45 minutes after the onset of chest pain the patient received the following
treatment in the emergency department:
▪ Heparin 5000 units stat
▪ Reteplase 10 units i.v. bolus followed by a further 10 unit i.v. bolus after 30minutes
▪ Diamorphine 2.5 mg IV stat
▪ Metoclopramide 10 mg stat.
▪ A sliding scale insulin infusion of Actrapid 50 units made up to 50 mL with
sodium chloride 0.9% was initiated and titrated against blood glucose.
The patient is subsequently transferred 2 hours later to the coronary care unit as he is pain-free. As the ward cli
nical pharmacist, you are responsible for dailyreview of drug charts and advice to medical and nursing staff on all aspects ofdrug treatment for patients on the ward.

1.What further diagnostic and biochemical tests should be ordered to help confirm the diagnosis?

2. What is myocardial infarction and what are the classic symptoms?

3. Explain the mechanism of action of thrombolytics such as reteplase in acute MI?

4. The physician order Beta-blockers, Statins, ACE inhibitors, Antiplatelet therapy as standard secondary prevention treatment following acute myocardial infarction in this patient?For each of the classifications give an example of drug name, indication, action, adverse effect, and how can you minimize the adverse effect?

5. Mr FG experiences a chest infection 4 days post admission and is prescribedamoxicillin 500 mg three times daily and erythromycin 500 mg four times daily.What problems may this cause with this patient’s statin therapy and what advicewould you give in order to avoid this problem occurring? (Drug interaction)

6. What effect may occur if this client has decreased renal function and the physician order to give him digoxin? What actions could be taken to minimize this effect?

7. What advice should be given to the patient at discharge with regard to lifestyle
issues?

In: Nursing