Answer Correctly and Completely.

The patient is then hooked to D5W 500cc KVO with side drip of 10mg/100cc of Nicardipine x 6 hrs. The doctor also ordered Alteplase 0.9 mg/kg IV; not to exceed 90 mg total dose; administer 10% of the total dose as an initial IV bolus over 1 minute and the remainder infused over 60 minutes. Mannitol was also ordered at 100mL q6 hours. One hour vital signs and GCS monitoring was ordered.

Question: (Provide formula)
Show the exact dosage of Altepase needed by the patient.

Answer completely and correctly.
The patient is then hooked to D5W 500cc KVO with side drip of 10mg/100cc of Nicardipine x 6 hrs. The doctor also ordered Alteplase 0.9 mg/kg IV; not to exceed 90 mg total dose; administer 10% of the total dose as an initial IV bolus over 1 minute and the remainder infused over 60 minutes. Mannitol was also ordered at 100mL q6 hours. One hour vital signs and GCS monitoring was ordered.
The patient weight is 90kgs.

Question:
Show the exact dosage of Altepase needed by the patient.

The order is to infuse 150 mg of a drug in 1000 ml LR at 5 mcg/kg/min to a client weighing 60 kg (the drop factor is 20 gtt/ml)

Answer the question below.

a) What is the infusion time for the IV?

b) What is the rate of flow of the drug in mcg/min?

c) What is the flow rate for the IV?

You are the practice manager of a large (100) physician cardiology group, and they have decided it is time to move to a new Electronic Health Record (EHR). Explain how you would address this situation using the following information below.

• 1.What key features should you be looking for, and how will you integrate this into the practice?
• 2. Keeping in mind the objections the physicians might throw at you during the monthly practice meeting, create a pitch to the managing partners for the system you think would work best for the practice. Assuming the partners approve, what is your plan to implement the new system?
• 3. Provide timelines, deliverables, and who is responsible for what step, as well as a staff training plan.

State its benefits in support of breastfeeding to formula feeding an infant.

2. present it to a patient to go for breastfeeding and why it might be the best choice

4. What if a patient's views are very different than the health care worker's views?

5. How should that worker respond?

Do a search on "power foods". Choose one that interests you and share your findings with the class. Would you start adding this food to your diet? Why or why not?

Define the levels of influence in the socio-ecological approach.

56. What tips can you provide the patient to ease the insertion of an NG tube?

57. Why would it be unsafe to use a petrolatum product, such as Vaseline, for lubrication of an NG tube?

58. What are the various methods used to verify tube placement prior to instillation of anything into the NG tube?

60. You suspect a patient is experiencing hypoglycemia. What are the signs and symptoms for which you should assess? List at least six. If you find several of these signs and symptoms, what should be your first intervention?

Mr. Conley, age 53, is about to be discharged from the hospital after treatment for recurrent ventricular fibrillation unresponsive to other agents. To prevent further ventricular ectopy, the health care provider prescribes amiodarone (Cordarone), 1000 mg PO daily as a loading dose for 2 weeks. Why is such a large loading dose required?

Select one:

A.Most of the drug is destroyed in the GI tract.

B.The drug has a long serum half-life.

C.A history of ventricular dysrhythmia necessitates a higher dose.

D.Males require larger dosages because of their faster metabolisms

When caring for a patient who is receiving morphine, it is most important that the nurse regularly assess for which of the following?

Select one:

A.frequent urination

B.respiratory depression

C.hyperactive bowel sounds

D.insomnia

A patient, taking a short-acting inhaled bronchodilator and a steroid inhaler at the same scheduled time, asks the nurse if the order of administration of the inhalers matters. The best response by the nurse is

Select one:

A.“The short-acting inhaled bronchodilator should be used first, followed by the steroid inhaler.”

B.“You should not take both inhalers at the same time.”

C.“Either medication can effectively be used first.”

D.“The steroid inhaler should be used first, followed by the short-acting inhaled bronchodilator.”

A patient with H. pylori develops a related ulcer. He is placed on ranitidine and Helidac, a drug combination that contains bismuth, metronidazole, and tetracycline. The patient had been instructed not to consume alcohol, ignored the teaching, and drank beer. The patient presents to the emergency department with tachycardia, headache, diaphoresis, and nausea and vomiting. This disulfiram-like reaction occurred because of the interaction between the alcohol and which drug in the combination?

Select one:

A.metronidazole

B.tetracycline

C.ranitidine

D.bismuth

The nurse in the emergency room anticipates an order of a severe allergic reaction with anaphylaxis, knowing that the drug of choice for severe allergic reactions with anaphylaxis is:

Select one:

A.epinephrine

B.atropine

C.cimetidine (Tagamet)

D.loratadine (Claritin)

Clear my choice

The nurse removes a patient’s transdermal nitroglycerin disc at bedtime as ordered to minimize nitrate tolerance. The patient awakens during the night and complains of anginal symptoms. The nurse’s first action is to:

Select one:

A.Notify the health care provider.

B.Apply a new transdermal disc.

C.Obtain further history of complaints.

D.Administer a short-acting nitrate as ordered.

The nurse explains to the patient being discharged who is taking sucralfate that the medication should be administered:

Select one:

A.with meals

B.at the same time as an antacid

C.after meals

D.2 hours before other drugs

Clear my choice

Cefuroxime (Ceftin) is a first generation antibiotic.

Select one:

True

False

Important points to include when teaching measures to promote healthy bowel function include all of the following except:

Select one:

A.Establish regular bowel habits.

B.Increase fluid intake.

C.Increase activity.

D.Eat a low-residue diet.

A patient asks the nurse how sucralfate (Carafate) works. The nurse replies that sucralfate:

Select one:

A.binds to normal and ulcerated mucosa, creating a protective barrier

B.enhances prostaglandin synthesis

C.increases mucus and bicarbonate secretion

D.inhibits gastric acid secretion

Hydralazine is more effective in childhood and adolescent hypertension than in adult disease.

Select one:

True

False

One of the most common adverse effects of misoprostol that makes the drug difficult to tolerate in older adults is:

Select one:

A.constipation

B.diarrhea

C.hyperphosphatemia

D.headache

Your patient has asked for an antihistamine to relieve his symptoms of an upper respiratory infection. You explain to him that studies have demonstrated that for treatment of the common cold, antihistamines:

Select one:

A.do not relieve symptoms and are not recommended

B.should be compounded with other products to be effective

C.are effective in relieving cold symptoms

D.relieve nonallergenic symptoms only

Clear my choice

For patients taking clozapine, the nurse should assess which of the following laboratory values weekly?

Select one:

A.complete blood count (CBC)

B.liver enzyme studies

C.hemoglobin and hematocrit

D.blood urea nitrogen and creatinine

Folic acid supplementation is especially important to prevent neural-tube birth defects (e.g., spina bifida).

Select one:

True

False