In: Nursing
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
Ans 2 is B .nurse regularly asses respiratory depression because morphine cause respiratory depression (sleep apnea)
Ans3 is A.brochodilator used first because when Bronchial tree dilate first steroids will work easily
Ans 4 is A.A disulfiram-like drug(metronidazole)is a drug that causes an adverse reaction to alcohol leading to nausea, vomiting, flushing, dizziness, throbbing headache, chest and abdominal discomfort, and general hangover-like symptoms among others.[1][2] These effects are caused by accumulation of acetaldehyde, a major but toxic metabolite of alcohol formed by the enzyme alcohol dehydrogenase.[1][2] The reaction has been variously termed a disulfiram-like reaction, alcohol intolerance, and acetaldehyde syndrome
Ans 5 isA epinephrine. It's use in severe allergy reactions dose 0.5ml IM in concentration of 1:1000 if IV used then in 1:10000 concentration
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