Question

In: Nursing

1) Which of the following drugs may cause reddish color urine? A) Vancomycin B) Methotrexate (Rheumatrex)...

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


Solutions

Expert Solution

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

A) Vancomycin

B) Methotrexate (Rheumatrex)

C) Doxorubicin (Adriamycin)- it is a common side effect of doxyrubicin to cause red colour urine along with staining of other body fluids like tear and sweat.

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

B,C,A,D

B) C,A,D,B

C) C,B,D,A- The emergency treatment protocol for hyperosmolar hyperglycemia is first resuscitate the patient maitain normal oxygen level followed by correction of dehydration by giving NS next is begin Potassium replacement therapy and last is give insulin bolus dose in IV after dehydration is corrected.

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

A) Vitamin C

B) Vitamin D

C) Iron supplement- should not be given along with antacid. Antacid reduces systemic absorption of iron inthe body hence it should be properly spaced 2 hrs apart.


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