Which of the following is the most common side effect of tissue plasminogen activator (tpa)?11/19/2022 Review Information: The correct answer is B: Drying up of secretionsĪtropine dries secretions which may get in the way during the operative procedure.Ī client is receiving digitalis. Which physiological effect should the nurse monitor for? At 10 kg, this child typically should receive 1.0 mg every 3 to 4 hours.Ī client is ordered atropine to be administered preoperatively. The usual pediatric dose of morphine is 0.1 mg/kg every 3 to 4 hours. Review Information: The correct answer is B: Hold the medication and contact the provider What is the nurse's initial action?ī) Hold the medication and contact the providerĬ) Administer the prescribed dose as ordered The health care provider has written "Morphine sulfate 2 mgs IV every 3-4 hours prn for pain" on the chart of a child weighing 22 lb. The exaggerated physiological action causes abnormal fat distribution which results in a moon-shaped face, a intrascapular pad on the neck (buffalo hump) and truncal obesity with slender limbs. With high doses of glucocorticoid, iatrogenic Cushing''s syndrome develops. Review Information: The correct answer is A: Buffalo hump Which of the following findings would the nurse expect? The nurse is assessing a client who is on long term glucocorticoid therapy. Increased body fat results in greater amounts of fat-soluble drugs being absorbed, leaving less in circulation, thus increasing the duration of action of the drug Review Information: The correct answer is B: Elders have less body water and more fatīecause elderly persons have decreased lean body tissue/water in which to distribute medications, more drug remains in the circulatory system with potential for drug toxicity. The nurse practicing in a long term care facility recognizes that elderly clients are at greater risk for drug toxicity than younger adults because of which of the following physiological changes of advancing age?Ī) Drugs are absorbed more readily from the GI tractī) Elders have less body water and more fatĬ) The elderly have more rapid hepatic metabolismĭ) Older people are often malnourished and anemic These agents are irritants which cause pain along the vein wall, with or without inflammation. Review Information: The correct answer is C: Complaints of pain at site of infusionĪ vesicant is a chemotherapeutic agent capable of causing blistering of tissues and possible tissue necrosis if there is extravasation. Which assessment would require the nurse's immediate action?Ĭ) Complaints of pain at site of infusion The nurse is administering an intravenous vesicant chemotherapeutic agent to a client. The apical pulse should be taken with a stethoscope so that there will be no mistake about what the heart rate actually is. If the apical heart rate is less than 60 beats/minute, withhold the drug. Review Information: The correct answer is B: Measure apical pulse prior to administrationĭigitoxin decreases conduction velocity through the AV node and prolongs the refractory period. Which of these assessments is most important for the nurse to perform?ī) Measure apical pulse prior to administrationĬ) Maintain accurate intake and output recordsĭ) Record an EKG strip after administration Once the substance is identified, the poison control center and emergency response team should be called.Ī client with atrial fibrillation is receiving digoxin (Lanoxin). The nurse needs to assess what the child ingested before determining the next action. Review Information: The correct answer is D: ask the staff about the contents of the bottles The nurse's first action should beĪ) call the poison control center, then 911ī) administer syrup of Ipecac to induce vomitingĬ) give the child milk to coat her stomachĭ) ask the staff about the contents of the bottles They find a crying 3 year-old child on the floor with mouth wide open and gums bleeding. A staff member interrupts the examinations to ask for assistance. A nurse is assigned to perform well-child assessments at a day care center.
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