NUR3128 - ESCAPE THE ROOM

A client's glucose level is 365 mg/dl (365 mmol/L). The healthcare provider orders 10 units of regular insulin to be administered. The bottle of regular insulin is labeled 100 units/ml. How many milliliters of insulin should the nurse administer? (Round to the nearest tenth)

0.1 mL

A cardiologist prescribes digoxin 125 mcg by mouth every morning for a client diagnosed with heart failure. The pharmacy dispenses tablets that contain 0.25 mgs each. How many tablet(s) would the nurse administer in each dose? (Round to the nearest tenth)

0.5 tablets

A client is prescribed heparin 6,000 units subcutaneously every 12 hours for deep vein thrombosis prophylaxis. The pharmacy dispenses a vial containing 10,000 units/ 1 ml. How many milliliters of heparin would the nurse administer? (Round to the nearest tenth)

0.6 mL draw it up = 0.6 mL in 1 mL syringe

sodium level

135-145 mEq/L

An infant who weighs 8 kgs is to receive ampicillin 25 mgs/kg every 6 hours. How many mgs will the nurse administer per dose? (Round to the nearest whole number)

200 mgs

sodium bicarbonate level

22-26 mEq/L

A nurse is caring for a 24 year old client with pneumonia who was prescribed ceftriaxone oral suspension 600 mgs once daily. The medication label indicates that the strength is 125 mgs/ 5 mls. How many milliliters of medication would the nurse pour to administer the correct dose? (Round to the nearest whole number)

24 mL draw it up = 24 mL in medicine cup

potassium level

3.5 - 5.0 mEq/L

carbon dioxide level

35-45 mEq/L

calcium level

4-11 mEq/L

a client is prescribed 2 different types of inhaled medications for treatment of COPD. after administering the first medication, how long should the nurse wait to administer the second medication?

5 minutes

The healthcare provider writes an order that a client may have 12 oz of clear liquids at each meal and may supplement this with an additional 10 oz at each shift (7 to 3, 3 to 11, and 11 to 7). How many milliliters would the nurse document for the 7-3 shift if the client took in all of the ordered volumes? (Round your answer to the nearest whole number)

660 mL

pH level

7.35-7.45 mEq/L

A nurse is preparing to administer phenytoin to a 99-lb client with a seizure disorder. The medication administration record documents phenytoin 5mgs/ kg/day to be administered in three divided doses. How many milligrams of phenytoin would be administered in the first dose? (Round to the nearest whole number)

75 mgs

chloride level

95-112 mEq/L

cluster of cells in pancreas

Islets of Langerhans

coronary artery spasm

Prinzmetal's

bacteria that thrive in an oxygen-rich environment

aerobic

bacteria that thrive without oxygen

anaerobic

chest pain

angina

converted in lungs for vasoconstriction

angiotensin

any drug effective against pathogens

anti-infective

natural substance that can kill bacteria

antibiotic

a client is diagnosed with a pulmonary disorder that causes COPD. lung tissue changes are normally reversible with this condition. the nurse understands that which of the following is most likely the client's diagnosis?

asthma NOTE: there is a difference between effects being reversible and condition being cured.

rod-shaped bacteria

bacilli

medications that kill bacteria

bactericidal

medications that slow growth of bacteria

bacteriostatic

enzyme that splits that beta-lactam ring

beta-lactamase

medication effective against a wide variety of different microbial species

broad-spectrum antibiotics

regarding the impulses and actions of pharmacotherapy that stimulate beta-2 receptors, which is an expected physiologic change?

bronchodilation

another word that implies sympathomimetic

catecholamines

cephalosporin

cefazolin (Ancef)

recognize levels of O2, CO2, pH in blood

chemoreceptors

bile acid sequestrant

cholestyramine

bacteria that multiply in the colon and create profuse and watery diarrhea

clostridium difficile (C.Diff)

spherical shaped bacteria

cocci

4am-8am, natural cortisol and GH production

dawn phenomenon

cheap and effective medication to control HTN

diuretics

linked to profound hypotension

doxazosin

macrolide

erythromycin

the nurse is developing a teaching plan for a client with glaucoma. which instruction should the nurse include for plan of care?

eye medications will be administered for life

in the ANS, what is the name of the location in a neuron where action potentials cross and move to the next nerve cell?

ganglionic synapse

increases blood glucose levels

glucagon

production of new glucose

gluconeogenesis

primary energy source

glucose

high levels of glucose in urine

glucosuria

thin cell wall

gram-negative bacteria

thick cell wall

gram-positive bacteria

measures 3 months of blood glucose levels

hemoglobin A1C

rapid onset of action (insulin)

humalog

fasting blood glucose > 126 mg/dl

hyperglycemia

excess fats

hyperlipidemia

3% sodium chloride

hypertonic

0.45% sodium chloride

hypotonic

causes of primary HTN

idiopathic

what does the nurse expect as a result of administering IV atropine (Atro-pen)?

increased heart rate

what is the physiologic goal when administering the indirect-acting parasympathomimetic drug neostigmine (prostigmine)?

inhibit action of acetylcholinesterase (AchE)

during the fight-or-flight response, what action in the sympathetic pathways would occur in the digestive system?

inhibition

decreases blood glucose levels

insulin

onset of action = 15 min. (insulin)

insulin aspart (NovoLog)

gradual onset over 24 hours (insulin)

insulin detemir (Levemir)

rotate vials gently and do not shake

insulin preparation

onset of action 30-60 min. (insulin)

insulin regular

target cells unresponsive to insulin

insulin resistance

correct syringe to use for insulin

insulin syringe

ability of a pathogen to grow extremely rapidly

invasiveness

0.9% sodium chloride

isotonic

prolonged duration of action (insulin)

lantus

The client has been prescribed oxymetazoline (Afrin) nasal spray for seasonal rhinitis. The nurse will provide which of the following instructions?

limit the use of this spray to 5 days or less

preferred oral antidiabetic drug for type 2 DM

metformin (glucophage)

atherosclerosis (patient teaching)

monitor blood lipid levels regularly maintain weight at an optimal levels implement a medically supervised exercise plan reduce dietary saturated fats, trans fat, cholesterol increase soluble fiber in the diet (such as that found in oat bran, apples, beans, broccoli) eliminate tobacco usage

a client with variant angina is scheduled to receive an oral calcium channel blocker twice daily. which statement by the client indicates a need for further teaching?

my spouse told me that since i have developed this problem, we are going to stop walking in the mall every morning

medications effective against a smaller group of microbes

narrow-spectrum antibiotics

result of atherosclerosis

narrowing

calcium channel blocker

nifedipine

microbes which develop when the immune system is suppressed (i.e. yeast)

opportunistic infections

the client has bethanechol (Urecholine) ordered for decreased GI motility. choose the correct administration route for the nurse to use.

oral

value of 200 mg/dl or higher = diabetes

oral glucose tolerance test (OGTT)

essential organ to endocrine system

pancreas

organism to cause infection

pathogenicity

microbes capable of causing disease

pathogens

first mass-produced antibiotic

penicillin

atherosclerosis

plaque

increased thirst

polydipsia

increased hunger

polyphagia

excessive urination

polyuria

the nurse is monitoring a client newly diagnosed with DM for signs of complications. which signs or symptoms, if exhibited in the client, indicates that the client is at risk for chronic complications of diabetes if the blood glucose is not adequately managed?

polyuria

the nurse instructs a client to use the pursed-lip method of breathing and evaluates the teaching by asking the client about the purpose of this type of breathing. the nurse determines that the client understands if the client states that the primary purpose of pursed-lip breathing is to promote which outcome?

promote Carbon Dioxide elimination

potentially fatal complication of antibiotic therapy

pseudomembranous colitis (PMC)

what beneficial physiologic effect does the nurse expect when administering a beta-blocker?

reduced heart rate

atherosclerosis (pathophysiology)

refers to the buildup of fats, cholesterol, and other substances in and on your artery walls (plaque) which can restrict blood flow plaque can burst, triggering a blood clot can affect arteries anywhere in body.

a client has a prescription for fluticasone (Flonase). what client teaching is the most important?

report any excessive nosebleeds to HCP

which of the following is appropriate pharmacotherapy safety teaching for a client on adrenergic-blocking agents?

rise slowly from lying or sitting to avoid dizziness or falls

intake of excessive insulin, rebound fall in glucose

somogyi phenomenon

the nurse is caring for a hearing-impaired client. which approach will facilitate communication?

speak at a normal volume

spiral shaped bacteria

spirilla

the nurse performs an admission assessment on a client with a diagnosis of TB. the nurse should check the results of which diagnostic test that will confirm the diagnosis?

sputum culture

shown to reduce total cholesterol

statins

atherosclerosis (medications)

statins (atorvastatin) HMG-CoA Reductase inhibitors Bile Acid Sequestrants (Cholestyramine) fibric acid drugs (Gemfibrozil) Niacin

occur when microorganisms normally present in the body are destroyed: C-Diff

superinfections

choose a term to describe the action of phenylephrine (Neo-Synephrine)

sympathetic stimulant

what clinical findings would a nurse expect to observe when the client has experienced an OD of a sympathomimetic drug?

tachycardia and HTN

what are the best instructions for a nurse to provide when the client is prescribed prazosin (Minipress)?

take as prescribed several times a day as this drug has a short half-life

a client with chronic bronchitis calls the office for a refill of his albuterol inhaler. he just had the prescription filled 2 weeks ago, but he says it is empty. when asked, he tells the nurse "I use it whenever i need it, but now when i use it, i feel so sick. i have been needing to use it more often." what is the most appropriate action by the nurse?

the nurse should ask the client to come to the office for an evaluation of his respiratory status

may relieve myocardial ischemia

thrombolytic

a client tells the nurse that he has started to take an OTC antihistamine, diphenhydramine (Benadryl). in teaching him about the side effects, it is most important for the nurse to teach the client about which if the following?

to avoid driving a motor vehicle until stabilized on the drug

atherosclerosis (lab values)

total cholesterol < 200 LDL < 100 HDL > 40 (men), 50 (women) serum triglycerides < 150

positive lab for myocardial cell injury

troponin

5-10% of all DM cases

type 1 DM

90-95% of all cases of DM

type 2 DM

measurement of insulin

units

a nurse is instructing a client about the use of albuterol (Proventil) and beclomethasone (Qvar) inhalation therapy at home. which of the following should the nurse teach the client?

use the bronchodilator followed by the corticosteroid

produces reflex tachycardia

vasodilators

a client with MI is developing cardiogenic shock. because of the risk of myocardial ischemia, what condition should the nurse carefully assess the client for?

ventricular dysrhythmias