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- When giving insulin with parental input, what do you need to document?a) Nurse calculated insulin doseb) Amount of adjustment suggested by parentc) Justification for adjustmentd) Nursing judgement (agree or disagree)e) Dose givenf) All of the aboveWhich of the following should the nurse interpret as an indication of a complication after the first few days of TPN therapy? Question 77 options: a) Elevated temperature b) Elevated HbA1c c) Decreased appetite d) A 0.45-0.9 kg weight gainPrednisone 2 mg/ kg/ day IV every 12 hours is ordered. On hand you have Prednisone 50 mg/ mL. The child weighs 25 kg. a) How many mL per dose will you give? b) How many mg per dose will the child receive? c) How many mg per day will the child receive?
- The nurse is performing an assessment of a patient who is asking for a prescription for sildenafil (Viagra). Which finding would be a contraindication to its use? a )Age of 65 yearsb) History of thyroid diseasec) Medication list that includes nitratesd )Medication list that includes saw palmettoThe nurse is reviewing new medication orders that have been written for a newly admitted patient. The nurse will need to clarify which orders? Select all that apply. a )Metformin (Glucophage) 1000 mg PO twice a dayb )Sitagliptin (Januvia) 50 mg dailyc) Simvastatin (Zocor) 20 mg PO every eveningd )Irbesartan (Avapro) 300 mg PO once a daye )Docusate (Colace) as needed for constipationThe nurse would consider which of the following assessment findings as an adverse effect of sulfonylurea therapy? Question 70 options: a) Weight loss b) Hypoglycemia c) Gastrointestinal distress d) Lactic acidosis
- A patient with a history of type 2 diabetes presents to the emergency department with symptoms of diabetic ketoacidosis (DKA), including polyuria, polydipsia, and fruity breath odor. The nurse anticipates implementing which priority intervention? a) Administering insulin intravenously b) Administering intravenous fluids and electrolytes c) Administering bicarbonate therapy d) Administering antidiabetic medicationsA student with diabetes is in a class with an upcoming field trip. What is the appropriate protocol?a) Inform the parents that students with diabetes cannot participate in field trips, because they require nursing care.b) Contact the student’s parents to ask them to accompany the child on the field trip.c) Notify a Nursing Supervisor, the Diabetes Resource Nurse, the principal, and the 504 coordinators so that the nursing services the particular child requires can be provided on the field trip.The recommended dose of clindamycin is 8-25 mg/kg/day in four divided doses. The client's weight is 40 kg. Order: Administer 200 mg, po, q6h. How much will the nurse administer?
- The nurse keeps in mind that which measure is used to reduce the risk of medication errors? a) When questioning a drug order, keep in mind that the prescriber is correct. b )Be careful about questioning the drug order a board-certified physician has written for a patient. c )Always double-check the many drugs with sound-alike and look-alike names because of the high risk of error. d )If the drug route has not been specified, use the oral routeDuring assessment of a patient who is receiving digoxin, the nurse monitors for findings that would indicate an increased possibility of toxicity, such as:a) apical pulse rate of 62 beats/min.b) digoxin level of 1.5 ng/mL.c) serum potassium level of 2.0 mEq/L.d) serum calcium level of 9.9 mEq/L.The nurse is revieing the history of a patient ho ill be starting the triptan sumatriptan (Imitrex) as part of treatment for migraine headaches. Which condition, if present, may be a contraindication to triptan therapy?a) Cardiovascular diseaseb) Chronic bronchitisc )History of renal calculid )Diabetes mellitus type 2