You are reviewing the patient’s 0900 medications as seen below.  You note that the patient is also receiving potassium chloride (KCl) 30mEq IVPB over 2 hours.  Which, if any, of these medications would you question?   0900 Medications fluticasone/salmeterol (Advir) 1 puff  atenolol (Tenormin) 25mg po 1 tablet potassium chloride 40mEq po 1 tablet   Basal Metabolic Panel (BMP) Results Normal Ranges Sodium  136 135-145 Potassium 2.8 3.5-5.1 Creatinine 0.82 0.51-1.11 BUN 22 10-31   Vital Signs Results Normal Ranges Temperature 99.2 F 97.5 – 99.5F Heart rate 93 bpm 60-100 bpm Respiratory Rate 18 12-20 Blood Pressure 145/98

A patient was prescribed ipratropium (Atrovent) two weeks ago. She contacts her primary care office and notifies the nurse that she is going to stop it because of the bitter taste in her mouth after using the medication. What is the best response by the nurse?

You are a nursing student assigned to a hospital cardiology unit.  The nurse that you are working with is providing patient discharge education regarding their antihypertensive regimen.  The patient’s antihypertensive medications are:                                                 diltiazem (Cardizem)                                                  aliskiren (Tekturna)                                                  hydralazine (Apresoline)  Based on which patient statement would the nurse make a priority in providing additional patient education? 

A patient presents to the emergency room (ER) after taking 3 doses of nitroglycerin sublingual (Nitrostat) for angina (chest pain).  You know that one of the expected side effects of this medication is hypotension.  You decide to ask the pharmacist, who is at the patient’s bedside, if they are aware of the three early symptoms of hypotension.  They respond correctly by stating:  Note: Full credit can only be obtained by selecting only all correct choices.

The nurse is educating expectant persons on Respiratory Syncytial Virus (RSV) protection for their infant.  Which statement by a participant is noted to be correct by the nurse?

You are seeing a patient today that was diagnosed with Atrial Fibrillation (A. Fib) and prescribed amiodarone (Pacerone, Cordarone) by the health care provider (HCP).  You have been asked by the HCP to provide patient education prior to them leaving the clinic.  What pieces of education would you provide to the patient? Note: Full credit can only be obtained by selecting only all correct choices.

The intensive care unit nurse is caring for a client who experienced trauma in a workplace accident. The client is reporting dyspnea because of abdominal pain. An arterial blood gas test reveals the following results: pH 7.28, PaCO2 50 mm Hg, HCO3– 20 mEq/L. The nurse should recognize the likelihood of which acid–base disorder(s)?

A nurse is caring for a client with acute renal failure and hypernatremia.  In this case, which action can be delegated to the nursing assistant?

A surgical nurse is caring for a 65-year-old patient who is postoperative day 1 following a thyroidectomy. During shift assessment, the patient reports tingling in their lips and fingers. The nurse notes the patient has an intermittent spasm in the wrist and hand while exhibiting increased muscle tone. What electrolyte imbalance should the nurse suspect?

A 52-year-old patient is receiving care on the oncology unit for breast cancer that has metastasized to the lungs and liver. When addressing the patient’s pain in the plan of nursing care, the nurse should consider what characteristic of cancer pain?