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30.  A nurse is assisting a patient that is getting out of b…

30.  A nurse is assisting a patient that is getting out of bed for the first time since being diagnosed with heart failure. The nurse understands that in order to properly assist the patient from the bed to the standing position they will use which of the following techniques?

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48.  The nurse is aware that the patient will benefit from t…

48.  The nurse is aware that the patient will benefit from the administration of thrombolytic agents such as streptokinase when administered how long after admission for acute MI signs and symptoms?

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17.  The doctor orders 0.5mg epinephrine IV push for a patie…

17.  The doctor orders 0.5mg epinephrine IV push for a patient in cardiac arrest. The medication is supplied in the following container. How many mL’s should you administer? (enter numerics only, mL is assumed in your answer) 

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43.  A patient on the med/surg floor is being treated for de…

43.  A patient on the med/surg floor is being treated for deep vein thrombosis with warfarin. The nurse expects which of the following labs to be monitored?

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31.  The doctor orders a Vasopressin drip 0.04 units/min. Th…

31.  The doctor orders a Vasopressin drip 0.04 units/min. The pharmacy supplies a 20unit/100mL bag. What rate should be programed into the pump in mL/hr? (enter numerics only, mL/hr is assumed in your answer)

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27.  The nurse is caring for an infant that was born with a…

27.  The nurse is caring for an infant that was born with a congenital heart defect characterized by a combination of pulmonary stenosis, ventricular septal defect, overriding aorta, and right ventricular hypertrophy. The infant suddenly becomes increasingly cyanotic while agitated and crying. Which of the following is the appropriate nursing intervention?

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21.  The doctor prescribes lisinopril to the patient who is…

21.  The doctor prescribes lisinopril to the patient who is newly diagnosed with essential hypertension. Which of the following would need to be reported to the provider if it occurred while taking this medication?  

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15. Situation A patient is on a med/surg floor originally ad…

15. Situation A patient is on a med/surg floor originally admitted for pneumonia. The patient was administered oral metoprolol for the first time approximately one hour ago. The patient suddenly feels lightheaded, dizzy and weak. You assist the patient to bed and notify the doctor.  Vitals Blood pressure 76/38 mmHg, temperature 98.6F, respirations 18 breaths/min and pulse ox 95% on room air.   The doctors orders and EKG and the following rhythm is revealed:    Based off the EKG strip, the nurse knows that the patient is in which of the following heart rhythms?

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 25.  The doctor orders Carvedilol p.o. 6.25mg twice a day….

 25.  The doctor orders Carvedilol p.o. 6.25mg twice a day. The pharmacy supplies the patient with 25mg tablets. How many tablets will the patient take per day. (enter numerics only, tab is assumed in your answer)

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Patient RBCs tested with commercially prepared Patient pla…

Patient RBCs tested with commercially prepared Patient plasma tested with commercially prepared Anti-A Anti-B A1 cells B cells 4+ 0 1+ 4+   Analyze and interpret the blood group typing results above for a 36-yr. old male patient. The test has been repeated tat the same results were obtained.  Identify this as a forward or reverse type discrepancy.  Next, indicate the most probable cause for the discrepancy, assuming there are not any technical or clerical errors, and the patient has not been recently transfused.  How would you attempt to resolve this discrepancy to confirm an ABO blood group type? Be specific in you answer.  Provide all test that would be performed as well as the expected results if your initial theory was correct.

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