Healthstream Test 2023/2024 - Questions and Answers The action of dexamethasone when given to patients with thyroid storm (inhibit hormone production
... [Show More] and decrease peripheral conversion from T4 to T3) The reason that enteric-coated tablets should not be broken (may result in the drug being released too early, destroyed by stomach acid or irritating the stomach lining) An important characteristic of acetaminophen (raises the body's pain threshold by inhibiting prostaglandin synthesis in the CNS) The thrombolytic drug that is more likely to cause an allergic reaction Alteplase The length of time the patient should be encouraged to retain a bisacodyl rectal suppository to relieve constipation 15 - 20 min Most common cardiac valve dysfunction in the United States, often considered a disease of "wear and tear"- Aortic A continuous drip of a medication is ordered at a rate of 2 mg/min. The standard mixture of this medication to yield a final concentration of 2 mg/mL is 1 g of the medication in 500mL of IV fluid. At what rate in milliliters per hour should the IV pump be set? 60 mL/hr A continuous infusion of regular insulin at 7 units/hour has been ordered for a patient with type 1 diabetes mellitus. The pharmacy dispensed a standard insulin infusion containing 100 units of regular U-100 insulin in 100 mL normal saline. At what rate in milliliters per hour should the infusion pump be set? 7 mL/hr A practitioner has ordered 700 mg of an antibiotic. The medication label states, "Add 5 mL sterile water to 1 g of this medication; 0.5 g = 2 mL." How many milliliters should be given? 2.8 mL In patients who have angina, calcium channel blockers: reduce myocardial oxygen consumption. The nurse is assessing neuromuscular deficiency in a patient with adrenal insufficiency and expects to find that the patient has: joint/muscle pain. The nurse is caring for a patient who has atrial fibrillation. The patient is attempting to understand why this dysrhythmia developed in him. The nurse educates this patient about his risk factors, including: diabetes mellitus. The nurse is differentiating between right- and left-sided heart failure in an assigned patient. For right-sided heart failure, the patient presents with edematous extremities, nausea/vomiting and anorexia. A patient is receiving a unit of blood and begins to display signs and symptoms of a transfusion reaction. What primary nursing action should the nurse take? Stop the blood transfusion. A patient has been admitted to the telemetry unit with infective endocarditis. During the nursing assessment, the nurse notes the confirmatory findings of petechiae, splinter hemorrhages, Osler's nodes During an acute lateral myocardial infarction, changes will be seen in which ECG leads? I, aVL, V5, V6 Acute pericarditis is most commonly associated with: renal failure. Rather than impeding lung blood flow, pulmonary emboli composed of _____________ injure blood vessels and cause acute respiratory distress syndrome (ARDS). Fat The mechanically ventilated patient has an increased respiratory rate ranging from 12-24; his oxygen saturation decreased to 90% despite having a non-rebreather at 100%. The patient assessment reveals basilar crackles that were not previously present, high peak airway pressures, and use of accessory muscles. Arterial blood gas reveals pH 7.50, pCO2 32, and pO2 49. Chest X-ray results are significant for diffuse ground-glass opacities. The patient is likely experiencing: acute respiratory distress syndrome. The nurse is caring for a patient with severe sepsis and third-degree heart block. The patient is hypotensive. The treatment for this life-threatening rhythm change includes: transcutaneous pacing. The patient diagnosed with acute tubular necrosis (ATN) and experiencing severe dehydration, sepsis, and pneumonia is now in the polyureic stage of ATN. The most important nursing action is to: [Show Less]