Pharm exam 9
Quiz yourself by thinking what should be in
each of the black spaces below before clicking
on it to display the answer.
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show | intravenous dextrose.
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show | infuse normal saline as an IV bolus.
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A pediatric patient ingested a narcotic analgesic at a grandparent’s house 15 minutes before arriving in the emergency department. The nurse is preparing to administer activated charcoal. Which statement by the nurse is correct? | show 🗑
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A parent brings a child to the emergency department, because the child drank a solution containing ferrous sulfate. The nurse will prepare for: | show 🗑
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show | Sodium bicarbonate
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show | collect a daily urine specimen.
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show | Chelating agents interact with metals to form chelates, which then can be excreted from the body. Chelating agents can strip metals already bound and prevent the binding The chelates are less toxic and can be excreted safely.
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show | increase the deferasirox dose.
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show | Peanut allergy
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show | Activated charcoal; heavy metal poisoning
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show | “Ipecac is useful when corrosive acids have been ingested.”
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The nurse is orienting a graduate nurse to a medical-surgical unit. The nurses receive an order to administer a whole bowel irrigation. The graduate nurse would be correct to | show 🗑
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aspirin; create an alkaline urine to accelerate excretion
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show | Intramuscularly (IM) twice daily for 3 to 5 days
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pt is brought to ER by ambulance. Friends arrive after the ambulance & tell the prescriber & nurses that they were all wking on the man’s car, & he accidentally drank some antifreeze. Alcohol also was involved. The 1st med the nurse should prepare is | show 🗑
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dimercaprol (BAL In Oil).
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A nurse in the ED is caring for a 17-year-old patient brought in by his parents. The parents say they think he overdosed on acetaminophen (Tylenol), because he just had a serious break up with a gf. Which antidote would the nurse anticipate admin? | show 🗑
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show | services provided 5 days a week.”
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An individual brought to the ED is suspected of having taken an OD of pilocarpine (Pilocar) 3 hrs ago Upon assessment, that nurse notes profuse salivation, lacrimation, bronchospasm, diarrhea, a BP of 82/40 and a HR of 51 The nurse should prepare to admin | show 🗑
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A pt reported to have been exposed to mustard gas is brought to the ED. The pts skin is red & swollen w/ sml blisters, & the pts eyes are red and tearing. The patient has a runny nose and a dry, barking cough. What should the nurse’s initial action be? | show 🗑
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show | “Although smallpox has been eradicated, it remains a threat.”
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A nurse responds when a patient asks why the smallpox vaccine is no longer given. Which statement by the patient indicates a need for further teaching? | show 🗑
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show | provide respiratory support.
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Terrorists have detonated a “dirty bomb” in a shopping center. Nurses are called to the site to assist with triage of victims. Besides treating injuries incurred from the blast itself, the priorities for treatment for most of the victims will include: | show 🗑
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show | small area of scarification.
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A pt is admit to the hospital with fever, cough, malaise, & weakness. 48hrs later the symptoms have become progressively worse, & they progress to severe respiratory distress, septicemia, & hemorrhagic meningitis. nurse recognizes these signs &symptoms as | show 🗑
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A nurse is attending a conference about terrorism and emergency response. During a discussion of radiation emergencies, the use of potassium iodide is reviewed. When should potassium iodide be administered to be most effective after exposure to radiation? | show 🗑
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show | Cover the site with sterile gauze and tape the edges.
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A nurse driving home p wk is flagged down by neighbor in the country who says husband was exposed to mustard gas.skin is red &swollen w sml blisters & eyes are red & tearing. The victim has a runny nose & dry, barking cough. What should nurse’s action be | show 🗑
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A pt comes to clinic w a large, fluid-filled vesicle on his rt hand. The NP diagnoses cutaneous anthrax and prescribes an antibiotic. Which statement by the patient demonstrates a need for further teaching by the nurse? “I should anticipate | show 🗑
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Army nurse is prep to admin BioThrax to a grp of soldiers who are being deployed to an active combat area. grp is receiving the 1st of series of anthrax vaccs& nurse provides edu. What statement about vaccine demonstrates need for further teaching? | show 🗑
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The Defense Department is providing education on potential bioterrorism agents. The instructor asks the nurses to identify the correct causative agent for an illness. Which response best demonstrates understanding? | show 🗑
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A person who has newly immigrated to the US comes to the ED w/complaints of coughnauseavomiting & diarrhea. Upon assessment, the nurse finds a high fever 104.1° F, SOB, respirations 36 pulse 122 BP 108/51 & hemoptysis. MD suspects primary pneumonic plague | show 🗑
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show | small scar known as scarification.
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show | botulism poisoning; symmetrical descending flaccid paralysis
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A nurse is at a ntl conference on weapons of mass destruction. The predominant topic is smallpox. The nurse is reviewing the main points of the topic. Which of the following statements by the nurse would indicate the need for further reinforcement? | show 🗑
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show | Immediately after exposure
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show | Cover the site with sterile gauze and tape the edges.
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show | intravenous ciprofloxacin (Cipro).
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