Exhibits

Which of the following 3 provider prescriptions does the nurse anticipate?

Regular insulin 20 units subcutaneously

Potassium chloride 20 mEq/L intravenous PRN potassium less than 5.0 mEq/L

Initiate cardiac monitoring

0.9% sodium chloride at 15 ml/kg/hr for 1 hr and then reduce to 10 ml/kg/hr

Regular insulin continuous intravenous infusion, titrate per diabetic ketoacidosis (DKA) protocol once potassium is greater than 3.3 mEq/L

Dextrose 5% in water (DSW) intravenous at 5 ml/kg/hr for 4 hr

Blood glucose checks every 4 hr

Insert indwelling urinary catheter

Answer and Explanation

Correct Answer : B,D,E

. Potassium chloride 20 mEq/L intravenous PRN potassium less than 5.0 mEq/L

The client's potassium level is slightly elevated at 5.5 mEq/L. Potassium replacement may be necessary if the level drops below 5.0 mEq/L, which is within the anticipated range for the nurse's actions.

D.0.9% sodium chloride at 15 ml/kg/hr for 1 hr and then reduce to 10 ml/kg/hr

This prescription addresses the need for fluid resuscitation to correct dehydration and electrolyte imbalances often seen in DKA. The client's initial blood pressure of 96/65 mm Hg suggests some degree of dehydration, further supporting the use of isotonic saline.

E.Regular insulin continuous infusion, titrate per diabetic ketoacidosis (DKA) protocol once potassium is greater than 3.3 mEq/L

This prescription aligns with the client's presentation of severe hyperglycemia (468 mg/dL) and acidosis (pH 7.30), indicating diabetic ketoacidosis (DKA). Insulin infusion is crucial for lowering blood glucose levels and correcting acidosis.

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Correct Answer is C

Explanation

C. This procedure involves manipulation of bones and potential disruption of fatty tissue, which can lead to the release of fat emboli into the bloodstream, predisposing the client to fat embolism syndrome.

A This procedure involves surgical repair of the tendons in the shoulder. It does not typically involve manipulation of long bones or significant exposure to fatty tissue.

B. Tympanoplasty is a surgical procedure to repair a perforated eardrum. It does not involve manipulation of bones or exposure to fatty tissue.

D. Thyroidectomy is the surgical removal of part or all of the thyroid gland. It does not involve manipulation of long bones or exposure to fatty tissue.

A. Diphenhydramine B. Flumazenil C. Calcium gluconate D. Naloxone

Correct Answer is D

Explanation

D. Naloxone competitively binds to opioid receptors, displacing opioids from these receptors and rapidly reversing their effects. It is the drug of choice for managing opioid-induced respiratory depression and is administered to restore adequate ventilation and prevent respiratory arrest.

A Diphenhydramine is an antihistamine with sedative properties. It is used primarily for allergic reactions and as a sleep aid. Diphenhydramine is not indicated for reversing respiratory depression caused by opioid overdose. It does not antagonize opioid receptors or reverse the effects of opioids.

B. Flumazenil is not effective in reversing respiratory depression caused by opioid overdose. It does not affect opioid receptors or reverse the respiratory depressant effects of opioids.

C. Calcium gluconate is a form of calcium used to treat hypocalcemia or to counteract the cardiac effects of hyperkalemia. It does not reverse opioid-induced respiratory depression. It is not indicated in this situation.

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Exhibits Which of the following 3 provider prescriptions does the nurse anticipate?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is C

Explanation

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Correct Answer is D

Explanation

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Exhibits

Which of the following 3 provider prescriptions does the nurse anticipate?