A patient is prescribed an oral loading dose of amiodarone (Cordarone) 1600 mg. Amiodarone is available in 400 mg tablets. How many tablets should you give?

a. 2
b. 4
c. 6
d. 8


ANS: B

Nursing

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An immunocompromised cancer patient has developed cryptococcal meningitis and been admitted to the intensive care unit for treatment with amphotericin B. How should the nurse most safely administer this drug?

A) Hang the drug by piggyback with lactated Ringer's and infuse over several hours to minimize the risk of infusion reaction B) Infuse the drug over 2 to 4 hours into a central line using an infusion pump C) Flush the patient's central line with normal saline and infuse the amphotericin B by intravenous push over 5 to 7 minutes. D) Place the patient on a constant infusion of amphotericin B at a rate determined by the patient's body weight.

Nursing

Which of the following has a slower onset and longer duration?

A. mealtime insulin B. Humalog insulin C. Basal insulin D. Novolin R insulin

Nursing

A critical care nurse asks a psychiatric nurse about the difference between a DSM-IV-TR diagnosis and a nursing diagnosis. Select the psychiatric nurse's best response

a. "No functional difference exists between the two diagnoses. Both serve to identify a human deviance." b. "The DSM-IV-TR diagnosis disregards culture, whereas the nursing diagnosis includes cultural variables." c. "The DSM-IV-TR diagnosis profiles present distress or disability, whereas a nursing diagnosis considers past and present responses to actual mental health problems." d. "The DSM-IV-TR diagnosis influences the medical treatment; the nursing diagnosis offers a framework to identify interventions for problems a patient has or may experience."

Nursing

A client is spending a great deal of time praying, chanting, and reading religious doctrine. He is reluctant to attend therapeutic groups as a result of his religious preoccupation. The best plan would be to:

1. Allow the client a set amount of time each day to express his religion, with the understanding that he attend groups and adhere to the treatment program 2. Inform the client that he can only express his religion with the chaplain and needs to follow the treatment program the rest of the time 3. Tell the client he is being inappropriate and disruptive to others; then notify the client's physician to increase his medication as soon as possible 4. Ignore the client's hyperreligiosity since it will diminish with medication therapy

Nursing