A child with hemophilia A who weighs 30 kg receives factor VIII on an ongoing basis as prophylaxis. The provider orders desmopressin (Stimate) to be used for nosebleeds
The nurse will instruct the child's parents to give the medication as _____ nostril as needed.
a. 1 spray in each
b. 1 spray in one
c. 2 sprays in each
d. 2 sprays in one
ANS: B
Children who weigh less than 50 kg should use 1 spray in one nostril for a dose of 150 mcg. Each spray delivers 150 mcg, so 1 spray in both nostrils would give a dose of 300 mcg. Using 2 sprays in one nostril would give a dose of 300 mcg; using 2 sprays in both nostrils would give a dose of 600 mcg.
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A patient presents to the ED complaining of increasing shortness of breath. The nurse assessing the patient notes a history of left-sided HF. The patient is agitated and occasionally coughing up pink-tinged, foamy sputum
The nurse should recognize the signs and symptoms of what health problem? A) Right-sided heart failure B) Acute pulmonary edema C) Pneumonia D) Cardiogenic shock
Which of the following measures that are regularly undertaken in a long-term care facility are likely to reduce the incidence of influenza in the facility's residents over the winter?
A) Pneumococcal vaccinations are given annually. B) Vitamin D supplements are provided for all residents. C) Surfaces in common areas are cleaned regularly and contact with sick residents is minimized. D) Fluid intake is encouraged among all residents.
A family is making home modifications for a visually impaired older family member. Which recommendation should the home care nurse make to the family?
1. Remove lamp shades to increase lighting. 2. Use soft blue, gray, and light green tones. 3. Install motion-sensor lights when possible. 4. Install reflective floors to provide increased lighting to the environment.
The nurse is providing an educational event to a local community group. The nurse is talking about coronary artery disease (CAD) and its risk factors
The nurse explains to the community group that CAD has many risk factors, some that can be controlled and some that can't. What risk factors would the nurse list that can be controlled or modified? A) Gender, obesity, family history, and smoking B) Inactivity, stress, gender, and smoking C) Obesity, inactivity, diet, and smoking D) Stress, family history, and obesity