Order: Thorazine 10 mg, IM (deep), STAT Available: How many mL should be given?
What will be an ideal response?
ANS:
0.4
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Medications such as salicylates, lithium, and sulfonamides can influence thyroid levels by
a. increasing T3 . c. decreasing T3. b. increasing T4 . d. decreasing T4.
The clinic nurse reviews the complete blood count results for Tamara, a 30-year-old woman who is now 33 weeks gestation. Tamara's hemoglobin value is 11.2 g/dL and her hematocrit is 38%. The clinic nurse interprets these findings as:
A) Normal adult values B) Normal pregnancy values for the third trimester C) Increased adult values D) Increased values for 33 weeks gestation
Which symptom is commonly assessed when a patient has left ventricular heart failure?
a. Weight gain b. Swelling in the legs c. Jugular vein distention d. Crackles in the lungs
M.M., a 76-year-old retired schoolteacher, is postoperative day 2 after an open reduction and internal
fixation (ORIF) for a fracture of his right femur. His preoperative control prothrombin time/international normalized ratio (PT/INR) was 11 sec/1.0 and his activated partial thromboplastin time (aPTT) was 35 seconds. He has been on bed rest since surgery. At 0800, his vital signs (VS) are 132/84, 80 with regular rhythm, 18 unlabored, and 99° F (37.2° C). He is awake, alert, and oriented with no adventitious heart sounds. Breath sounds are clear but diminished in the bases bilaterally. Bowel sounds are present and he is taking sips of clear liquids. He is receiving an intravenous (IV) infusion of d5 ½ NS at 75 mL/hr in his left hand, and orders are to change it to a saline lock this morning if he is able to maintain adequate oral fluid intake. He has orders for oxygen (O2) to maintain Spo2 over 92%, but he has been refusing to wear the nasal cannula. His laboratory work shows Hct, 34%; Hgb, 11.3 mg/dL; K, 4.1 meq/L; aPTT, 44 sec. Pain is controlled with morphine sulfate 4 mg IV as needed every 4 hours, and he has promethazine (Phenergan) 25 mg IV q4h if needed for nausea. He is receiving heparin 5000 units subcutaneously bid, taking docusate sodium (Colace) PO once daily, and wearing a nitroglycerin patch. At 1830 you answer M.M.'s call light and find him lying in bed breathing rapidly and rubbing the right side of his chest. He is complaining of right-sided chest pain and appears to be restless. What will you do? What will be an ideal response?