The nurse working in the Emergency Department gets a call that a client with a suspected overdose of narcotics is in route to the facility. The nurse best prepares for the client's arrival by setting up:
1. A tracheotomy set available for immediate use.
2. An amphetamine ready to administer stat on admission.
3. Naloxone hydrochloride (Narcan) ready to administer.
4. An EKG machine and a technician on standby.
3
Rationale: Administration of naloxone hydrochloride (Narcan) competes for binding sites with narcotics, and will reverse the effects quickly, so the nurse would obtain the medication and have it ready when the provider prescribes it.
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Which of the following complications is expected after craniotomy performed for a patient undergoing arteriovenous malformation (AVM) repair?
A) hemiparalysis. B) cerebral edema. C) hypotension. D) All of the above are correct.
Which ethnic group is at risk for Tay-Sachs disease?
a. Black African b. Mediterranean c. Ashkenazi Jewish d. Southern and Southeast Asian
What does the nurse do to verify an order for a medication listed on a medication administration record (MAR)?
A) Compare it with the original physician's order. B) Ask another nurse what the drug is. C) Look up the drug in a textbook. D) Call the pharmacist for verification.
A patient's IV flow needs to be checked frequently so that any adjustments in rate will be small. The allowable percent of change varies according to the institution's policy, patient's condition, and other factors. For this problem set only, assume that the patient's flow rate may be reset if the maximum variation from the physician's order is not more than 25%. Compute the percent of variation
before resetting IV flow rates, and indicate either the new flow rate you will set or the appropriate action you will take. The following IV order will be regulated manually: 1,000 mL D5W IV to infuse in 8 hours. The drop factor is 15 gtt/mL. After 6 hours, 200 mL of IV fluid remains. If necessary and if allowable, reset the IV so that it is completed on time. What would the adjusted rate have to be? Adjusted rate, if allowable: __________ gtt/min Fill in the blank(s) with correct word