The neurosurgeon orders vasopressin (Pitressin) continuous IV infusion: 0.0005 unit/kg/hr
initially, then double dose q30min to reach the desired effect, not to exceed 0.01 unit/kg/hr.
Which findings would best indicate the desired effect has been achieved? Select all that apply.
a. BP of 100/60
b. Glucose 90 mEq/L
c. Heart rate 100 beats/min
d. Serum sodium 135 mEq/L
e. Urine specific gravity of 1.12
d, e
The increase in urine specific gravity indicates a direct effect on the renal tubules. The serum
sodium level within normal limits indicates normovolemia. The BP and heart rate, while improved,
still indicate that K.B. is hypovolemic from the episode of diabetes insipidus. A glucose level of 90 is
within normal limits; however, glucose levels are not related to diabetes insipidus or treatment with
Pitressin.
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The nurse is preparing to administer phenytoin (Dilantin) to a patient who has a seizure disorder. The patient appears drowsy, and the nurse notes that the last random serum drug level was 18 mcg/mL. What action will the nurse take?
a. Administer the dose since the patient is not toxic. b. Contact the provider to discuss decreasing the phenytoin dose. c. Give the drug and monitor closely for adverse effects. d. Report drug toxicity to the providers.
Does a nurse have to delegate a task to you?
a. Yes, if the task is in your job description. b. Yes, if the nurse teaches you how to per-form the task. c. No. The nurse makes delegation decisions that are best for the person. d. No. The nurse performs the task unless he or she is busy.
_____ is a common, accepted CAM treatment that most people accept as part of the mainstream medical system
A) Biofeedback B) Hypnotherapy C) Reflexology D) Chiropractic care
The original chemical name of a drug, which is not capitalized, and is suggested by the drug's first manufacturer is called the:
A. trade name. B. generic name. C. official name. D. off-brand name.