Which of the following drugs indicates the patient is toxic with a serum level of 1.5 mEq/L?
A.
Lithium
B.
Ritalin
C.
Tofranil
D.
Buspar
ANS: A
When the drug lithium cannot be cleared and excreted by the kidney, toxicity can occur. A 1.5 toxicity lithium level is considered mild.
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The registered nurse who works in the obstetrics department is walking by the emergency department waiting room when a person cries out, "Help me, my mother is not breathing." Does this nurse have a duty to assist?
1. No, the nurse has no more duty to assist in this situation than a lay person. 2. Yes, the nurse has the duty to provide the same standard of care as an emergency department nurse. 3. Yes, the general duty of care exists to help in times of crisis or imminent harm. 4. No, the nurse is out of the normal working environment and should not interfere.
The patient furiously says, "My doctor was so busy giving me instructions that he didn't hear what I was trying to ask him." The most empathetic response would be:
a. "Boy! When people do that to me, I really get mad." b. "I'm sure the doctor was rushed and una-ware of your needs." c. "I'll bet that made you feel very fru-strated." d. "Take a deep breath and plan what you will say to him tomorrow."
What is the usual presenting symptom for testicular cancer?
a. Solid, painful mass b. Hard, painless mass c. Scrotal swelling and pain d. Epididymis easily palpated
Which conditions is the use of thrombolytic therapy contraindicated in? Select all that apply.
A. Venous emboli B. History of intracranial hemorrhage C. Hemophilia D. Liver disease E. Peptic ulcer disease