e) to be given orally at a dose of 400 mg per day in divided doses every 12 hours. Mrs. Simpson weighs 176 pounds. (Learning Objectives 2, 5) 1. How many milligrams should the nurse give Mrs. Simpson in one dose? 2. Procainamide is available in a 200-mg capsule. How many capsules would Mrs. Simpson need per dose? 3. What monitoring should the nurse do while the patient is tak
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Nursing question 66.
Mrs. Simpson was hospitalized today for a ventricular arrhythmia. The physician orders disopyramide (Norpace) to be given orally at a dose of 400 mg per day in divided doses every 12 hours. Mrs. Simpson weighs 176 pounds. (Learning Objectives 2, 5) 1. How many milligrams should the nurse give Mrs. Simpson in one dose? 2. Procainamide is available in a 200-mg capsule. How many capsules would Mrs. Simpson need per dose? 3. What monitoring should the nurse do while the patient is taking disopyramide (Norpace)?
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- Calculating and Administering Medications Sam is a CMA (AAMA) certified medical assistant working at a family medicine practice. He is working in the clinical area and receives an order form the doctor. The medication order reads: dexamethasone 6 mg IM qid to administer to a 25-year-old female. That same day, the pharmacy supplies Decadron ampules of 4 mg per mL. According to what you have studied this week, what do the abbreviations IM and qid mean? Can Sam administer Decadron even though the order reads dexamethasone? Why or why not? How many mL of the medication should Sam administer? Explain how you obtained the answer. What site of administration would you pick for this patientQuestion: What additions/subtractions/titrations to the pt’s medication regimen would you recommend? CC: Heartburn, my pills aren’t helping anymore HPI: 75 year old Native American female presents to the family practice clinic for routine visit. Pt reports that over the last 3 weeks she has had increasing heartburn about one hour after eating and also some regurgitation and trouble swallowing food. This occurs nearly every day. c/o food getting stuck behind her breastbone. This is a new problem. She has been using antacids daily in addition to histamine-2-blockers to achieve relief. Despite sleeping with 3 pillows, pt has been experiencing frequent nocturnal wakings due to pain. Reports nighttime coughing and c/o fatigue. Denies SOB, hoarse voice, nausea, vomiting, constipation, diarrhea, abdominal pain, urinary difficulty, blood per rectum or in stool. PmHx: GERD x 7 years, HTN x 15 years, alcoholic cirrhosis x 2 years, hiatal hernia SocHx: Pt is widowed, lives alone,…Mr. Jackson was hospitalized today for heart failure. The physician orders a loading dose of digoxin 0.75 mg to be given intravenously. The digoxin is available in a solution of 0.5 mg/mL. (Learning Objectives 2, 4, 6) 1. How many milliliters should the nurse prepare? 2. What should the nurse do before administering the IV dose? 3. If digoxin toxicity develops, what signs or symptoms might Mr. Jackson have? 4. How often should Mr. Jackson be monitored for signs of digoxin toxicity? 5. What conditions might increase Mr. Jackson’s likelihood of exhibiting digoxin toxicity?
- 5 Mrs. Taylor has a long history of seizures. Elixir of phenobarbital 30 mg po q 12 h is How many milliliters will the nurse administer per dose? ordered. VOID WV 5931 AMX Eli Lilly & Company, Indianapolis, IN 46285, U.S.A. Expiration Date/Control No. Press Esc to exit full screen (15° to 30° C) Store at Controlled Room Temperature 59° to 86° F Keep Tightly Closed NDC 0002-2438-05 16 fl oz (1 pt) (473 ml) Lilly ELIXIR No. 227 PHENOBARBITAL ELIXIR, USP Contains 20 mg Phenobarbital per 5 mL WARNING-May be habit forming. Contains Alcohol 14 Percent CAUTION-Federal (U.S.A.) law prohibits dispensing without prescription. Usual Adult Sedative Dose-60 mg (1 gr) (3 tea- spoonfuls) two to four times a day. Indiscriminate use may be harmful. Dispense in a tight, light-resistant container. 6 50 8272, 2000 €Question 66 A client who is receiving sustained-release morphine sulfate every 12 hours for chronic pain reports breakthrough pain at a 9 out of 10. Which of these prescribed medications will be BEST for the nurse to administer? Question 66 options: Lorazepam (Ativan) 2 mg PO Carbamazepine (Tegretol) 200 mg PO Immediate-release morphine 30 mg PO Ibuprofen (Motrin) 600 mg POOrdered; Coumadin 7.5mg po daily. The strenght of the second tablets is 2.5 mg/tablets. How many tablets of this vitamin k antagonist would be given to the patient who has venous thrombosis
- Question: To the following Given Drugs How to explain the drug's Indication, Side effects, and Health Teaching to the patient that is easier to understand to them? Given Drug: TFD/FTC (Truvada) 300mg tab OD PO Raltegravir (Isentress) 400mg 1 tab BID PO Title: Care of clients with Human Immunodeficiency Virus Focus Area: Obstetric Nurse Station Margerie Ramos, a 32-year-old female, who, on her 34th week of pregnancy was transferred to the hospital after coming from a prenatal clinic and reported to be experiencing continuous regular contractions for almost 2 days. This is her third pregnancy. The labor and delivery team were planning to admit her to observe and monitor her baby through a fetal Non-Stress Test and to exclude complications associated with preterm labor. The patient previously agreed to a scheduled repeat C-section since she already had two prior ones. Upon admission, the patient verbalized, “I'm cold, I feel so hot.” Temperature was taken, T=38.5 C. She also…Mrs. Simpson was hospitalized today for a ventricular arrhythmia. The physician orders disopyramide (Norpace) to be given orally at a dose of 400 mg per day in divided doses every 12 hours. Mrs. Simpson weighs 176 pounds. (Learning Objectives 2, 5) 1. How many milligrams should the nurse give Mrs. Simpson in one dose? 2. Procainamide is available in a 200-mg capsule. How many capsules would Mrs. Simpson need per dose? 3. What monitoring should the nurse do while the patient is taking disopyramide (Norpace)?Question: 1. Develop a Preventive Program based on the scenario. Background Brad is 32 year old male. He was cooking methamphetamine in his kitchen when the substance caught on fire at 2300. The entire house was engulfed in flames when the fire department arrived on scene. The neighbor called 911 when he smelt smoke. Brad was found unconscious by the firefighters and was pulled out. He was stabilized on scene and was rushed to West Hills ED via ambulance. While enroute, the paramedics started an 18 gauge IV in the right C and had Brad on 100% O2 non-rebreather. Paramedics alerted ED of an estimated ETA of 5 minutes. Upon arrival at the ED, Brad was found to have stage 3 burn wounds on his anterior and posterior torso and entire left arm with stage 2 burns on his anterior neck. Brad was at risk for smoke inhalation and a compromised airway, so RT intubated him and fluid resuscitation was initiated. En Route to Emergency Department Paramedics alerted the emergency department of…
- Question: What's wrong with this patient? What therapy should be suggested for this disease? Prognosis in an Elderly Female, by V. Dimov, M.D., Reviewer: S. Randhawa, M.D.A 96-year-old African American female (AAF) was admitted from a nursing home with complaints of abdominal pain, nausea and vomiting (N/V), dizziness, confusion and double vision for 5 days. She was discharged from the hospital just 4 days ago. Digoxin was started during that previous hospitalization for control of tachycardia in atrial fibrillation. One day prior to discharge, digoxin level was 1.8 mg/mL and digoxin dose was decreased to 125 mcg PO Q 48 hr.Past medical history (PMH): Hypertension, atrial fibrillation, coronary artery disease, stroke, congestive heart failure.Medications: Metoprolol, digoxin, ASA (aspirin), lisinopril, furosemide (Lasix), Coumadin (warfarin), esomeprazole (Nexium).Physical examination: In pain, combative and confused.VSS.Chest: Occasional bibasilar crackles.Cardiovascular System: Clear…Question 23 When assessing the patient experiencing the onset of symptoms of type 1 diabetes, which question is most appropriate for the nurse to ask? Question 23 options: "Do you crave fluids containing sugar?" "Have you lost any weight lately?" "How long have you felt anorexic?" "Is your urine usually dark coloured"?Clinical reasoning Scenario: A 36-year-old man who is obese and has a history of diabetes is admitted to the post anaesthesia carer unit (PACU) following a laparoscopic procedure and is scheduled to be discharged home. Identify what information is essential to obtain during report from the operating room. What are your first three priorities for immediate care of this patient in the PACU? Identify the discharge instructions that the patient will need.