A nurse is caring for a patient with diabetic ketoacidosis (DKA) receiving an insulin drip at 0.1 unit/kg/hour. The serum glucose has dropped from 650 mg/dL to 210 mg/dL. Which change to the plan of care is most appropriate?
A patient taking phenytoin sodium (Dilantin) should be instructed to do which of the following to prevent a common adverse effect? A. Avoid large crowds. B. Practice good dental hygiene. C. Increase potassium intake. D. Limit fluid intake.
B. Vitamin K (phytonadione) Rationale: For elevated INR with active bleeding, vitamin K is given to reverse warfarin. Protamine is for heparin reversal. FFP is used for life-threatening bleeding but takes time to infuse. Tranexamic acid is an antifibrinolytic, not a reversal agent. Medical Surgical Nursing Questions And Answers
If you are preparing for exams like the NCLEX or AIIMS, consider these top-rated study aids:
A. Administer a second dose of nitroglycerin. B. Prepare the patient for immediate cardioversion. C. Assess the patient's blood pressure. D. Call the rapid response team. A nurse is caring for a patient with
Change in mental status → possible cerebral edema (rare but fatal).
Use open-ended questions like, "What do you know about the surgery you are having?". Rationale: A patient taking phenytoin sodium (Dilantin) should be
A nurse is assessing a patient 6 hours after a thrombotic stroke. The patient’s blood pressure is 190/105 mm Hg. Which action should the nurse take first?
B. Contact precautions (gloves, gown, dedicated equipment) Rationale: MRSA is transmitted via direct contact (skin, wound drainage, contaminated surfaces). Contact precautions are required. Standard precautions alone are insufficient.
A nurse is caring for a patient with diabetic ketoacidosis (DKA) receiving an insulin drip at 0.1 unit/kg/hour. The serum glucose has dropped from 650 mg/dL to 210 mg/dL. Which change to the plan of care is most appropriate?
A patient taking phenytoin sodium (Dilantin) should be instructed to do which of the following to prevent a common adverse effect? A. Avoid large crowds. B. Practice good dental hygiene. C. Increase potassium intake. D. Limit fluid intake.
B. Vitamin K (phytonadione) Rationale: For elevated INR with active bleeding, vitamin K is given to reverse warfarin. Protamine is for heparin reversal. FFP is used for life-threatening bleeding but takes time to infuse. Tranexamic acid is an antifibrinolytic, not a reversal agent.
If you are preparing for exams like the NCLEX or AIIMS, consider these top-rated study aids:
A. Administer a second dose of nitroglycerin. B. Prepare the patient for immediate cardioversion. C. Assess the patient's blood pressure. D. Call the rapid response team.
Change in mental status → possible cerebral edema (rare but fatal).
Use open-ended questions like, "What do you know about the surgery you are having?". Rationale:
A nurse is assessing a patient 6 hours after a thrombotic stroke. The patient’s blood pressure is 190/105 mm Hg. Which action should the nurse take first?
B. Contact precautions (gloves, gown, dedicated equipment) Rationale: MRSA is transmitted via direct contact (skin, wound drainage, contaminated surfaces). Contact precautions are required. Standard precautions alone are insufficient.
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