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Pharm Quiz 5
Pharmacology & IV Therapy
| Question | Answer |
|---|---|
| The physician orders an IV infusion of D5W 1000 ml to infuse over the next eight hours. The IV tubing that you are using delivers 15gtt/min. What is the correct rate of flow? | 31 gtts/min |
| A patient, admitted with a head injury, has an order for D5NS at 25 ml/hour. The IV tubing has a calibration of 10gtt/ml. What is the correct rate of flow for this patient? | 4 gtts/min |
| Your patient has an order to infuse 100 ml of D51/2NS with 10MEq of KCl over the next thirty minutes. The set calibration is 10gtt/ml. What is the correct rate of flow for this patient? | 33 gtts/min |
| The order reads: "Over the next 4 hours, infuse 500 ml of 5% Dextrose in Normal Saline. Add 20 MEq of KCl to solution." You know that the IV tubing set is calibrated to deliver 10gtt/ml. In drops per minute, what is the rate of flow? | 21 gtts/min |
| The 10am meds scheduled for your pt include Keflex 1.5 G in 50 ml of a 5% Dex sol. According to the pharm, this prep should be administered in 30 min. The IV tubing on your unit delivers 15 gtts per mL. What is the correct rate of flow in drops per min? | 25 gtts/min |
| IV lines may be established to give access to the vascular system in case of fluids or medications become necessary. | True |
| IV fluids are used to treat? | -dehydration - hypovolemic shock -electrolyte imbalances - administer dyes or other contrast mediums used in diag testing., -Medication administration for rapid absorption. |
| If urine output is below 30 mL/hr, it may indicative of low blood volume or kidney malfunction and must be reported. | True |
| Match the assessment of hydration with the correct description. Weak, irregular rhythm pulse. | Dehydration |
| Match the assessment of hydration with the correct description. Skin elastic returns less than three seconds. | Normal Hydration |
| Match the assessment of hydration with the correct description. Regular, strong rhythm pulse. | Normal Hydration |
| Match the assessment of hydration with the correct description. Skin elastic returns greater than three seconds | Dehydration |
| Match the assessment of hydration with the correct description. Decrease alertness and confusion. | Dehydration |
| Match the assessment of hydration with the correct description. Alert and orientation . | Normal Hydration |
| Match the electrolyte with the correct value. Calcium | 4.5-5.8 mEq/L, |
| Match the electrolyte with the correct value. Sodium | 134-142 mEq/L, |
| Match the electrolyte with the correct value. Magnesium | 1.5-2.4, |
| Match the electrolyte with the correct value. Potassium | 3.5-5.5 mEq/L |
| Dry mucous membranes, low urine output, poor tissue turgor is caused by sodium and fluid loss. | False |
| Thirst, polyuria, decreased muscle tone, kidney stone are symptoms of Hypercalcemia. | True |
| Hypokalemia is caused by diuretic meds (nonsparing), trauma, burns and metabolic alkalosis. | True |
| If a client has a Potassium of 5.6; client findings can include: slow irregular pulse, nausea, weakness, arrhythmias which can lead to cardiac arrest. | True |
| If the nurse suspect a client of dehydration, what are the possible causes of dehydration? | -vomiting, -diarrhea -burns -diuretic therapy |
| 0.45% NS | half normal saline |
| NS | normal saline 0.9% |
| TPN | totsl parenteral nutrition |
| LR | Lactated Ringers |
| D50.45%NS | 50% dextrose and half normal saline |
| D5W | 5% Dextrose and water |
Created by:
aharvey_16