Nokea
A client with acute renal injury (AKI) who weighs 50 kg and has a potassium level of 6.7 mEq/L (6.7 mmol/l) is admitted to the hospital. Which prescribed medication should the nurse administer first?
- A. Sevelamer (RenaGel) one tablet PO.
- B. Epoetin alfa, recombinant (Epogen) 2,500 units SUBQ
- C. Sodium polystyrene (Kayexalate) 15 grams PO
- D. Calcium acetate (Phos-Lo) one tablet PO
Correct Answer: C
Rationale: Sodium polystyrene (Kayexalate) helps remove excess potassium, which is the priority concern in AKI with elevated potassium.
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Common causes of recurrent abdominal pain include:
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- B. Chronic constipation
- C. Functional cause
- D. Gastric ulcer
Correct Answer: C
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The following foramina are found in the brain:
- A. Foramen of Monro
- B. Foramen ovale
- C. Foramen of Magendie
- D. Foramen transversalis
Correct Answer: A
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A child has a Glasgow Coma Scale of 3, HR of 88 beats per minute and regular, respiratory rate of 22, BP of 78/52, and blood sugar of 35 mg/dL. The nurse asks the caregiver about accidental ingestion of which drug?
- A. Calcium channel blocker
- B. Beta blocker
- C. ACE inhibitor
- D. ARB
Correct Answer: B
Rationale: Beta blockers affect the heart and also block beta receptors in the liver, reducing glycogen release and causing hypoglycemia. The low HR and BP support beta blocker ingestion.
Common pathogens in the sputum of CF patients are:
- A. Pseudomonas
- B. Staphylococcus epidermidis
- C. Staphylococcus aureus
- D. Burkholderia
Correct Answer: A
Rationale: The correct answer is A because Pseudomonas is the most common pathogen in CF patients. The other options (b-e) are less common.
Afterload reducers are not indicated in children with heart failure secondary to
- A. cardiomyopathy
- B. severe mitral insufficiency
- C. aortic stenosis
- D. ventricular septal defect
Correct Answer: C
Rationale: Afterload reducers are contraindicated in conditions where forward flow is already compromised, such as aortic stenosis.