Nokea
Elmer is scheduled for a proctoscopy and has an I.V. The doctor wrote an order for 5mg of I.V. diazepam(Valium). Which order is correct regarding diazepam?
- A. Give diazepam in the I.V. port closest to the vein.
- B. Mix diazepam with 50 ml of dextrose 5% in water and give over 15 minutes.
- C. Give diazepam rapidly I.V. to prevent the bloodstream from diluting the drug mixture.
- D. Question the order because I.V. administration of diazepam is contraindicated.
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
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Michael, a 42 y.o. man is admitted to the med-surg floor with a diagnosis of acute pancreatitis. His BP is 136/76, pulse 96, Resps 22 and temp 101. His past history includes hyperlipidemia and alcohol abuse. The doctor prescribes an NG tube. Before inserting the tube, you explain the purpose to patient. Which of the following is a most accurate explanation?
- A. It empties the stomach of fluids and gas.
- B. It prevents spasms at the sphincter of Oddi.
- C. It prevents air from forming in the small intestine and large intestine.
- D. It removes bile from the gallbladder.
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
You have a patient with achalasia (incomplete muscle relaxation of the GI tract, especially sphincter muscles). Which medications do you anticipate to administer?
- A. Isosorbide dinitrate (Isordil)
- B. Digoxin (Lanoxin)
- C. Captopril (Capoten)
- D. Propanolol (Inderal)
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
You're caring for a 28 y.o. woman with hepatitis B. She's concerned about the duration of her recovery. Which response isn't appropriate?
- A. Encourage her to not worry about the future.
- B. Encourage her to express her feelings about the illness.
- C. Discuss the effects of hepatitis B on future health problems.
- D. Provide avenues for financial counseling if she expresses the need.
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
You promote hemodynamic stability in a patient with upper GI bleeding by:
- A. Encouraging oral fluid intake.
- B. Monitoring central venous pressure.
- C. Monitoring laboratory test results and vital signs.
- D. Giving blood, electrolyte and fluid replacement.
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Your teaching Anthony how to use his new colostomy. How much skin should remain exposed between the stoma and the ring of the appliance?
- A. 1/16"
- B. 1/4″
- C. 1/2"
- D. 1"
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.