An intravenous (IV) therapy nurse receives several pages within a
few minutes from various places within the hospital on a Saturday
morning. The IV therapy nurse returns all the pages to obtain
additional triage information. Which patient should the IV therapy
nurse see first?
- Correct Answer - A patient in the intensive care unit (ICU) who
needs IV access for an insulin drip
A 76-year-old female with a history of hypertension (HTN) and
chronic obstructive pulmonary disease (COPD) presents with
abdominal pain and approximately three to four watery stools a
day. She has a basic metabolic panel (BMP) revealing the
following: sodium 140, potassium 3.3, chloride 90, glucose 155,
blood urea nitrogen (BUN) 46, creatinine 1.6, and estimated
glomerular filtration rate (eGFR) 40. The patient's medications
include lisinopril (Zestril), fluticasone/salmeterol (Advair), and
tiotropium (Spiriva). She has no other significant medical history.
Vital signs are as follows: temperature of 98°F, heart rate of 78,
,blood pressure of 120/80, respiratory rate of 18, and oxygen
saturation (SpO2) of 98%.Which treatment should the nurse
administer first based on this patient's lab results?
- Correct Answer - Administer intravenous fluids
A 16-year-old female presents to primary care accompanied by
her mother with complaints of chronic fatigue, muscle aches,
headaches, and dizziness for the last several months with
increasing frequency and severity. The patient is a high school
student, and she reports that she passed out today during
chemistry. The patient is in a healthy, new relationship with a
student at her school. She reports using over-the-counter
ibuprofen (Motrin) three times over the last week to manage her
symptoms. The assessment findings include a blood pressure of
89/58, P 92 and R 22. The patient is 5 feet, 2 inches tall and
weighs 103 pounds. On palpation, the thyroid is not enlarged. The
patient has a normal sinus rhythm and regular rate. Lung sounds
are clear bilaterally. Her abdomen is soft and bowel sounds are
present in all four quadrants. She has a steady gait, though
verbally complains of feeling weak and off balance.
- Correct Answer - Rowing
,A 71-year-old male with metastatic prostate cancer and type 2
diabetes mellitus with neuropathy presents to an appointment with
his primary care provider to address many physical and emotional
complaints secondary to his worsening pain. The patient explains
that he has been struggling with increased sadness over
arranging his end-of-life care and feels that his exacerbation of
pain coincides with the timing of his increased sorrow. Patient
reports struggling with poor sleep due to grief and aches and
restlessness in his legs. He reports increased fatigue and poor
energy. Which pharmacological treatment would be helpful for the
patient to manage his symptoms and lead to improved sleep?
- Correct Answer - Mirtazapine (Remeron)
--Mirtazapine has been found to reduce the time it takes for a
person to fall asleep, as well as reducing the duration of early,
light stages of sleep and increasing deep sleep 2. It also slightly
reduces REM sleep (dream sleep) and night-time waking and
improves the continuity and overall quality of sleep
A 71-year-old male with stage IV metastatic prostate cancer and
type 2 diabetes mellitus with neuropathy presents to an
appointment with his primary care provider to address many
physical and emotional complaints secondary to his worsening
pain. The assessment findings include a blood pressure of
, 128/72, P 74 and R 18. The patient is 6 foot, 1 inch tall and
weighs 188 pounds. The patient has a normal sinus rhythm and
regular rate. Lung sounds are clear bilaterally, however, the
patient complains of pain in his chest at the sternum, which he
rates a 4 on a numeric scale of 0-10. He identifies pain in his
lower spine post fall yesterday morning and rates it a 7 and
aching pain in bilateral lower extremities that has increased from
an intermittent 3 to a consistent 5 on a numerical scale of 0-10
over the past month. Additionally, the patient explains that he has
been struggling with increased sadness
- Correct Answer - Attend weekly group on radical acceptance
A 71-year-old male with stage IV metastatic prostate cancer and
type 2 diabetes mellitus with neuropathy presents to an
appointment with his primary care provider to address many
physical and emotional complaints secondary to his worsening
pain. The assessment findings include a blood pressure of
128/72, P 74 and R 18. The patient is 6 foot, 1 inch tall and
weighs 188 pounds. The patient has a normal sinus rhythm and
regular rate. Lung sounds are clear bilaterally, however, the
patient complains of pain in his chest at the sternum, which he
rates a 4 on a numeric scale of 0-10. He identifies pain in his
lower spine post fall yesterday morning and rates it a 7 and
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