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The nurse is caring for a patient recently diagnosed with mild emphysema and provides teaching about the disease and how to manage symptoms for comfort. Which statement by the patient indicates understanding of how to manage their symptoms and maintain comfort?

A patient admitted to the hospital has been using phenylephrine nasal spray [Neo-Synephrine], 2 sprays every 4 hours, for a week. The patient reports that the medication is not working because the nasal congestion has increased. How will the nurse manage the patient’s care?

A patient is receiving dopamine intravenously. Which drug should the nurse have available to treat extravasation and tissue necrosis?

The patient has a seizure disorder and has just discovered that she is pregnant. At her first prenatal visit, she tells the nurse, “I quit taking all of my drugs because I don’t want anything to be wrong with my baby”. What is the nurse’s best response?

The nurse knows that which guidelines are followed when managing the selection of chemotherapeutic agents in combination therapy? (Select all that apply.) 

What are the primary benefits to a patient who is receiving glucocorticoids as part of a chemotherapy regimen? (Select all that apply.)

Which statement by a patient prescribed cromolyn for long-term asthma management indicates the need for further education?

A child will begin taking methylphenidate [Ritalin] for attention-deficit/hyperactivity disorder. Which baseline assessment will the nurse ensure is documented to facilitate coordination of care?

A nurse is administering epinephrine to a patient during a cardiac arrest in the presence of the patient’s family. The family is visibly distressed and asks the nurse about the purpose of the medication. How should the nurse respond to address the family’s concerns and explain the primary desired action of epinephrine during a cardiac arrest?

The order reads: Diltiazem 0.25 mg/kg bolus over 2 minutes, then 15 minutes later, rebolus with 0.35 mg/kg IV, and then start a maintenance infusion at 10 mg/h. The patient weighs 65 kg, and the available diltiazem for bolus administration is 25 mg/5 mL. Based on the patient’s weight, calculate the total bolus in milligrams. Then evaluate whether this dosage is appropriate for the patient’s clinical condition, given that the standard bolus dosing range for diltiazem is 0.25-0.35 mg/kg. Would you recommend administering the calculated dose, or would you suggest an adjustment?