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The nurse is admitting a patient for severe asthma. Which information given by the patient indicates a need for a change in therapy?

A patient has an order for Solumedrol 60 mg IVP stat for COPD excaberation.  If the Solumedrol comes supplied as 125 mg per 2 mL, how many mL’s will the nurse draw up to give the ordered dose?  Round to the nearest hundredth. [BLANK-1]

A physician writes an order to infuse dopamine 2.5 mcg/kg/min for a patient with heart failure.  The patient weighs 110 pounds.  The pharmacy sends a solution of dopamine 400 mg in 250 mL of D5W.  What rate will the nurse set the infusion pump?  Round to the nearest tenth. [BLANK-1]

The nurse receives change of shift report on her patients. Which one of the following patients with COPD should the nurse assess first?

What effect does the ventricular remodeling process have?

The nurse is caring for a patient with systolic heart failure and an EF of 20%. The patient’s blood pressure is 92/52, HR 60 and respirations are 20 breaths per minute. He states he feels well and has no unusual signs or symptoms to report. The patient is due for his enalapril (Vasotec). The nurse decides to call the provider. Which of the following would the nurse expect the provider to state?

A patient with a history of atrial fibrillation, COPD and diabetes is admitted to the emergency room with signs and symptoms of COPD excerbation.  The physician orders Solumedrol (methylprednisolone) to be given IVP stat.  What nursing intervention is the most appropriate for the nurse to do regarding this medication?

A patient tells the nurse that she has smoked two packs of cigarettes per day for 30 years and one pack per day for 10 years. This is equivalent to how many pack years?

Which of the following clinical manifestations is not demonstrated in the patient with asthma?

BNP (brain natriuretic peptide) levels elevated above the normal range help differentiate heart failure from which medical condition?