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High Alert and Emergency Drugs
1. Mr. Boucher, 68 years old, is admitted for recurrent ventricular tachycardia. The RN starts an IV infusion of amiodarone as prescribed. Which finding requires immediate intervention?
*
Heart rate 60 bpm
Blood pressure 78/42 mmHg
Mild dizziness
Prolonged QT interval on ECG
2. A 70-year-old man becomes pale and diaphoretic with a heart rate of 40 bpm during cardiac monitoring. Atropine 0.5 mg IV is prescribed to be given by the RN. What indicates a therapeutic effect of the drug?
*
Increase in heart rate to 80 bpm
Decrease in urine output
Pupillary constriction
Decrease in blood pressure
3. A woman at 32 weeks of gestation with preeclampsia is receiving magnesium sulfate. The nurse observes a respiratory rate of 10 breaths/min and absent deep tendon reflexes. What is the nurse’s priority action?
*
Continue the infusion and monitor
Administer calcium gluconate as prescribed
Increase magnesium infusion rate
Turn the patient to left lateral position
4. Mr. Tremblay, 78 years old, is taking digoxin for heart failure. The nurse assesses an apical pulse of 52 bpm and notes the patient feels nauseated. What is the best nursing action?
*
Administer the medication and recheck in 30 minutes
Hold the dose and notify the physician
Give with food to reduce nausea
Give a half dose
5. A client with chronic pain is being treated with opioid administration via epidural route. Which medication would it be most important to have available due to a possible complication of this pain relief procedure?
*
(ketorolac) Toradol
(naloxone) Narcan
(Diphenhydramine) Benadryl
(Promethazine) Phenegran
6. Match the drug to its antidote or reversal:
*
Heparin
Please Select
Flumazenil
Naloxone
Digoxin immune Fab
Vitamin K
Protamine sulfate
Warfarin
Please Select
Flumazenil
Naloxone
Digoxin immune Fab
Vitamin K
Protamine sulfate
Opioid
Please Select
Flumazenil
Naloxone
Digoxin immune Fab
Vitamin K
Protamine sulfate
Benzodiazepine
Please Select
Flumazenil
Naloxone
Digoxin immune Fab
Vitamin K
Protamine sulfate
Digoxin
Please Select
Flumazenil
Naloxone
Digoxin immune Fab
Vitamin K
Protamine sulfate
7. Match the drug/toxin to its correct antidote or reversal agent.
*
Acetaminophen (Tylenol) overdose
Please Select
Deferoxamine (Desferal)
N-acetylcysteine (Mucomyst)
Calcium gluconate
Glucagon
Calcium chloride or calcium gluconate
Magnesium sulfate toxicity
Please Select
Deferoxamine (Desferal)
N-acetylcysteine (Mucomyst)
Calcium gluconate
Glucagon
Calcium chloride or calcium gluconate
Iron overdose
Please Select
Deferoxamine (Desferal)
N-acetylcysteine (Mucomyst)
Calcium gluconate
Glucagon
Calcium chloride or calcium gluconate
Beta blocker overdose
Please Select
Deferoxamine (Desferal)
N-acetylcysteine (Mucomyst)
Calcium gluconate
Glucagon
Calcium chloride or calcium gluconate
Calcium channel blocker overdose
Please Select
Deferoxamine (Desferal)
N-acetylcysteine (Mucomyst)
Calcium gluconate
Glucagon
Calcium chloride or calcium gluconate
8. Match the drug/toxin to its correct antidote or reversal agent.
*
Cyanide poisoning
Please Select
Hydroxocobalamin (Cyanokit)
Fomepizole or ethanol
Glucagon IM or 50% dextrose IV (D50W)
Oral glucose or juice
Methanol or ethylene glycol (antifreeze)
Please Select
Hydroxocobalamin (Cyanokit)
Fomepizole or ethanol
Glucagon IM or 50% dextrose IV (D50W)
Oral glucose or juice
Insulin-induced hypoglycemia (conscious patient)
Please Select
Hydroxocobalamin (Cyanokit)
Fomepizole or ethanol
Glucagon IM or 50% dextrose IV (D50W)
Oral glucose or juice
Insulin-induced hypoglycemia (unconscious patient)
Please Select
Hydroxocobalamin (Cyanokit)
Fomepizole or ethanol
Glucagon IM or 50% dextrose IV (D50W)
Oral glucose or juice
High alert and emergency drugs
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