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1.A 75 year old woman has been prescribed amitriptyline hydrochloride(Elavil) to manage neuropathic pain associated with diabetic neuropathy. She reports to the nurse that her pain level has decreased from a 7 to a 3 on a scale of 1-10.

However. she is experiencing severe xerostomia. Which of the following  strategies should the nurse choose to help relieve this symptom?

①Increase caffeine intake

②Decrease fluid intake.

③Increase dietary sodium

④Chew sugar free gum#.

2.Prior to administering digoxin (Lanoxin) 0.125mg PO to a client with chronic heart failure. the nurse determines that the apical pulse is 56. Which of the following  should the nurse do FIRST?

①Administer the drug and recheck  the pulse in one hour

②Withhold the drug and notify the physician#

③Obtain an EKG

④Send a blood sample to the laboratory  for a digoxin level..

3.A 65 year old man with metastastatic colon cancer has been prescribed hydromorphone (Dilaudid)PO/PRN to help manage his pain .The nurse knows that the rectal route of administration is contraindicated when which of the following is present?

①Nausea and vomitting

②Difficulty swallowing

③Neutropenia#

④Fever.

1.니아신 사용중인 환자가 가지고 있는 잠재적인 반응은?

with meal

hot flushing 있을것이다.

dizzness있을 것이다.

고혈압

flushing and pruritis common side effects.with meal

2.niacin 투여환자?

unire will be dark even though I drink fluid a lot

I can take it with ~statin

멀티 비타민제 먹는 것보다 좋다

flushing 기대한다.

3.양손바닥 화상, 양팔앞면 화상, 가슴 화상, 복부화상 환자의 화상 %

18

27

36

48%

4.HIV환자 . 아들 chickenpox 진단

병원가서 IG맞아라

어릴때수두했음 평생면역이니 괜찮다

5.aids 환자가 chickenpox아이한테 노출됬다 간호사가 해줄말 하나고르기

와서 이뮤노글로빈 맞으세요,

치킨폭스는 한번 앓으면 평생 면역이에요

친척집 가는 것 delay시킨다

6. A+ 혈액형 환자의 donor가 될 수 있는 혈액형은?

①A-  ②O+  ③AB-  ④B+   ⑤O-

7. UAP위임 가능환자 SATA

assist DM환자 퇴원 후 diet plan하기

5년전 tracheostomy가진 환자 drooling 시 oral suction

THR환자 drain 비우고 음압 걸어놓는다?

marking any drainage

elevate affected cast

assess color, temp

Myelomeningocele 환아 supine position 두고 있다

8.구개열 아이 보호자에게 제일먼저 알려주어야할것?

구개순열 수술한 12개월 아기 order

elbow restraint?

Only allow to play with direct supervision?

수유방법 교육한다

9.cleft palate 환아 수술 후 feeding에 대해 맞는 것은? (SATA)

젖꼭지 구멍이 큰 것으로 사용한다.

생리식염수 묻혀 면봉으로 입안을 닦는다.

안아서 세워 feeding 한다.

breastfeeding encourage 한다

10. clef lip과 clef palate를 둘다 수술한 환자가 병동에 오기로 되있을 때 initially로 준비해두어야 하는 것?

syringe(수술전)

산소 (수술후) suction

restraint

11. methamphetamine 옳은 것?단답

pupil is dilatated

withdrawl 있으면 methadone 쓰겠다

CNS depress 증상

methadone으로 바꿔서 천천히 tapering하며 치료하겠다.

priapism

#apering is defined as the process of slowly decreasing the amount of an addictive substance taken over time

Methylphenidate has been linked to a rare risk for priapism in males taking the stimulant methylphenidate for the treatment of ADHD

12.ALS -릴루졸(Riluzole) 확인할것

baclofen은 muscle strick 줄여줌

Rilutek은 nausea 줄여줌.

antibiotic med.

Rilutek (riluzole) is a benzothiazole drug indicated for the treatment of patients with amyotrophic lateral sclerosis (ALS). Rilutek is available as a generic. Rilutek extends survival and/or time to tracheostomy.

What Are Side Effects of Rilutek?

Side effects of Rilutek include:

weakness,drowsiness,nausea,stomach pain,dizziness,spinning sensation,

decreased lung function,diarrhea,constipation,muscle stiffness,

numbness or tingly feeling in or around your mouth,headache,

lightheadedness,tiredness,vomiting,loss of appetite, orrunny nose.

13. nurse is preparing for an educational conference about mild Alzheimer’s. which medication would help to slow down the process? (sata.

ssri

memantine(Namenda)

donepezil(Aricept)

lorazepam (Ativan)

antipsychotics

Aricept  . Namenda  . donepezil  . Exelon  . Namenda

memantine . galantamine  .Razadyne .rivastigmine . vitamin .

Alpha E . Hydergine . Namzaric  .  Aqua-E . Aquavite-E

ergoloid mesylates . etanercept

#An SSRI commonly prescribed to treat depression could help prevent the formation of Alzheimer's disease-associated amyloid plaques