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WorksheetsHigh Alert & Parenteral Therapy
Total questions: 20
Worksheet time: 13mins
A nurse prepares to administer rapid-acting insulin to a patient with diabetes. Which assessment finding requires the nurse to hold the medication?
A. Blood glucose 186 mg/dL
B. Patient reports nausea
C. Meal tray has not arrived
D. Urine output 45 mL/hr
Which findings are early signs of hypoglycemia? (Select all that apply.)
A. Diaphoresis
B. Confusion
C. Bradycardia
D. Tremors
E. Dry mucous membranes
A patient receiving a continuous heparin infusion develops black, tarry stools. What is the priority nursing action?
A. Continue infusion and document findings
B. Administer protamine sulfate
C. Hold heparin and notify the provider
D. Obtain a STAT platelet count
Which assessments are priorities for a patient receiving IV opioid medication? (Select all that apply.)
A. Respiratory rate
B. Pain score
C. Oxygen saturation
D. Level of consciousness
E. Bowel sounds
The nurse is preparing to administer digoxin. Which finding requires the nurse to withhold the medication?
A. Blood pressure 138/82
B. Apical pulse 54 bpm
C. Potassium 4.1 mEq/L
D. Respiratory rate 18/min
Which findings suggest digoxin toxicity? (Select all that apply.)
A. Nausea and vomiting
B. Yellow-green halos
C. Hypertension
D. Bradycardia
E. Dry cough
A nurse notices cool, pale swelling at a patient’s IV site. What complication does the nurse suspect?
A. Phlebitis
B. Infection
C. Infiltrat
D. Extravasation
Which nursing actions are appropriate for IV infiltration? (Select all that apply.)
A. Stop the infusion
B. Apply warm compress
C. Remove the IV catheter
D. Elevate the extremity
E. Administer antidot
During a blood transfusion, the patient develops chills, fever, and back pain. What is the first nursing action?
A. Administer acetaminophen
B. Stop the transfusion
C. Notify the provider
D. Increase IV flow rate
After stopping a blood transfusion reaction, which actions should the nurse take? (Select all that apply.)
A. Maintain IV access with normal saline
B. Monitor vital signs
C. Send blood tubing to the lab
D. Restart transfusion after symptoms resolve
E. Notify the blood bank
Which lab value is most concerning in a patient receiving IV potassium?
A. Na 138
B. K 5.8
C. Ca 9.0
D. Mg 1.9
Which safety rules apply to IV potassium? (Select all that apply.)
A. Never IV push
B. Ensure adequate urine output
C. Cardiac monitoring if high dose
D. Administer rapidly
E. Dilute appropriately
A patient taking warfarin has an INR of 5.6. What is the nurse’s priority action?
A. Administer the scheduled dose of warfarin
B. Encourage foods high in vitamin K
C. Hold the warfarin and notify the provider
D. Start a heparin infusion
Which findings indicate opioid overdose? (Select all that apply.)
A. Respiratory rate 8/min
B. Pinpoint pupils
C. Elevated blood pressure
D. Decreased level of consciousness
E. Hyperactive bowel sounds
Which medication reverses opioid overdose?
A. Protamine sulfate
B. Naloxone
C. Vitamin K
D. Glucagon
Which findings indicate anaphylaxis? (Select all that apply.)
A. Wheezing
B. Urticaria
C. Hypotension
D. Bradycardia
E. Facial swelling
A diabetic patient becomes diaphoretic and confused. What is the priority nursing action?
A. Administer insulin
B. Check blood glucose
C. Administer glucagon
D. Call the provider
Which assessments are essential before administering IV morphine? (Select all that apply.)
A. Respiratory rate
B. Blood pressure
C. Pain rating
D. Pupillary response
E. Oxygen saturation
A patient receiving heparin suddenly develops severe headache and confusion. What complication does the nurse suspect?
A. Hypoglycemia
B. Intracranial bleeding
C. Pulmonary embolism
D. Heparin-induced thrombocytopenia
Which cues should trigger the nurse to suspect a medication-related emergency? (Select all that apply.)
A. New confusion
B. Sudden drop in oxygen saturation
C. Mild pain at injection site
D. Unexplained hypotension
E. Decreasing urine output
