Terms in this set (31)
D) Peak and trough
Rationale: serum drug levels are obtained at the highest (peak) and lowest
(trough) levels,which provides useful information regarding the amount of drug
the individual client as in the bloodstream. Id the trough is greater that the
Aaron has been receiving antibiotic acceptable limit for the drug, the next dose should be withehld and the blood
therapy for several days. He has a mild level rechecked 6 hour later.
elevation in blood pressure and a 2x2
cm bruise in the antecubital space,
where blood was obtained earlier that
day, and has had two diarrheal stools in
4 hours. The nurse is concerned that he
is exhibiting signs of hepatotoxicity
related to antibiotic use. Which
diagnostic test should the nurse request a
prescription for to determine if Aaron is
develop drug toxicity?
A) Culture and sensitivity
B) Therapeutic index
C) Half life
D) Peak and trough
, C) "You are trying to cope with a lot of concerns right now."
Rationale: The response acknowledges the client's experience and encourages
further insight and verbalization by the client.
Aaron states, "I'm sorry I yelled at you,
but I'm so discouraged about this bed
sore and the infection." How should the
nurse respond to Aaron's statement?
A) "You had an infected pressure ulcer,
not a bed sore."
B) " You can't allow yourself to become
discouraged about this."
C) "You are trying to cope with a lot of
concerns right now."
D) "You don't need to worry, this
infection is almost resolved."
, D) Apply steady pressure using a 35 ml syringe and 19-gauge needle
Rationale: Using a 35-ml syringe and 19-gauge needle provides 8 pounds per
After assessing for sinus tracts, the nurse square inch (PSI), which applies adequate pressure to ensure effective irrigation.
irrigates the wound as prescribed with Safe, effective pressure is between 4 and 15 PSI. More that 15 PSI will drive
normal saline. Which irrigation bacteria in the wound and destroy healthy tissue.
technique is best?
A) Pour the saline directly onto the
wound from the bottle.
B) Moisten a sterile gauze pad and pat
the gauze over the wound
C) Irrigate as gently as possible using a
60 ml bulb syringe
D) Apply steady pressure using a 35 ml
syringe and 19-gauge needle
A) Client's skin will remain intact
Rationale: A goal should be a broad statement that includes, in positive
terminology, the intended effect of the planned interventions.
After establishing the priority diagnosis,
the nurse identifies goals and expected
outcomes. Which goal will the nurse
include in Aaron's plan of care?
A) Client's skin will remain intact
B) Client's motor function will be
restored
C) Client teaching will be provided
D) Impaired skin integrity will not occur
D) Peak and trough
Rationale: serum drug levels are obtained at the highest (peak) and lowest
(trough) levels,which provides useful information regarding the amount of drug
the individual client as in the bloodstream. Id the trough is greater that the
Aaron has been receiving antibiotic acceptable limit for the drug, the next dose should be withehld and the blood
therapy for several days. He has a mild level rechecked 6 hour later.
elevation in blood pressure and a 2x2
cm bruise in the antecubital space,
where blood was obtained earlier that
day, and has had two diarrheal stools in
4 hours. The nurse is concerned that he
is exhibiting signs of hepatotoxicity
related to antibiotic use. Which
diagnostic test should the nurse request a
prescription for to determine if Aaron is
develop drug toxicity?
A) Culture and sensitivity
B) Therapeutic index
C) Half life
D) Peak and trough
, C) "You are trying to cope with a lot of concerns right now."
Rationale: The response acknowledges the client's experience and encourages
further insight and verbalization by the client.
Aaron states, "I'm sorry I yelled at you,
but I'm so discouraged about this bed
sore and the infection." How should the
nurse respond to Aaron's statement?
A) "You had an infected pressure ulcer,
not a bed sore."
B) " You can't allow yourself to become
discouraged about this."
C) "You are trying to cope with a lot of
concerns right now."
D) "You don't need to worry, this
infection is almost resolved."
, D) Apply steady pressure using a 35 ml syringe and 19-gauge needle
Rationale: Using a 35-ml syringe and 19-gauge needle provides 8 pounds per
After assessing for sinus tracts, the nurse square inch (PSI), which applies adequate pressure to ensure effective irrigation.
irrigates the wound as prescribed with Safe, effective pressure is between 4 and 15 PSI. More that 15 PSI will drive
normal saline. Which irrigation bacteria in the wound and destroy healthy tissue.
technique is best?
A) Pour the saline directly onto the
wound from the bottle.
B) Moisten a sterile gauze pad and pat
the gauze over the wound
C) Irrigate as gently as possible using a
60 ml bulb syringe
D) Apply steady pressure using a 35 ml
syringe and 19-gauge needle
A) Client's skin will remain intact
Rationale: A goal should be a broad statement that includes, in positive
terminology, the intended effect of the planned interventions.
After establishing the priority diagnosis,
the nurse identifies goals and expected
outcomes. Which goal will the nurse
include in Aaron's plan of care?
A) Client's skin will remain intact
B) Client's motor function will be
restored
C) Client teaching will be provided
D) Impaired skin integrity will not occur
