WGU C475 care of the elderly EXAM A+ GRADE ASSURED COMPLETE SOLUTIONS AND VERIFIED ANSWERS LATEST UPDATE!!!!

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Exam Solution zm




NCLEX LPN Pharmacological Parenteral Therapies 2 2
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026 A+ GRADE ASSURED COMPLETE SOLUTIONS AND V
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ERIFIED ANSWERS (E8ABB) zm zm




QUESTION 1 zm




The LPN/LVN prepares to administer the initial doses of furosemide (Lasix) to a client
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. It is MOST important for the LPN/LVN to review the client's chart for which of the fo
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llowing client data? 1. Allergy to sulfa drugs. 2. Intake and output for the previous 24
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hours. 3. Admission weight and current weight. 4. Signs/symptoms of infection.
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ANSWER

Strategy: "MOST important" indicates discrimination is required to answer the question. (1) CORREC
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T— furosemide (Lasix) is a sulfa-
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based drug; sulfa is a common allergen; Lasix is a loop diuretic; side effects include hypotension, hy
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pokalemia (2) may monitor to determine client's response to diuretic; more concerned about intake
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and output after client takes medication (3) since is diuretic, can significantly alter weight; not nece
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ssary before administering drug (4) no impact on infectious processes
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QUESTION 2 zm




The nurse dilutes a 2-
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g vial of cefazolin (Ancef) with 3 mL of diluent to yield a volume of 3.2 mL. How man
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y mL should the nurse administer if the physician orders 550 mg IM? Type the correc
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t answer in the blank. Record the answer to the hundredths place. Do not round
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ANSWER

Strategy: 1 g = 1,000 mg. Correct answer: 0.88
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QUESTION 3 zm




The nurse cares for a client receiving IV fluids. The physician orders 600 mL of IV flui
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ds to infuse in 4 hours. The nurse should set the infusion device to infuse how many
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mL per hour? Type the correct answer into the blank.
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, ANSWER

Strategy: Perform the math. Correct answer: 150
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QUESTION 4 zm




After 2 weeks of chemotherapy treatments, a client's white blood cell count is 2,000/
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mm3. The LPN/LVN knows that this finding is most likely due to which of the followin
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g? 1. Infection. 2. Bone marrow depression. 3. Weight loss. 4. Polycythemia.
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ANSWER

Strategy: Think about each answer. (1) normal white blood cell count is 4,500 to 11,000/mm3; decr
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eased white blood cell counts will cause infection; place client in private room; meticulous hand was
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hing; monitor for signs of infection (2) CORRECT—
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chemotherapy causes bone marrow depression (3) chemotherapy causes nausea and vomiting, which
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mcan lead to weight loss; cancer also contributes to weight loss (4) hematocrit that is persistently >5
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5%; treatment is repeated phlebotomy
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QUESTION 5 zm




A patient is ordered to receive an intravenous infusion of 3,000 cc of 0.9% NaCl over
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24 hours. The nurse observes the rate is 150 mL/h. If the solution runs continuously
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at this rate, how many hours will it take to complete the infusion? Type the correct a
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nswer into the blank. zm zm zm




ANSWER

Strategy: Perform the math. Correct answer: 20
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QUESTION 6 zm




The LPN/LVN completes an assessment form for a client in the outpatient psychiatric
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unit. The client states he has been taking imipramine (Tofranil) for 2 weeks. It is MOS
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T important for the LPN/LVN to be alert for which of the following? 1. Anger and sarc
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asm. 2. Suicidal behaviors. 3. Withdrawal from reality. 4. Early-morning waking.
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ANSWER

Strategy: "MOST important" indicates discrimination is required to answer the question. (1) more lik
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ely to see drowsiness and anxiety (2) CORRECT—
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tricyclic antidepressants begin to take effect about 10 to 14 days after treatment is started; at that t
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ime, clients may have enough physical and emotional energy to act upon their suicidal thoughts (3)
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psychotic behavior; does not occur with antidepressants (4) causes sedation; other side effects inclu
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de dry mouth, blurred vision, photosensitivity, orthostatic hypotension
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QUESTION 7 zm