PN3 Final Exam 2023 UPDATE SCORED {85%}

PN3 Final Exam 2023 UPDATE SCORED {85%} A nurse is admitted to the hospital with an infected postoperative surgical wound. The practitioner orders vancomycin IV. Order: Vancomycin 1 gram in 500 ml dextrose 5% water (D5W) to infuse over 2 hours via infusion pump. Calculate the flow rate in ml/hr. 250 6. A nurse assesses a client who sustained a basal skull fracture and notes a thin stream of clear drainage coming from the client's right nostril. Which of the following actions should the nurse take first? Palpate the clients head for the presence of fractures Assess the drainage from eyes and ears Assess the drainage and test the drainage to rule out cerebral spinal fluid Ask the client to keep their head elevate 7. An emergency department nurse triages a client with diabetes mellitus who has fractured her wrist. Which action would the nurse take first? Remove the medical alert bracelet from the fractured arm Place the client in a supine position with a warm blanket Cover any open areas with a sterile dressing Immobilize the arm by splinting the fracture 8. A nurse cares for a client who has obstructive jaundice. The client asks, " Why is my skin so itchy?" How would the nurse respond? "Bile salts accumulate in the skin and cause the itching." "Toxins released from an inflamed gallbladder lead to itching." "Itching is caused by the release of calcium into the skin." "Itching is caused by a hypersensitivity reaction. 9. A nurse is caring for a client on mechanical ventilation and finds the client agitated and restless. What action by the nurse is most appropriate? Reassure the client that they are safe Restrain the clients' legs and arms Sedate the client immediately Assess the cause of the agitation 10. A nurse obtains the health history of a client with a fractured femur. Which factor identified in the client's history would the nurse recognize as an aspect that may delay healing? Osteoporosis Oral contraceptives Sedentary lifestyle Current smoking history