STUVIA 2024/2025
NCLEX Challenge 3
earlobe
The earlobe is rarely edematous, is the least affected by decreased blood flow,
and has greater accuracy when measuring oxygen saturation. - ✔✔a nurse is
preparing to measure a pt oxygen saturation level and observes edema of both
hands and thickened toe nails. the nurse should apply the pulse oximeter to
which location?
tomatoes, bananas, raisins
are all high-potassium foods - ✔✔a nurse is teaching a client who has chronic
kidney disease about limiting foods that are high in potassium. which of the
following foods should the nurse instruct pt to avoid?
100 mL/hr
%
mL/hr= 50mL/30min x 60min/hr (in this case I guess 300mg = 50mL?) - ✔✔300
mg by intermittent IV bolus over 30 min to a client with a staph infection.
available is 50 mL premixed in 0.90% sodium chloride. IV pump should be set to
deliver how many mL/hr?
client has an NG tube
NG tube to gastric suction can put pt at risk for developing hypokalemia due to
the GI loss of potassium
- spironolactone is a potassium-sparing diuretic and can cause hyperkalemia
- alcohol abuse disorder puts pt at risk for hypomagnesaemia
- drinking 3.5-4 L of water each day can cause hyponatremia - ✔✔nurse is
reviewing med record of pt who has K level of 3.0. which should the nurse
recognize as a potential causative factor?
stuvia
, STUVIA 2024/2025
calcium gluconate
treats magnesium sulfate toxicity
- flumazenil is for sedative effects of benzodiazepines
- naloxone reverses opioid overdose
- protamine is for heparin overdose - ✔✔a client who is receiving magnesium
sulfate has a urine output of 20 mL/hr. which med should the nurse expect to
administer?
impaired motor control
rise in body temp, loss of appetite, and increased heart rate occurs with
dehydration - ✔✔nurse is providing teaching to a group of adult athletes about
preventing dehydration. what manifestations should the nurse include in the
teaching?
%
reduction of T-wave amplitude
hyperkalemia causes peaked T waves and sometimes widened QRS on ECG;
hyperkalemia does not generally affect P waves or the amplitude of the QRS
complex - ✔✔nurse is caring for client who has serum potassium level of 5.5.
provider prescribes polystyrene sulfonate. if this med is effective, the nurse
should expect which of the following changes on the client's ECG?
21 (20.83)
gtt/min = 10gtt/mL x 3000mL/24hr x 1hr/60min - ✔✔nurse is preparing to
administer 0.9% sodium chloride 3000 mL IV to infuse over 24 hr. drop factor on
manual IV tubing is 10 gtt/mL. nurse should set the manual IV infusion to deliver
how many gtt/min?
"I will wear synthetic clothing and woolen socks when using my oxygen"
stuvia
NCLEX Challenge 3
earlobe
The earlobe is rarely edematous, is the least affected by decreased blood flow,
and has greater accuracy when measuring oxygen saturation. - ✔✔a nurse is
preparing to measure a pt oxygen saturation level and observes edema of both
hands and thickened toe nails. the nurse should apply the pulse oximeter to
which location?
tomatoes, bananas, raisins
are all high-potassium foods - ✔✔a nurse is teaching a client who has chronic
kidney disease about limiting foods that are high in potassium. which of the
following foods should the nurse instruct pt to avoid?
100 mL/hr
%
mL/hr= 50mL/30min x 60min/hr (in this case I guess 300mg = 50mL?) - ✔✔300
mg by intermittent IV bolus over 30 min to a client with a staph infection.
available is 50 mL premixed in 0.90% sodium chloride. IV pump should be set to
deliver how many mL/hr?
client has an NG tube
NG tube to gastric suction can put pt at risk for developing hypokalemia due to
the GI loss of potassium
- spironolactone is a potassium-sparing diuretic and can cause hyperkalemia
- alcohol abuse disorder puts pt at risk for hypomagnesaemia
- drinking 3.5-4 L of water each day can cause hyponatremia - ✔✔nurse is
reviewing med record of pt who has K level of 3.0. which should the nurse
recognize as a potential causative factor?
stuvia
, STUVIA 2024/2025
calcium gluconate
treats magnesium sulfate toxicity
- flumazenil is for sedative effects of benzodiazepines
- naloxone reverses opioid overdose
- protamine is for heparin overdose - ✔✔a client who is receiving magnesium
sulfate has a urine output of 20 mL/hr. which med should the nurse expect to
administer?
impaired motor control
rise in body temp, loss of appetite, and increased heart rate occurs with
dehydration - ✔✔nurse is providing teaching to a group of adult athletes about
preventing dehydration. what manifestations should the nurse include in the
teaching?
%
reduction of T-wave amplitude
hyperkalemia causes peaked T waves and sometimes widened QRS on ECG;
hyperkalemia does not generally affect P waves or the amplitude of the QRS
complex - ✔✔nurse is caring for client who has serum potassium level of 5.5.
provider prescribes polystyrene sulfonate. if this med is effective, the nurse
should expect which of the following changes on the client's ECG?
21 (20.83)
gtt/min = 10gtt/mL x 3000mL/24hr x 1hr/60min - ✔✔nurse is preparing to
administer 0.9% sodium chloride 3000 mL IV to infuse over 24 hr. drop factor on
manual IV tubing is 10 gtt/mL. nurse should set the manual IV infusion to deliver
how many gtt/min?
"I will wear synthetic clothing and woolen socks when using my oxygen"
stuvia
