Saunders Week 14 Comprehensive
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A client in week 35 of her pregnancy is placed on the fetal heart monitor for a nonstress test (NST) as a
result of her complaints of decreased fetal movement. Twenty minutes after placing the client on the
monitor, the nurse sees the following monitor strip and makes which conclusion regarding the NST?
Refer to figure. - Answer -The FHR is reactive, with a baseline of 130 beats/minute, moderate
variability, and no decelerations.
The criteria for a reactive NST are 2 or more accelerations of 15 beats/minute, lasting for 15 seconds
over a 20-minute period; normal baseline rate (110 to 160 beats/minute); and variability amplitude of 10
or more beats/minute. No decelerations are noted on the fetal monitor strip. The fetal monitor strip
identifies these criteria; therefore, option 2 is correct.
A client with type 1 diabetes mellitus is admitted to the hospital with diabetic ketoacidosis and a serum
glucose level of 789 mg/dL (45 mmol/L). The primary health care provider (PHCP) prescribes 10 units of
regular insulin by intravenous (IV) bolus, followed by a continuous insulin infusion at a rate of 5 units/hr.
The pharmacy sends 500 mL of normal saline solution containing 50 units of regular insulin. After
administering the IV bolus of 10 units of regular insulin, the nurse sets the infusion pump flow rate of the
normal saline solution containing 50 units of regular insulin to infuse at how many milliliters per hour to
deliver 5 units/hr? Fill in the blank. - Answer -50 mL/hr
A community health nurse is preparing to administer a tuberculin skin test. The nurse should select
which syringe to administer the medication? Click on the image to indicate your answer. - Answer -
3
A tuberculin skin test is done to determine exposure to tuberculosis. The nurse uses a tuberculin or a
small hypodermic syringe for skin testing. The correct option identifies a tuberculin syringe that is used
for skin testing.
A prescription reads 1000 mL of normal saline (NS) to infuse over 12 hours. The drop factor is 15 drops
(gtt)/1 mL. The nurse prepares to set the flow rate at how many drops per minute? Fill in the blank.
Record your answer to the nearest whole number. - Answer -21 drops per minute
A prescription reads 1000 mL of normal saline 0.9% to infuse over 8 hours. The drop factor is 15 drops
(gtt)/1 mL. The nurse sets the flow rate at how many drops per minute? Fill in the blank. Record your
answer to the nearest whole number. - Answer -31 drops per minute
, A prescription reads phenytoin 0.2 g orally twice daily. The medication label states that each capsule is
100 mg. The nurse prepares how many capsule(s) to administer 1 dose? Fill in the blank. - Answer -
2 capsules
A primary health care provider prescribes 1 unit of packed red blood cells to be infused over 4 hours. The
unit of blood contains 250 mL. The drop factor is 15 drops (gtt)/mL. The nurse should set the flow rate at
how many drops per minute? Fill in the blank. Round your answer to the nearest whole number. -
Answer -16 gtt/min
A primary health care provider prescribes 1000 mL of normal saline to infuse over 6 hours. The drop
factor is 15 drops (gtt)/mL. The nurse prepares to set the flow rate at how many drops per minute? Fill in
the blank. Record your answer to the nearest whole number. - Answer -42 gtt/min
A primary health care provider prescribes 2000 mL of 5% dextrose and half normal saline to infuse over
24 hours. The drop factor is 15 drops (gtt)/mL. The nurse sets the flow rate at how many drops per
minute? Fill in the blank. Round your answer to the nearest whole number. - Answer -21 gtt/min
A primary health care provider prescribes 3000 mL of 5% dextrose in water to run over a 24-hour period.
The drop factor is 15 drops (gtt) per 1 mL. The nurse adjusts the flow rate to run at how many drops per
minute? Fill in the blank. Record your answer to the nearest whole number. - Answer -31
A primary health care provider prescribes 500 mL of half normal saline to infuse over 8 hours. The drop
factor is 15 drops (gtt)/mL. The nurse sets the flow rate at how many drops per minute? Fill in the blank.
Record your answer to the nearest whole number. - Answer -16
A primary health care provider prescribes 500 mL of normal saline to infuse over 5 hours. The drop
factor is 10 drops (gtt)/mL. The nurse sets the flow rate at how many drops per minute? Fill in the blank.
Round your answer to the nearest whole number. - Answer -17 gtt/min
A primary health care provider prescribes heparin sodium 900 units per hour by continuous intravenous
(IV) infusion. The pharmacy prepares the medication and delivers an IV bag labeled heparin 25,000 units
in 500 mL of normal saline. An infusion pump must be used to administer the medication. How many
milliliters per hour are required to deliver the prescribed dose? Fill in the blank. - Answer -18
mL/hr
A primary health care provider prescribes morphine sulfate 4 mg, intravenously (IV) stat, for a
postoperative client in pain. The medication label states morphine sulfate 2 mg/mL. How many milliliters
will the nurse prepare to administer to the client? Fill in the blank. - Answer -2
A primary health care provider's prescription reads acetaminophen liquid, 450 mg orally every 4 hours
PRN (as needed) for pain. The medication label reads 160 mg/5 mL. The nurse prepares how many
milliliters to administer 1 dose? Fill in the blank. Round your answer to the nearest whole number. -
Answer -14 mL
A primary health care provider's prescription reads nitroglycerin grains 1/150 sublingually stat. The label
on the bottle reads nitroglycerin 0.4 mg/tablet. The nurse prepares how many tablet(s) to administer the
correct dose? Fill in the blank. - Answer -1 tablet(s)
Questions with Correct Answers Perfect
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A client in week 35 of her pregnancy is placed on the fetal heart monitor for a nonstress test (NST) as a
result of her complaints of decreased fetal movement. Twenty minutes after placing the client on the
monitor, the nurse sees the following monitor strip and makes which conclusion regarding the NST?
Refer to figure. - Answer -The FHR is reactive, with a baseline of 130 beats/minute, moderate
variability, and no decelerations.
The criteria for a reactive NST are 2 or more accelerations of 15 beats/minute, lasting for 15 seconds
over a 20-minute period; normal baseline rate (110 to 160 beats/minute); and variability amplitude of 10
or more beats/minute. No decelerations are noted on the fetal monitor strip. The fetal monitor strip
identifies these criteria; therefore, option 2 is correct.
A client with type 1 diabetes mellitus is admitted to the hospital with diabetic ketoacidosis and a serum
glucose level of 789 mg/dL (45 mmol/L). The primary health care provider (PHCP) prescribes 10 units of
regular insulin by intravenous (IV) bolus, followed by a continuous insulin infusion at a rate of 5 units/hr.
The pharmacy sends 500 mL of normal saline solution containing 50 units of regular insulin. After
administering the IV bolus of 10 units of regular insulin, the nurse sets the infusion pump flow rate of the
normal saline solution containing 50 units of regular insulin to infuse at how many milliliters per hour to
deliver 5 units/hr? Fill in the blank. - Answer -50 mL/hr
A community health nurse is preparing to administer a tuberculin skin test. The nurse should select
which syringe to administer the medication? Click on the image to indicate your answer. - Answer -
3
A tuberculin skin test is done to determine exposure to tuberculosis. The nurse uses a tuberculin or a
small hypodermic syringe for skin testing. The correct option identifies a tuberculin syringe that is used
for skin testing.
A prescription reads 1000 mL of normal saline (NS) to infuse over 12 hours. The drop factor is 15 drops
(gtt)/1 mL. The nurse prepares to set the flow rate at how many drops per minute? Fill in the blank.
Record your answer to the nearest whole number. - Answer -21 drops per minute
A prescription reads 1000 mL of normal saline 0.9% to infuse over 8 hours. The drop factor is 15 drops
(gtt)/1 mL. The nurse sets the flow rate at how many drops per minute? Fill in the blank. Record your
answer to the nearest whole number. - Answer -31 drops per minute
, A prescription reads phenytoin 0.2 g orally twice daily. The medication label states that each capsule is
100 mg. The nurse prepares how many capsule(s) to administer 1 dose? Fill in the blank. - Answer -
2 capsules
A primary health care provider prescribes 1 unit of packed red blood cells to be infused over 4 hours. The
unit of blood contains 250 mL. The drop factor is 15 drops (gtt)/mL. The nurse should set the flow rate at
how many drops per minute? Fill in the blank. Round your answer to the nearest whole number. -
Answer -16 gtt/min
A primary health care provider prescribes 1000 mL of normal saline to infuse over 6 hours. The drop
factor is 15 drops (gtt)/mL. The nurse prepares to set the flow rate at how many drops per minute? Fill in
the blank. Record your answer to the nearest whole number. - Answer -42 gtt/min
A primary health care provider prescribes 2000 mL of 5% dextrose and half normal saline to infuse over
24 hours. The drop factor is 15 drops (gtt)/mL. The nurse sets the flow rate at how many drops per
minute? Fill in the blank. Round your answer to the nearest whole number. - Answer -21 gtt/min
A primary health care provider prescribes 3000 mL of 5% dextrose in water to run over a 24-hour period.
The drop factor is 15 drops (gtt) per 1 mL. The nurse adjusts the flow rate to run at how many drops per
minute? Fill in the blank. Record your answer to the nearest whole number. - Answer -31
A primary health care provider prescribes 500 mL of half normal saline to infuse over 8 hours. The drop
factor is 15 drops (gtt)/mL. The nurse sets the flow rate at how many drops per minute? Fill in the blank.
Record your answer to the nearest whole number. - Answer -16
A primary health care provider prescribes 500 mL of normal saline to infuse over 5 hours. The drop
factor is 10 drops (gtt)/mL. The nurse sets the flow rate at how many drops per minute? Fill in the blank.
Round your answer to the nearest whole number. - Answer -17 gtt/min
A primary health care provider prescribes heparin sodium 900 units per hour by continuous intravenous
(IV) infusion. The pharmacy prepares the medication and delivers an IV bag labeled heparin 25,000 units
in 500 mL of normal saline. An infusion pump must be used to administer the medication. How many
milliliters per hour are required to deliver the prescribed dose? Fill in the blank. - Answer -18
mL/hr
A primary health care provider prescribes morphine sulfate 4 mg, intravenously (IV) stat, for a
postoperative client in pain. The medication label states morphine sulfate 2 mg/mL. How many milliliters
will the nurse prepare to administer to the client? Fill in the blank. - Answer -2
A primary health care provider's prescription reads acetaminophen liquid, 450 mg orally every 4 hours
PRN (as needed) for pain. The medication label reads 160 mg/5 mL. The nurse prepares how many
milliliters to administer 1 dose? Fill in the blank. Round your answer to the nearest whole number. -
Answer -14 mL
A primary health care provider's prescription reads nitroglycerin grains 1/150 sublingually stat. The label
on the bottle reads nitroglycerin 0.4 mg/tablet. The nurse prepares how many tablet(s) to administer the
correct dose? Fill in the blank. - Answer -1 tablet(s)
