CORRECT ANSWERS
Awlnursewliswlcaringwlforwlawlclientwlwhowliswltowlreceivewl1,500wlmLwlofwl0.9%wlsodiumwlchl
oridewlIVwloverwl8wlhours.wlThewlnursewlplanswltowlusewlIVwltubingwlwithwlawldropwlfactorwlof
wl10gtt/mL.wlHowwlmanywlgtt/minwlofwlIVwlfluidwlshouldwlthewlclientwlreceive?
wl(Roundwlyourwlanswerwltowlthewlnearestwlwholewlnumber).wl-wlANS--31gtt/min
Awlnursewliswlassessingwlawlclientwlwhowliswlreceivingwlchloramphenicolwl(Chloromycetin).
wlWhichwlofwlthewlfollowingwlfindingswliswlanwladversewleffectwlofwlthiswlmedication?
wl(adversewlaffectwliswlthrombocytopenia)
Ecchymosis
Ototoxicitywl
Hypertensionwl
Anxietywl-wlANS--Ecchymosis
Awlnursewliswladmittingwlawlclientwltowlawllong-
termwlcarewlfacility.wlWhilewlreconcilingwlthewlmedicationwlprescribedwlatwlhomewlwithwltho
sewlprescribedwlinwlthewlfacility,wlthewlnursewldiscoverswlawldiscrepancywlinwlthewldosages.
wlWhichwlactionwlshouldwlthewlnursewltake?
1)wlclarifywlthewlmedwldosewlwithwlthewlproviderwl
2)wlChangewlthewlprescribedwlmedicationwldosageswltowlreconcilewlthewldiscrepancywl3)wl
Contactwlthewlpharmacistwlregardingwlthewldosagewldiscrepancieswl
4)wlAskwlawlfamilywlmemberwltowlverifywlthewlmedicationwldosageswl-wlANS--
1)wlclarifywlthewlmedwldosewlwithwlthewlprovider
Awlnursewliswlcaringwlforwlawlclientwlwhowliswlreceivingwlawlfentanylwltransdermalwlsystemwl(
Duragesic).wlWhatwliswlimportantwltowldocumentwlinwlthewlclient'swlrecord?
Fluidintakewl
Skinwlintegritywl
Respiratorywlratewl
Pulsewlratewl-wlANS--Respiratorywlrate
Awlnursewliswlcaringwlforwlawlclientwlwhowlhaswlacutewlanginawlandwlhaswlawlprescriptionwlfo
rwlnitroglycerin.wlWhichwlofwlthewlfollowingwliswlanwlappropriatewlinterventionwlforwlthewlnur
sewltowltakewlwhenwladministeringwlthiswlmedication?
Massagewlthewlnitroglycerinwlointmentwlcompletelywlintowlthewlskin.wl
Replacewlthewlnitroglycerinwltransdermalwlpatchwleverywl4hours.wl
Administerwlawlsustainedwlnitroglycerinwltabletorally.wl
, Administerwlawlnitroglycerinwltabletwlsublinguallywleverywl5minuteswl-wlANS--
Administerwlawlnitroglycerinwltabletwlsublinguallywleverywl5minutes
Awlnursewliswlpreparingwltowladministerwlinfliximabwl(Remicade)wltowlawlclientwlwhowlhasrh
eumatoidwlarthritis.wlThewlnursewlshouldwlwatchwlthewlpatientwlforwlwhichwlofwlthewlfollowin
gwladversewleffects?(Selectwlallwlthatwlapply.)
Jaundicewl
Polyuriawl
Urtipeniawl
Feverwl-wlANS--Jaundicewl
Urtipeniawl
Fever
AwlnursewliswlprovidingwlteachingwltowlawlclientwlwhowlwaswlrecentlywldiagnosedwlaswlHIVwl
positive.Thewlclientwliswlbeginningwlmedicationwltherapywlwithwlzidovudinewl(Retrovir).wlW
hichwlofwlthefollowingwlstatementswlshouldwlthewlnursewlincludewlinwlthewlteaching.wl(Selec
twlallwlthatapply.)
Mustwlbewltakenwlwithwlotherrwletroviralwlmedicines
Haswlfewwladversewleffectswl
CureswlanwlHIVinfectionwl
PreventswlyouwlfromwltransmittingwlthewlHIVinfectionwl
IncreaseswlCD4+wlcellwlcountwl-wlANS--
Mustwlbewltakenwlwithwlotherwletroviralwlmedicationswl
Haswlfewwladversewleffectswl
IncreaseswlCD4wlandwlcellwlcount
Awlnursewliswlassessingwlawlschoolwlagewlclientwlwhowliswlexperiencingwlseizurewlactivitywl
andwlisprescribedwldiazepamwl(Valium)wlIV.wlThewlnursewlshouldwlshouldwlclarifywlthewlord
erwlifwlthewlclientwliswlreceivingawlcontinuouswlinfusionwlofwlwhichwlofwlthewlfollowingIV:
LactatedwlRingerswlsolutionwl
0.9%wlSodiumwlchloridewlwithwl100wlunitswlofwlregularinsulinwl
0.9%wlsodiumchloridewl
0.9%wlSodiumwlchloridewlwithwl20wlmEqwlofwlpotassiumwlchloridewl-wlANS--
LactatedwlRingerswlsolution
Awlnursewliswlassessingwlawlclientwlwhowliswltakingwlenalaprilwl(Vasotec)wlforwlcongestivewl
heartfailure.wlWhichwlofwlthewlfollowingwlindicateswlanwlexpectedwlfinding?
Activitywltolerancewl
Orthostaticwlhypotensionwl
Losswlofwlstrengthwl
Increasewlinwlbloodwlpressurewl-wlANS--Orthostaticwlhypotension