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A bclient bis breceiving ba bcontinuous bhalf bstrength btube bfeeding bat b50ml/hour. bTo
bprepare benough bof bthe bsolution bfor beight bhours, bhow bmany bml bof bfull bstrength
bfeeding bwill bthe bnurse bneed? b(Enter bnumeric bvalue bonly.) b- bcorrect
banswers✔✔200ml b. b25 bml bof bfull bstrength bfeeding bmixed bwith b25ml bof bwater
bprovided b50ml bof bhalf bstrength. b25ml b× b8 bhours= b200ml
An belderly bmale bclient bis bexperiencing burinary bincontinence. bWhat bis bthe bbest
binitial bnursing baction? b- bcorrect banswers✔✔Apply ban bexternal bcondom bcatheter
3. bA bmale bMuslim bclient bwith bpneumonia bis bscheduled bto breceive ba bdose bof ban
bintravenous bantibiotic bbut brefuses bto ballow bthe bnurse bto bbegin bthe bmedication,
bstating bhe bcannot ballow bfluids bto benter bhis bbody bonce bhe bis bcleansed bfor bprayer.
bWhat baction bshould bthe bnurse bimplement? b- bcorrect banswers✔✔Reschedule
badministration bof bthe bantibiotic buntil bafter bhe bcompletes bhis bprayers
UAP busing ba bhand bsanitzers bthat bis balcohol bfor b2 bminutes b- bcorrect
banswers✔✔tell bthat bhand bsanitizer buse bis bless b> b2min
5.A bchild bis bto breceive bvancomycin b(Vancocin) b40 bmg/kg bIV bone bhour bbefore ba
bscheduled bprocedure. bThe bchild bweighs b44 bpounds. bHow bmany bmg bof bthe
bmedication bshould bthe bnurse badminister b- bcorrect banswers✔✔Answer: b800
bRationale: bFirst, bconvert bthe bchild's bweight bto bkg: b44 bpounds bdivided bby
2.2pound/kg b= b20 bkg. bNext bcalculate bthe bmg/kg/dose, b40 bmg bx b20 bkg b= b800mg
6. bWhile bassisting ba bpostpartum bclient bwith bperineal bcare, bthe bnurse bnotes bthat
bher bvaginal bbleeding bspurts brather bthan btrickles bfrom bthe bvagina. bThe buterine
bfundus bis bfirm band bthe bclient's bvital bsigns bare bpulse b88 bbeats/minute; brespiratory
brate, b21 bbreaths/minute; band bblood bpressure, b104/68 bmmHg. bWhat baction bshould
bthe bnurse btake bnext? b- bcorrect banswers✔✔Compare bcurrent bvital bsigns bwith
bprevious bvital bsigns
A b6-year bold bboy bwas bhit bwith ba bbat bwhile bplaying bat bschool. bHe bhas ba bsplinter
bof bwood bimbedded bin bhis beye. bWhich baction bshould bthe bschool bnurse btake? b-
bcorrect banswers✔✔Have bthe bparent btake bthe bchild bfor bemergency bhelp
, Within bfour bweeks bof bchildbirth, ba bclient bis badmitted bto bthe bhospital bfor
bdisorganized bspeech bbizarre bbehavior, band bstrange bthoughts babout bher binfant
bbeing bpossessed bby bdemons. bThe bnurse bidentifies ba bnursing bdiagnosis bof
b"Altered bthought bprocesses, bsecondary bto" bwhat bcondition? b- bcorrect
banswers✔✔Postpartum bpsychosis
The bnurse bidentifies ba bpriority bdiagnosis bof, b"Altered bcomfort brelated bto bmenstrual
bcramps" bfor ba b25-year-old bfemale bclient. bWhich bself-care bactivity bshould bthe
bnurse bemphasize bin bthe bclient's bteaching bplan? b- bcorrect banswers✔✔Regular
baerobic bexercise.
Psych/Alcohol/Tylenol boverdose bantidote b- bcorrect banswers✔✔Give bMucomyst
Medical bSurgical/Laxative babuses b- bcorrect banswers✔✔Patient b-taking bMilk bof
bMagnesium
Spiritual/Documentation b- bcorrect banswers✔✔Native bAmerican b- bAllow bpt's bfamily
bto bstay bin bthe broom
Leadership- bInterpreter binformed bconsent b- bcorrect banswers✔✔Pt bshould bsign bthe
bconsent
Geriatrics/Emergency bRib bfractures bfall b- bcorrect banswers✔✔Pulmonary bembolism
A bclient bdiagnosed bwith bmajor bdepression bis bbeing ballowed ba bweekend bpass bfrom
bthe bpsychiatric bunit. bWhich binstruction bshould bthe bnurse bprovide bto bthe bclient's
bfamily? b- bcorrect banswers✔✔Involve bthe bclient bin busual bat bhome bactivities
Upon bassessment, bthe bnurse bdiscovers bthat ba bpostpartum bclient bhas bpersistent
bred blochia.
Which bof bthe bfollowing bdoes bthis bassessment bfinding bsuggest bto bthe bnurse? b-
bcorrect banswers✔✔Coagulation bdisorders
The bhealthcare bprovider bperforms bperitoneal bdialysis bon ba bclient, bafter bwhich b2
bliters bof bfluid bis bdrained. bWhat baction bshould bthe bnurse bcomplete bfirst? b- bcorrect
banswers✔✔Assess bvital bsigns.
After badministering ba bmedication bthrough ba bnasogastric btube bconnected bto bsuction,
bwhat baction bshould bthe bnurse btake bfirst? b- bcorrect banswers✔✔Clamp bthe btube
The bnurse bis bcaring bfor bfour bclients: bClient bA b94% bo2 bsaturation, bClient bB,
bhemoglobin bof b8.;
Client bC, bpotassium blevel bof b3.8 band bClient bD bappendectomy bwho bhas ba bwhite
bblood bcell bcount bof b15,000. bWhat
should bthe bnurse bimplement? b- bcorrect banswers✔✔Determine bif bClient bB bhas btwo
bunits bof bpacked bcells bavailable bin bthe bblood bbank.