NurseLogic 2.0: Knowledge and Clinical Judgement - Advanced Test
with Answers
A nurse is caring for a client who has terminal with bipolar disorder and is taking lithium
pancreatic cancer. The client is competent and (Lithane). Which of the following serum lithium
has requested no resuscitative measures be levels indicates the client's dosage is appropriate
taken in the event of respiratory or cardiac arrest. for maintenance therapy? - - 0.75 mEq/L
Which of the following is necessary to legally
change the client's code status to do-not- Lithium is a mood-stabilizing medication used in
resuscitate (DNR)? - - A written the treatment of bipolar I acute and recurrent
prescription from the provider manic and depressive episodes. To achieve a
therapeutic range, give 300 mg to 600 mg of
A DNR is typically instituted at the request of a lithium during the active phase. The therapeutic
client or family member and should be a written serum lithium level is between 0.8 mEq/L and 1.4
order instead of a verbal prescription. Until a mEq/L. Maintenance levels of 0.4 to 1.3 mEq/L
DNR prescription exists. every attempts to revive are then achieved for clients who are prescribed
the client should be made in the event of lithium for long-term therapy. Because small
respiratory or cardiac arrest. A written increments of dosage separate therapeutic,
prescription from the provider is necessary to maintenance, and toxic levels of lithium,
legally change the client's code status to a DNR knowledge of these levels is essential to ensure
safe, quality care. This serum lithium level
indicates the client's dosage is appropriate for
A nurse is caring for a toddler who has acute maintenance therapy.
otitis media and is prescribed benzocaine
(Americaine) ear drops for pain relief. Which of
the following actions by the nurse is appropriate A nurse is caring for a client who is scheduled for
when administering the ear drops? - - a lumbar puncture. The nurse should teach the
Warm refrigerated drops to room temperature client that which of the following is a post-
prior to instillation. procedure complication? - - Headache
Because of the anatomy of internal ear A headache is a manifestation experienced by 15
structures, it is important to remember that the to 30% of clients following a lumbar puncture that
ear is sensitive to extremes in temp. Ear drops results from cerebrospinal fluid leakage at the
should be warmed to room temp prior to puncture site. These headaches are managed
instillation to reduce the risk of painful stimuli primarily with analgesics, hydration, and bed rest
A nurse is caring for a client who has a new A nurse is reinforcing teaching about a new
colostomy. The client is being discharged and prescription for cromolyn sodium (Intal) metered-
plans to live with her daughter. Which of the dose inhaler (MDI) to a school-age child who has
following responses by the nurse is appropriate asthma. Which of the following statements should
when the daughter states that she doesn't know indicate to the nurse that the child needs further
how she is going to care for her mother's teaching? - - "I will use my cromolyn inhaler
colostomy? - - "What part of your mother's before using my albuterol inhaler."
care concerns you?"
When both cromolyn and albuterol are
prescribed, albuterol should be inhaled first to
A nurse is caring for a client who is diagnosed open the airways because it is a bronchodilator.
1/4
with Answers
A nurse is caring for a client who has terminal with bipolar disorder and is taking lithium
pancreatic cancer. The client is competent and (Lithane). Which of the following serum lithium
has requested no resuscitative measures be levels indicates the client's dosage is appropriate
taken in the event of respiratory or cardiac arrest. for maintenance therapy? - - 0.75 mEq/L
Which of the following is necessary to legally
change the client's code status to do-not- Lithium is a mood-stabilizing medication used in
resuscitate (DNR)? - - A written the treatment of bipolar I acute and recurrent
prescription from the provider manic and depressive episodes. To achieve a
therapeutic range, give 300 mg to 600 mg of
A DNR is typically instituted at the request of a lithium during the active phase. The therapeutic
client or family member and should be a written serum lithium level is between 0.8 mEq/L and 1.4
order instead of a verbal prescription. Until a mEq/L. Maintenance levels of 0.4 to 1.3 mEq/L
DNR prescription exists. every attempts to revive are then achieved for clients who are prescribed
the client should be made in the event of lithium for long-term therapy. Because small
respiratory or cardiac arrest. A written increments of dosage separate therapeutic,
prescription from the provider is necessary to maintenance, and toxic levels of lithium,
legally change the client's code status to a DNR knowledge of these levels is essential to ensure
safe, quality care. This serum lithium level
indicates the client's dosage is appropriate for
A nurse is caring for a toddler who has acute maintenance therapy.
otitis media and is prescribed benzocaine
(Americaine) ear drops for pain relief. Which of
the following actions by the nurse is appropriate A nurse is caring for a client who is scheduled for
when administering the ear drops? - - a lumbar puncture. The nurse should teach the
Warm refrigerated drops to room temperature client that which of the following is a post-
prior to instillation. procedure complication? - - Headache
Because of the anatomy of internal ear A headache is a manifestation experienced by 15
structures, it is important to remember that the to 30% of clients following a lumbar puncture that
ear is sensitive to extremes in temp. Ear drops results from cerebrospinal fluid leakage at the
should be warmed to room temp prior to puncture site. These headaches are managed
instillation to reduce the risk of painful stimuli primarily with analgesics, hydration, and bed rest
A nurse is caring for a client who has a new A nurse is reinforcing teaching about a new
colostomy. The client is being discharged and prescription for cromolyn sodium (Intal) metered-
plans to live with her daughter. Which of the dose inhaler (MDI) to a school-age child who has
following responses by the nurse is appropriate asthma. Which of the following statements should
when the daughter states that she doesn't know indicate to the nurse that the child needs further
how she is going to care for her mother's teaching? - - "I will use my cromolyn inhaler
colostomy? - - "What part of your mother's before using my albuterol inhaler."
care concerns you?"
When both cromolyn and albuterol are
prescribed, albuterol should be inhaled first to
A nurse is caring for a client who is diagnosed open the airways because it is a bronchodilator.
1/4
