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1. The nurse working in the ED has received the following prescriptions
for a newly admitted client, which prescriptions should the nurse
implement FIRST?: Initiate IV sodium and potassium for a client
admitted with diarrhea and dehydration who has a serum
_____________level of 2.9. - Answer: Potassium
,2. A nurse is caring for a male client who has a deep partial thickness
and a full thickness burn to 45 % of the lower body, it would be a
PRIORITY for the nurse to notify the provider if the client has: A
_________output of 45 ml over the past two hours. - Answer: Urinary
3. The nurse is assessing clients at the scene of a mass casualty disaster
and is prioritizing care based on the disaster triage tag system which of
the following clients should be transported to the health care facility
FIRST? Chest The client who has multiple compound fractures and is
reporting ________ pain - Answer: Chest
4. The charge nurse in the ED is reviewing the care provided for
recently admitted clients; which of the following reflects
implementation of an accepted standard of care?: Placing the client
who has suspected Haemophilus influenza on
____________precautions. - Answer: Droplet
5. The nurse is working on a crisis hotline speaking with a client who
states "I just took an entire bottle of amitriptyline" which of the
following responses should the nurse INITIALLY make to the client?: I'm
glad you called, and I want to send an ____________to help you. -
Answer: Ambulance
6. The nurse is monitoring a client following a thoracentesis would be a
priority for the nurse to notify the primary health care provider if the
, client develops: A _____________that has increased from 95 to
110BPM. - Answer: Heart rate
7. A nurse is caring for a client receiving chemotherapy, the client is not
eating well but denies any nausea or vomiting which of the following
would be best for the nurse to suggest to the client?: ___________,
green beans and cottage cheese. - Answer: Chicken
8. Which med should be given for the pt in Vtach? (Rhythm strip) -
Answer: Amiodarone
9. The nurse is talking with a pt who has MS what would need follow up
by the nurse - Answer: hot showers
10. Pt had colostomy created 6 hours ago. Stoma appears dark red dry
flaccid w a small amount of mucous drained in the bag. What is the first
priority? - Answer: Call the provider.
11. Lumbar surgery w/headache and clear drainage: _____ - Answer:
lower the head of the bed
12. An adverse effect of magnesium sulfate is a __________of 10 -
Answer: Respiratory rate