The nurse prepares a 1,000 ml IV of 5% dextrose and water to be infused over 8 hours.
The infusion set delivers 10 drops per milliliter. The nurse should regulate the IV to
administer approximately how many drops per minute?
A) 80
B) 8
C) 21
D) 25
Give this one a try later!
C) 21
A client with pneumonia has a decrease in oxygen saturation from 94% to 88% while
ambulating. Based on these findings, which intervention should the nurse implement
first?
,A) Assist the ambulating client back to the bed.
B) Encourage the client to ambulate to resolve pneumonia.
C) Obtain a prescription for portable oxygen while ambulating.
D) Move the oximetry probe from the finger to the earlobe.
Give this one a try later!
A) Assist the ambulating client back to the bed
An oxygen saturation below 90% indicates inadequate oxygenation. First,
the client should be assisted to return to bed (A) to minimize oxygen
demands. Ambulation increases aeration of the lungs to prevent pooling of
respiratory secretions, but the client's activity at this time is depleting
oxygen saturation of the blood, so (B) is contraindicated. Increased activity
increases respiratory effort, and oxygen may be necessary to continue
ambulation (C), but first the client should return to bed to rest. Oxygen
saturation levels at different sites should be evaluated after the client
returns to bed (D).
A 73-year-old female client had a hemiarthroplasty of the left hip yesterday due to a
fracture resulting from a fall. In reviewing hip precautions with the client, which
instruction should the nurse include in this client's teaching plan?
A) In 8 weeks you will be able to bend at the waist to reach items on the floor.
B) Place a pillow between your knees while lying in bed to prevent hip dislocation.
C) It is safe to use a walker to get out of bed, but you need assistance when walking.
D) Take pain medication 30 minutes after your physical therapy sessions.
Give this one a try later!
B) Place a pillow between your knees while lying in bed to prevent hip
dislocation
The client's affected hip joint following a hemiarthroplasty (partial hip
replacement) is at risk of dislocation for 6 months to a year following the
procedure. Hip precautions to prevent dislocation include placing a pillow
between the knees to maintain abduction of the hips (B). Clients should be
instructed to avoid bending at the waist (A), to seek assistance for both
, standing and walking until they are stable on a walker or cane (C), and to
take pain medication 20 to 30 minutes prior to physical therapy sessions,
rather than waiting until the pain level is high after their therapy.
A client is to receive cimetidine (Tagamet) 300 mg q6h IVPB. The preparation arrives
from the pharmacy diluted in 50 ml of 0.9% NaCl. The nurse plans to administer the
IVPB dose over 20 minutes. For how many ml/hr should the infusion pump be set to
deliver the secondary infusion?
Give this one a try later!
150 ml/hr
An African-American grandmother tells the nurse that her 4-year-old grandson is
suffering with "miseries." Based on this statement, which focused assessment should
the nurse conduct?
A) Inquire about the source and type of pain.
B) Examine the nose for congestion and discharge.
C) Take vital signs for temperature elevation.
D) Explore the abdominal area for distension.
Give this one a try later!
A) Inquire about the source and type of pain
Different cultural groups often have their own terms for health conditions.
African-American clients may refer to pain as "the miseries. " Based on
understanding this term, the nurse should conduct a focused assessment
on the source and type of pain (A). (B, C, and D) are important, but do not
focus on "miseries" (pain).
The infusion set delivers 10 drops per milliliter. The nurse should regulate the IV to
administer approximately how many drops per minute?
A) 80
B) 8
C) 21
D) 25
Give this one a try later!
C) 21
A client with pneumonia has a decrease in oxygen saturation from 94% to 88% while
ambulating. Based on these findings, which intervention should the nurse implement
first?
,A) Assist the ambulating client back to the bed.
B) Encourage the client to ambulate to resolve pneumonia.
C) Obtain a prescription for portable oxygen while ambulating.
D) Move the oximetry probe from the finger to the earlobe.
Give this one a try later!
A) Assist the ambulating client back to the bed
An oxygen saturation below 90% indicates inadequate oxygenation. First,
the client should be assisted to return to bed (A) to minimize oxygen
demands. Ambulation increases aeration of the lungs to prevent pooling of
respiratory secretions, but the client's activity at this time is depleting
oxygen saturation of the blood, so (B) is contraindicated. Increased activity
increases respiratory effort, and oxygen may be necessary to continue
ambulation (C), but first the client should return to bed to rest. Oxygen
saturation levels at different sites should be evaluated after the client
returns to bed (D).
A 73-year-old female client had a hemiarthroplasty of the left hip yesterday due to a
fracture resulting from a fall. In reviewing hip precautions with the client, which
instruction should the nurse include in this client's teaching plan?
A) In 8 weeks you will be able to bend at the waist to reach items on the floor.
B) Place a pillow between your knees while lying in bed to prevent hip dislocation.
C) It is safe to use a walker to get out of bed, but you need assistance when walking.
D) Take pain medication 30 minutes after your physical therapy sessions.
Give this one a try later!
B) Place a pillow between your knees while lying in bed to prevent hip
dislocation
The client's affected hip joint following a hemiarthroplasty (partial hip
replacement) is at risk of dislocation for 6 months to a year following the
procedure. Hip precautions to prevent dislocation include placing a pillow
between the knees to maintain abduction of the hips (B). Clients should be
instructed to avoid bending at the waist (A), to seek assistance for both
, standing and walking until they are stable on a walker or cane (C), and to
take pain medication 20 to 30 minutes prior to physical therapy sessions,
rather than waiting until the pain level is high after their therapy.
A client is to receive cimetidine (Tagamet) 300 mg q6h IVPB. The preparation arrives
from the pharmacy diluted in 50 ml of 0.9% NaCl. The nurse plans to administer the
IVPB dose over 20 minutes. For how many ml/hr should the infusion pump be set to
deliver the secondary infusion?
Give this one a try later!
150 ml/hr
An African-American grandmother tells the nurse that her 4-year-old grandson is
suffering with "miseries." Based on this statement, which focused assessment should
the nurse conduct?
A) Inquire about the source and type of pain.
B) Examine the nose for congestion and discharge.
C) Take vital signs for temperature elevation.
D) Explore the abdominal area for distension.
Give this one a try later!
A) Inquire about the source and type of pain
Different cultural groups often have their own terms for health conditions.
African-American clients may refer to pain as "the miseries. " Based on
understanding this term, the nurse should conduct a focused assessment
on the source and type of pain (A). (B, C, and D) are important, but do not
focus on "miseries" (pain).
