nclex pn fundamentals

NCLEX PN FUNDAMENTALS The intravenous prescription is 1000 mL of 0.9% NaCl (normal saline) to run over 12 hours. The drop factor is 15 gtts/1 mL. The nurse plans to adjust the flow rate to how many gtts/minute? Fill in the blank and record the answer to the nearest whole number. - ANSWER 21 The nurse is encouraging a client who is incontinent to participate in recreational therapy. Which nursing intervention should the nurse consider performing first? - ANSWER Change the client's soiled disposable brief. The nursing instructor asks the student to describe isotonic dehydration. The student correctly responds by stating which pathophysiological process? - ANSWER "Water and electrolytes are lost in approximately the same proportion as they exist in the body." A health care provider's prescription reads "cyanocobalamin (vitamin B12) 100 mcg intramuscular." The medication label reads "cyanocobalamin (vitamin B12), 0.5 mg/mL." The nurse administers how many milliliters to the client? Fill in the blank. Record the answer to one decimal place. - ANSWER 0.2 The nurse is assisting to admit a client with a diagnosis of Guillain-Barré syndrome. The nurse knows that if the disease is severe enough, the client will be at risk for which acid-base imbalance? - ANSWER Respiratory acidosis The nurse is assisting in the care of a group of clients on the nursing unit. The nurse determines that a client with which diagnosis is the one who has the least likely risk for developing third-spacing of body fluid? - ANSWER Ischemic stroke A client is to have an upper gastrointestinal (GI) series. Which nursing action should be done concerning the procedure? - ANSWER Administer a laxative after the procedure because barium was administered. The nurse is preparing to change the neck ties on a tracheostomy tube. Which action should the nurse take? - ANSWER Obtain a second health care team member to assist.