With Correct Answers (Verified Answers) ||Complete A+
Guide
1. When preparing to administer a prescribed medication to a
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homeless client at a community psychiatric clinic. The client tells
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the nurse that the usual dosage taken is different from the dose the
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nurse is giving. Which action should the nurse take?
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A) Inform the client that he may refuse the medication and document
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whether or not the client takes it.
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B) Withhold the medication until the dosage can be confirmed.
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C) Explain to the client that the dosage has been changed.
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D) Tell the client to take the medication then verify the dosage at
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the next healthcare team meeting.
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…Ans>> B) Withhold the medication until the dosage can be confirmed.
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1 m/ m72
,2. The charge nurse is making assignments for one practical nurse
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and three registered nurses who are caring for neurologically
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m compromised clients. Which client with which change in status is
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m best to assign to the PN?
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A) Subdural hematoma whose blood pressure changed from 150/80 to
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170/60.
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B) Viral meningitis whose temperature change from 101 S to 102F.
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C) Diabetic keto acidosis who is Glasgow coma scale score changed
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from 10 to 7.
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D) Myxedema, whose blood pressure change from 80/50 to 70/40.
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…Ans>> B) Viral meningitis whose temperature change from 101 S to
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102F.
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3. The nurse is caring for a client with pneumonia who now develops
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m initial signs of septic shock and multi organ failure. The healthcare
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m provider pre- scribes a sepsis protocol. Which intervention is most
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important for the nurse to include in the plan of care?
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A) Maintain strict intake and output. m m m m
B) Keep head of bed raised 45°.
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C) Excess warmth of extremities. m m m
D) Monitor blood glucose level. m m m
2 m/ m72
, …Ans>> A) Maintain strict intake and output.
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4. And adolescent client is admitted to the hospital because of
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writing a suicide note to a teacher at school. On the second day of
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hospitalization, the nurse asked the client to meet with the treatment
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team. After the team meeting, the client leaves in tears and goes to
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their room. Which nursing intervention is best?
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A) Let the client rest quietly in their room for a while.
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B) Explore the clients goals and desire for treatment.
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3 m/ m72
, C) Ask the treatment team about the clients behavior.
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D) Go to the clients room and ask what happened.
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…Ans>> D) Go to the clients room and ask what happened.
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5. The healthcare provider prescribes dalteparin 200 units per
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m kilogram sub- cutaneous once a day for a client who weighs 154
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m pounds. The medication is available and 25,000 units per milliliter
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m vial. How many milliliters should the nurse administer? (Enter
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m numerical value only. If rounding is required, round to the nearest
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m 10th.)
…Ans>> 0.6 mm
6. NGN: The client is a 49-year-old male who reports flu like
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m symptoms in- cluding fever and chest congestion for four days. He
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m came to the emergency department last night when he was having
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m more difficulty breathing he has a history of 1/2 pack a day cigarette
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m smoking for 20 years. He has no significant medical or surgical
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m history.
Which two orders should the nurse complete first?
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A) Sputum culture. m
B) Start oxygen 3 L per minute via nasal cannula.
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C) Place the client on a cardio respiratory monitor.
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4 m/ m72