Questions and Answers 100%CORRECT/VERIFIED RATED
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A nurse is completing discharge teaching who has a peripherally inserted
centralcatheter ( PICC) line in the left arm. Which of the following
instructions should the nurse include in the teaching?
a) Do not elevate the arm above the level of the heart
b) Change the catheter dressing daily
c) Use 10- mL syringe to flush line
d) Clean the insertion site using 20- mL of hydrogen peroxide
A nurse is preparing naloxone 10 mcg/kg via IV bolus to a client who
weighs220 lbs. the amount available is 0.4 mg/mL. How many mL should the
nurse administer? (Round to the nearest tenth)
10 mcg-kg220lbs
1 kg = 2.2 lb
?Kg=220l
bs220/2.2 x
1=100kg
10mcg-kg
?mcg-100kg
100kg/1kg x10
mcg
=1000mcg
1000mcg is equal to 1mg
0.4mg-1ml
1mg-?ml
1/0.4 x1 =2.5ML
,A nurse is planning the discharge of a client who had an ischemic stroke. The nurse
should ensure that the client is discharged with which of the following types of
pharmacologic therapy?
a) Opioid analgesic
b) Anticonvulsa
ntc) anti
thrombotic
d) diuretic
,A nurse is caring for a client who has a new colostomy the nurse notes that the
client appears withdrawn and looks away during ostomy care. Which of the
following actionsshould the nurse take?
a) Ask the client how they feel about the stoma
b) make a referral for the client to see an ostomy nurse
c) include the clients partner in stoma care education
d) educate the client about expected stoma appearance
A nurse is caring for a client who has a chest tube. The client asks why the fluid in
the water -seal chamber rises and falls. Which of the following statements should
the nursemake?
a) “ this means your lung is fully expanded “
b) “ this indicates a possible leak”
c) “ suction pressure that is too high causes
this”d) “ Your breathing pattern causes this”
A community health nurse is reviewing home care instructions with an older adult
client who has a new diagnosis of heart failure. Which of the following is the
prioritytopic for the nurse to review with the client?
a) Daily sodium restriction
, b) Daily exercise
routinec)Changes in
weight
d) Fluid intake record
A nurse is teaching a client about the use of transcutaneous electrical nerve
stimulation(TENS) unit. Which of the following statements should the nurse
include?
a) “Apply lotion to the site prior to attaching the electrodes”
b) “ this device requires access to a 220 volt outlet”
c) ‘ this device delivers heat via electrodes that are attached to the
effected area”d) “adjust the dial until you feel a ‘pins and
needles’ sensation”
A nurse is providing teaching to a client who is postoperative following a total
hiparthroplasty. Which of the following statements should the nurse make?
a) “ use raised toilet seat to maintain your hips above the knees”
b) “ twist at the waist when standing from a seated position”
c) “move your stronger leg first when using a walker”
d) “ apply a heating pad to the operative hip to decrease pain”
A client receives pancuronium (Pavulon), a long-acting, nondepolarizing
neuromuscularblocker, during surgical anesthesia. Which client situation
should alert the nurse to evaluate the client for a prolonged muscle
relaxation response to this medication?