Test with Verified Answers
A nurse is caring for a client who has terminal mother's care concerns you?"
pancreatic cancer. The client is competent and
has requested no resuscitative measures be
taken in the event of respiratory or cardiac arrest.
Which of the following is necessary to legally
change the client's code status to do-not- A nurse is caring for a client who is diagnosed
resuscitate (DNR)? - ANSWER -A written with bipolar disorder and is taking lithium
prescription from the provider (Lithane). Which of the following serum lithium
levels indicates the client's dosage is appropriate
A DNR is typically instituted at the request of a for maintenance therapy? - ANSWER -0.75
client or family member and should be a written mEq/L
order instead of a verbal prescription. Until a
DNR prescription exists. every attempts to revive Lithium is a mood-stabilizing medication used in
the client should be made in the event of the treatment of bipolar I acute and recurrent
respiratory or cardiac arrest. A written manic and depressive episodes. To achieve a
prescription from the provider is necessary to therapeutic range, give 300 mg to 600 mg of
legally change the client's code status to a DNR lithium during the active phase. The therapeutic
serum lithium level is between 0.8 mEq/L and 1.4
mEq/L. Maintenance levels of 0.4 to 1.3 mEq/L
are then achieved for clients who are prescribed
lithium for long-term therapy. Because small
A nurse is caring for a toddler who has acute increments of dosage separate therapeutic,
otitis media and is prescribed benzocaine maintenance, and toxic levels of lithium,
(Americaine) ear drops for pain relief. Which of knowledge of these levels is essential to ensure
the following actions by the nurse is appropriate safe, quality care. This serum lithium level
when administering the ear drops? - indicates the client's dosage is appropriate for
ANSWER -Warm refrigerated drops to maintenance therapy.
room temperature prior to instillation.
Because of the anatomy of internal ear
structures, it is important to remember that the
ear is sensitive to extremes in temp. Ear drops A nurse is caring for a client who is scheduled for
should be warmed to room temp prior to a lumbar puncture. The nurse should teach the
instillation to reduce the risk of painful stimuli client that which of the following is a post-
procedure complication? - ANSWER -
Headache
A headache is a manifestation experienced by 15
A nurse is caring for a client who has a new to 30% of clients following a lumbar puncture that
colostomy. The client is being discharged and results from cerebrospinal fluid leakage at the
plans to live with her daughter. Which of the puncture site. These headaches are managed
following responses by the nurse is appropriate primarily with analgesics, hydration, and bed rest
when the daughter states that she doesn't know
how she is going to care for her mother's
colostomy? - ANSWER -"What part of your
1/4