NurseLogic 2.0: Knowledge and Clinical
Judgement - Advanced Test Questions
and Correct Answers/ Latest Update /
Already Graded
A nurse is caring for a client who has terminal 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-resuscitate (DNR)?
Ans: A written prescription from the provider
A DNR is typically instituted at the request of a client or family
member and should be a written order instead of a verbal
prescription. Until a DNR prescription exists. every attempts to
revive the client should be made in the event of respiratory or
cardiac arrest. A written prescription from the provider is
necessary to legally change the client's code status to a DNR
A nurse is caring for a toddler who has acute otitis media and is
prescribed benzocaine (Americaine) ear drops for pain relief. Which of
the following actions by the nurse is appropriate when administering
the ear drops?
Ans: Warm refrigerated drops to room temperature prior to
instillation.
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Because of the anatomy of internal ear structures, it is
important to remember that the ear is sensitive to extremes in
temp. Ear drops should be warmed to room temp prior to
instillation to reduce the risk of painful stimuli
A nurse is caring for a client who has a new colostomy. The client is
being discharged and plans to live with her daughter. Which of the
following responses by the nurse is appropriate when the daughter
states that she doesn't know how she is going to care for her mother's
colostomy?
Ans: "What part of your mother's care concerns you?"
A nurse is caring for a client who is diagnosed with bipolar disorder and
is taking lithium (Lithane). Which of the following serum lithium levels
indicates the client's dosage is appropriate for maintenance therapy?
Ans: 0.75 mEq/L
Lithium is a mood-stabilizing medication used in the treatment
of bipolar I acute and recurrent manic and depressive episodes.
To achieve a therapeutic range, give 300 mg to 600 mg of
lithium during the active phase. The therapeutic serum lithium
level is between 0.8 mEq/L and 1.4 mEq/L. Maintenan ce levels
of 0.4 to 1.3 mEq/L are then achieved for clients who are
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