NurseLogic 2.0: Knowledge and Clinical Judgement - Advanced Test
Questions and Answers Graded A+
A nurse is caring for a client who has terminal
pancreatic cancer. The client is competent and
has requested no resuscitative measures be A nurse is caring for a client who is diagnosed
taken in the event of respiratory or cardiac arrest. with bipolar disorder and is taking lithium
Which of the following is necessary to legally (Lithane). Which of the following serum lithium
change the client's code status to do-not- levels indicates the client's dosage is appropriate
resuscitate (DNR)? - ANSWER -A written for maintenance therapy? - ANSWER -0.75
prescription from the provider mEq/L
A DNR is typically instituted at the request of a Lithium is a mood-stabilizing medication used in
client or family member and should be a written the treatment of bipolar I acute and recurrent
order instead of a verbal prescription. Until a manic and depressive episodes. To achieve a
DNR prescription exists. every attempts to revive therapeutic range, give 300 mg to 600 mg of
the client should be made in the event of lithium during the active phase. The therapeutic
respiratory or cardiac arrest. A written serum lithium level is between 0.8 mEq/L and 1.4
prescription from the provider is necessary to mEq/L. Maintenance levels of 0.4 to 1.3 mEq/L
legally change the client's code status to a DNR are then achieved for clients who are prescribed
lithium for long-term therapy. Because small
increments of dosage separate therapeutic,
maintenance, and toxic levels of lithium,
A nurse is caring for a toddler who has acute knowledge of these levels is essential to ensure
otitis media and is prescribed benzocaine safe, quality care. This serum lithium level
(Americaine) ear drops for pain relief. Which of indicates the client's dosage is appropriate for
the following actions by the nurse is appropriate maintenance therapy.
when administering the ear drops? -
ANSWER -Warm refrigerated drops to
room temperature prior to instillation.
A nurse is caring for a client who is scheduled for
Because of the anatomy of internal ear a lumbar puncture. The nurse should teach the
structures, it is important to remember that the client that which of the following is a post-
ear is sensitive to extremes in temp. Ear drops procedure complication? - ANSWER -
should be warmed to room temp prior to Headache
instillation to reduce the risk of painful stimuli
A headache is a manifestation experienced by 15
to 30% of clients following a lumbar puncture that
results from cerebrospinal fluid leakage at the
A nurse is caring for a client who has a new puncture site. These headaches are managed
colostomy. The client is being discharged and primarily with analgesics, hydration, and bed rest
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 A nurse is reinforcing teaching about a new
colostomy? - ANSWER -"What part of your prescription for cromolyn sodium (Intal) metered-
mother's care concerns you?" dose inhaler (MDI) to a school-age child who has
asthma. Which of the following statements should
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Questions and Answers Graded A+
A nurse is caring for a client who has terminal
pancreatic cancer. The client is competent and
has requested no resuscitative measures be A nurse is caring for a client who is diagnosed
taken in the event of respiratory or cardiac arrest. with bipolar disorder and is taking lithium
Which of the following is necessary to legally (Lithane). Which of the following serum lithium
change the client's code status to do-not- levels indicates the client's dosage is appropriate
resuscitate (DNR)? - ANSWER -A written for maintenance therapy? - ANSWER -0.75
prescription from the provider mEq/L
A DNR is typically instituted at the request of a Lithium is a mood-stabilizing medication used in
client or family member and should be a written the treatment of bipolar I acute and recurrent
order instead of a verbal prescription. Until a manic and depressive episodes. To achieve a
DNR prescription exists. every attempts to revive therapeutic range, give 300 mg to 600 mg of
the client should be made in the event of lithium during the active phase. The therapeutic
respiratory or cardiac arrest. A written serum lithium level is between 0.8 mEq/L and 1.4
prescription from the provider is necessary to mEq/L. Maintenance levels of 0.4 to 1.3 mEq/L
legally change the client's code status to a DNR are then achieved for clients who are prescribed
lithium for long-term therapy. Because small
increments of dosage separate therapeutic,
maintenance, and toxic levels of lithium,
A nurse is caring for a toddler who has acute knowledge of these levels is essential to ensure
otitis media and is prescribed benzocaine safe, quality care. This serum lithium level
(Americaine) ear drops for pain relief. Which of indicates the client's dosage is appropriate for
the following actions by the nurse is appropriate maintenance therapy.
when administering the ear drops? -
ANSWER -Warm refrigerated drops to
room temperature prior to instillation.
A nurse is caring for a client who is scheduled for
Because of the anatomy of internal ear a lumbar puncture. The nurse should teach the
structures, it is important to remember that the client that which of the following is a post-
ear is sensitive to extremes in temp. Ear drops procedure complication? - ANSWER -
should be warmed to room temp prior to Headache
instillation to reduce the risk of painful stimuli
A headache is a manifestation experienced by 15
to 30% of clients following a lumbar puncture that
results from cerebrospinal fluid leakage at the
A nurse is caring for a client who has a new puncture site. These headaches are managed
colostomy. The client is being discharged and primarily with analgesics, hydration, and bed rest
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 A nurse is reinforcing teaching about a new
colostomy? - ANSWER -"What part of your prescription for cromolyn sodium (Intal) metered-
mother's care concerns you?" dose inhaler (MDI) to a school-age child who has
asthma. Which of the following statements should
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