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The physician orders 1000 mL of D5RL with 20 mmol KCl to run
for eight hours.
With an infusion set with a drop factor of 15 gtt/mL, which of
the following will
the nurse calculate the flow
rate to be?
Select
one:
a. 12 drops per
minute
b. 22 drops per
minute
c. 32 drops per
minute
d. 42 drops per minute - ANSWER-32 drops
per minute
For a client with a nursing diagnosis of Fluid volume excess, the
nurse is alert to
which one of the following signs and
symptoms?
,Select one:
a. Tachycardia
b. Hypertension
c. Dry mucous membranes
d. Fever - ANSWER-Hypertension
The nurse anticipates that the client with a fluid volume
excess will manifest
which one of the following
signs?
Select one:
a. Increased urine specific gravity
b. Decreased body weight
c. Increased blood pressure
d. Decreased pulse strength - ANSWER-Increased blood
pressure
A client has intravenous (IV) therapy for the administration of
antibiotics and is stating that the IV site "hurts and is swollen."
Which of the following information assessed on the client
indicates the presence of phlebitis, as opposed to infiltration?
Select one:
a. Intensity of the pain
b. Warmth of integument surrounding the IV site
c. Amount of subcutaneous edema
,d. Skin discoloration of a bruised nature - ANSWER-Warmth of
integument surrounding the IV site
A client complains of a headache and chills during a blood
transfusion. Which
one of the following actions should the nurse take
immediately?
Select one:
a. Check the vital signs.
b. Stop the blood transfusion.
c. Slow the rate of blood flow.
d. Notify the physician and blood bank personnel. - ANSWER-
Stop the blood transfusion.
The client has severe anemia and will be receiving blood
transfusions. The nurse prepares and begins the infusion. Ten
minutes after the infusion has begun, the client develops
tachycardia, chills, and low back pain. After stopping the
transfusion, which of the following actions should the nurse
take next?
Select one:
a. Administer an antipyretic.
b. Begin an infusion of epinephrine.
c. Run normal saline through the blood tubing.
d. Obtain and send a urine specimen to the lab. - ANSWER-
Obtain and send a urine specimen to the lab.
, The nurse knows that older adults are more prone to fluid
volume alterations for
which of the following
reasons?
Select
one:
a. They have decreased thirst
sensation.
b. Their kidneys have an increase in
glomerular filtration.
c. They are at risk for increased excretion of medications.
d. They have decreased stomach-emptying time. - ANSWER-
They have decreased thirst sensation.
An IV of 125 mL is to be infused over a one-hour period. A
microdrip infusion set will be used. Which of the following is
the nurse's calculation of the infusion rate?
Select one:
a. 32 gtt/min
b. 60 gtt/min
c. 125 gtt/min
d. 250 gtt/min - ANSWER-125 gtt/min
Which of the following is the most common electrolyte
imbalance?
Select one: