NurseLogic 2.0: Knowledge and Clinical Judgement - Advanced Test
Questions and Answers Graded A+
A nurse is caring for a client who has terminal with bipolar disorder and is taking lithium
pancreatic cancer. The client is competent and (Lithane). Which of the following serum lithium
has requested no resuscitative measures be levels indicates the client's dosage is appropriate
taken in the event of respiratory or cardiac arrest. for maintenance therapy? - ANSWER -0.75
Which of the following is necessary to legally mEq/L
change the client's code status to do-not-
resuscitate (DNR)? - ANSWER -A written Lithium is a mood-stabilizing medication used in
prescription from the provider the treatment of bipolar I acute and recurrent
manic and depressive episodes. To achieve a
A DNR is typically instituted at the request of a therapeutic range, give 300 mg to 600 mg of
client or family member and should be a written lithium during the active phase. The therapeutic
order instead of a verbal prescription. Until a serum lithium level is between 0.8 mEq/L and 1.4
DNR prescription exists. every attempts to revive mEq/L. Maintenance levels of 0.4 to 1.3 mEq/L
the client should be made in the event of are then achieved for clients who are prescribed
respiratory or cardiac arrest. A written lithium for long-term therapy. Because small
prescription from the provider is necessary to increments of dosage separate therapeutic,
legally change the client's code status to a DNR maintenance, and toxic levels of lithium,
knowledge of these levels is essential to ensure
safe, quality care. This serum lithium level
A nurse is caring for a toddler who has acute indicates the client's dosage is appropriate for
otitis media and is prescribed benzocaine maintenance therapy.
(Americaine) ear drops for pain relief. Which of
the following actions by the nurse is appropriate
when administering the ear drops? - A nurse is caring for a client who is scheduled for
ANSWER -Warm refrigerated drops to a lumbar puncture. The nurse should teach the
room temperature prior to instillation. client that which of the following is a post-
procedure complication? - ANSWER -
Because of the anatomy of internal ear Headache
structures, it is important to remember that the
ear is sensitive to extremes in temp. Ear drops A headache is a manifestation experienced by 15
should be warmed to room temp prior to to 30% of clients following a lumbar puncture that
instillation to reduce the risk of painful stimuli results from cerebrospinal fluid leakage at the
puncture site. These headaches are managed
primarily with analgesics, hydration, and bed rest
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 A nurse is reinforcing teaching about a new
following responses by the nurse is appropriate prescription for cromolyn sodium (Intal) metered-
when the daughter states that she doesn't know dose inhaler (MDI) to a school-age child who has
how she is going to care for her mother's asthma. Which of the following statements should
colostomy? - ANSWER -"What part of your indicate to the nurse that the child needs further
mother's care concerns you?" teaching? - ANSWER -"I will use my
cromolyn inhaler before using my albuterol
inhaler."
A nurse is caring for a client who is diagnosed
1/4
Questions and Answers Graded A+
A nurse is caring for a client who has terminal with bipolar disorder and is taking lithium
pancreatic cancer. The client is competent and (Lithane). Which of the following serum lithium
has requested no resuscitative measures be levels indicates the client's dosage is appropriate
taken in the event of respiratory or cardiac arrest. for maintenance therapy? - ANSWER -0.75
Which of the following is necessary to legally mEq/L
change the client's code status to do-not-
resuscitate (DNR)? - ANSWER -A written Lithium is a mood-stabilizing medication used in
prescription from the provider the treatment of bipolar I acute and recurrent
manic and depressive episodes. To achieve a
A DNR is typically instituted at the request of a therapeutic range, give 300 mg to 600 mg of
client or family member and should be a written lithium during the active phase. The therapeutic
order instead of a verbal prescription. Until a serum lithium level is between 0.8 mEq/L and 1.4
DNR prescription exists. every attempts to revive mEq/L. Maintenance levels of 0.4 to 1.3 mEq/L
the client should be made in the event of are then achieved for clients who are prescribed
respiratory or cardiac arrest. A written lithium for long-term therapy. Because small
prescription from the provider is necessary to increments of dosage separate therapeutic,
legally change the client's code status to a DNR maintenance, and toxic levels of lithium,
knowledge of these levels is essential to ensure
safe, quality care. This serum lithium level
A nurse is caring for a toddler who has acute indicates the client's dosage is appropriate for
otitis media and is prescribed benzocaine maintenance therapy.
(Americaine) ear drops for pain relief. Which of
the following actions by the nurse is appropriate
when administering the ear drops? - A nurse is caring for a client who is scheduled for
ANSWER -Warm refrigerated drops to a lumbar puncture. The nurse should teach the
room temperature prior to instillation. client that which of the following is a post-
procedure complication? - ANSWER -
Because of the anatomy of internal ear Headache
structures, it is important to remember that the
ear is sensitive to extremes in temp. Ear drops A headache is a manifestation experienced by 15
should be warmed to room temp prior to to 30% of clients following a lumbar puncture that
instillation to reduce the risk of painful stimuli results from cerebrospinal fluid leakage at the
puncture site. These headaches are managed
primarily with analgesics, hydration, and bed rest
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 A nurse is reinforcing teaching about a new
following responses by the nurse is appropriate prescription for cromolyn sodium (Intal) metered-
when the daughter states that she doesn't know dose inhaler (MDI) to a school-age child who has
how she is going to care for her mother's asthma. Which of the following statements should
colostomy? - ANSWER -"What part of your indicate to the nurse that the child needs further
mother's care concerns you?" teaching? - ANSWER -"I will use my
cromolyn inhaler before using my albuterol
inhaler."
A nurse is caring for a client who is diagnosed
1/4
