Nurse Amy

Rationale: If the nurse suspects a transfusion reaction, the transfusion is stopped and normal saline solution infused at a keep-vein-open rate pending further physician prescriptions. The nurse then contacts the physician. Dextrose in water is not used, because it may cause clotting or hemolysis of blood cells. Normal saline solution is the only type of IV fluid that is compatible with blood. The nurse would not remove the IV catheter, because then there would be no IV access route through...

The nurse is assessing the laboratory report on a 2-day postpartum G1P1001. The woman had a normal postpartum assessment this morning. Which of the following results should the nurse report to the primary health care provider? a. White blood cells—12,500 cells/mm3. b. Red blood cells—4,500,000 cells/mm3. c. Hematocrit—26%. d. Hemoglobin—11 g/dL 15. A bottle-feeding woman, 11⁄2 weeks postpartum from a vaginal delivery, calls the obstetric office to state that she has saturated 2 ...

A client with paranoia is admitted to the mental health unit and immediately goes to the corner of the room and sits quietly without communicating. In approaching the client, what intervention should the nurse implement first? • Explain the nurse's role to the client. 2. Client treated with lithium for bipolar develops diarrhea, vomiting and drowsiness, what action should the nurse do • Notify HCP of the symptoms prior to the next admin of the drug 3. A mental health worker (MHW) is ...

A nurse is planning care for a client who has extensive burn injuries and is immunocompromised. Which of the following precautions should the nurse include in the plan of care to prevent a pseudomonas aeruginosa infection? Avoid placing plants or flowers in the client’s room 17. A nurse is teaching a class about client rights. Which of the following instructions should the nurse include? A client should sign an informed consent receiving a placebo during a research trial. 18. A nurse is...

5. A client is receiving Cilostazol (Pletal) for peripheral arterial disease causing intermittent claudication. The nurse determines this medication is effective when the client reports which of the following? 1. “I am having fewer aches and pains.” 2. “I do not have headaches anymore.” 3. “I am able to walk further without leg pain.” 4. “My toes are turning grayish black in color.” Cilostazol is indicated for management of intermittent claudication. Symptoms usually impr...

A postoperative client has three different PRN analgesics prescribed for different levels of pain. The nurse inadvertently administers a dose that is not within the prescribed parameters. What actions should the nurse take first? a. Access for side effects of the medication. b. Document the client’s responses. c. complete a medication error report. d. Determine if the pain was relieved. 15. When assessing a male client, the nurse finds that he is fatigue, and is experiencing muscle wea...

Two cyclists start biking from a trail's start 3 hours apart. The second cyclist travels at 10 miles per hour and starts 3 hours after the first cyclist who is traveling at 6 miles per hour. How much time will pass before the second cyclist catches up with the first from the time the second cyclist started biking? A. 2 hours B. 4 ½ hours C. 5 ¾ hours D. 6 hours E. 7 ½ hours 3. Jim can fill a pool carrying buckets of water in 30 minutes. Sue can do the same job in 45 minutes. Tony...

While studying to become chemocertified, the nurse reviews some basic concepts about cancer cells. When a client asks about why the tumor grows so fast, the nurse will respond based on which of the following physiological principles? Select all that apply.A) Cancer cells have shorter cell cycle times than normal cells.B) Cancer cells do not die when they are programmed to die.C)Growth factors prevents cancer cells from entering resting (G0) cell cycle phase.D) Cancer cells will reach...

A nurse is caring for an infant with a diagnosis of hydrocephalus. Preoperatively, a priority nursing intervention is to: Reposition the infant frequently Question 10 A 10-year-old child with asthma is treated for acute exacerbation in the ER. A nurse caring for the child monitors for which of the following, knowing it indicates the worsening of the condition? Decreased wheezing Question 11 Which assessment findings should alert the nurse to suspect that a toddler is experiencing respi...

NPO status is imposed 8 hours before the procedure on a client scheduled to undergo electroconvulsive therapy (ECT) at 1 p.m. On the morning of the procedure, the nurse checks the client's record and notes that the client routinely takes an oral antihypertensive medication each morning. The nurse should: A. Administer the antihypertensive with a small sip of water Correct B. Withhold the antihypertensive and administer it at bedtime C. Administer the medication by way of the intravenous (...