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The healthcare provider prescribes an IV infusion of 1,000 ml of Ringer's
lactate with 30 Units of Pitocin to run in over 4 hours for a client who has
just delivered a 10 lb infant by cesarian section
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The nurse plans to set the flow
rate at how many gtt/min? - CorreCt Answers -83 gtt/min

gtt/min = 20 gtt/ml x 1000ml/4hrs x 1hr/60 min = 83gtt/min

Which assessment data provides the most accurate determination of proper
placement of a nasogastric tube? - CorreCt Answers -Examining a chest xray obtained after the tubing was inserted
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aspirating
gastric contents and hearing air pass in the stomach after injecting air into
tubing are both ways to check but not the best
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Which placement of the stethoscope should the
nurse use to hear the patient's heart sound? - CorreCt Answers -Use the
stethoscope bell over the valvular areas of the anterior chest
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)

Secobarbital 150 mg is prescribed at bedtime for a male client who is
schedule for surgery in the morning
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1
gram/tablet
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5
A hospitalized male client is receiving nasogastric tube feedings via a smallbore tube and a continuous pump infusion
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What action
is best for the nurse to take? - CorreCt Answers -After clearing the tube with
30 ml of air, check the pH of fluid withdrawn from the tube
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This will help check tube
placement
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The client returns to the unit at 1300
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A client who is in hospice care complains of increasing amounts of pain
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Which action should the nurse implement? - CorreCt Answers -Give an
around-the-clock schedule for administration of analgesics
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The nurse notices that the mother of a 9-year-old Vietnamese child always
looks at the floor when she talks to the nurse
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Which intervention is most important for the nurse to implement for a
male client who is experiencing urinary retention? - CorreCt Answers Assess for bladder distention
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Which
concern should the nurse have for planning care in terms of the client's
beliefs? - CorreCt Answers -Blood transfusions are forbidden
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What nursing action should
the nurse implement? - CorreCt Answers -Acknowledge that she is
supporting the arm correctly
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What is the best client position for administration of the bolus tube
feedings? - CorreCt Answers -Fowler's
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What should be the nurse's first response? - CorreCt
Answers -It is important that you continue your medication while learning
to meditate
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The
preparation arrives from the pharmacy diluted in 50 ml of 0
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The
nurse plans to administer the IVPB dose over 20 minutes
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Which area of the brain controls these neuro-cognitive functions? CorreCt Answers -Frontal lobe

A client is receiving a cephalosporin antibiotic IV and complains of pain
and irritation at the infusion site
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Which action
should the nurse take at this time? - CorreCt Answers -Initiate an alternate
site for the IV infusion of the medication
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Which action should the
nurse take? - CorreCt Answers -Request and document the name of the
certified translator
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In reviewing hip precautions with the
client, which instruction should the nurse include in this client's teaching
plan? - CorreCt Answers -Place a pillow between your knees while lying in
bed to prevent hip dislocation
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The resident previously
requested that no resuscitative efforts be performed, and the family
requests hospice care
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A young mother of three children complains of increased anxiety during her
annual physical exam
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The nurse prepares a 1,000 ml IV of 5% dextrose and water to be infused
over 8 hours
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The nurse
should regulate the IV to administer approximately how many drops per
minute? - CorreCt Answers -21

Three days following surgery, a male client observes his colostomy for the
first time
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What is the best response by the nurse? - CorreCt
Answers -Instruct the client that the stoma will become smaller when the
initial swelling diminishes
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The nurse can
teach the client that the stoma will become smaller when the swelling is
diminished
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)

The healthcare provider prescribes furosemide (Lasix) 15 mg IV stat
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How many milliliters should the nurse
administer? - CorreCt Answers -1
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The nurse mixes 50 mg of Nipride in 250 ml of D5W and plans to
administer the solution at a rate of 5 mcg/kg/min to a client weighing 182
pounds
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At the time of the first dressing change, the client refuses to look at her
mastectomy incision
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What would be an appr

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