Saunders NCLEX-PN Review #2
drop factor The intravenous prescription is 1000 mL of 0.9% NaCl (normal saline) to run over 12 hours. The drop factor is 15 gtts/1 mL. The nurse plans to adjust the flow rate to how many gtts/minute? Fill in the blank and record the answer to the nearest whole number.
1000/12 = 83.3ml/hr 83.3/60 =1.40*15 = 20.8 rounded to the nearest tenth its 21 gtt per minute.
A client who has been seen in the clinic has been diagnosed with endometriosis and asks the nurse to describe this condition. The nurse bases the response on what information?
Endometriosis is defined as the presence of tissue outside the uterus that resembles the endometrium in structure and function
flow rate The intravenous prescription is 3000 mL of 5% dextrose (D5W) to run over a 24-hour period. The drop factor is 10 gtts/1 mL. The nurse plans to adjust the flow rate to how many gtts/minute? Fill in the blank and record the answer to the nearest whole number.
3000/24 = 125ml/hr 125/60 =2.08* 10= 20.8 rounded to the nearest tenth its 21gtt per minute.
The medication is an intramuscular dose of 400,000 units of penicillin G benzathine (Bicillin). The medication label reads penicillin G benzathine (Bicillin) 300,000 units/mL. The nurse prepares how much medication to administer the correct dose? Fill in the blank and record the answer using one decimal place.
400,000/300,000*1 = 1.3
A client with diabetes mellitus has a foot infection and is to be started on antibiotic therapy with an aminoglycoside. The nurse collects data from the client and notes that the client has a hearing loss. The nurse should take which action next
A preexisting hearing loss is a contraindication for the administration of aminoglycosides because these medications can cause ototoxicity and irreversible hearing loss. The nurse should report the findings to the RN to protect the client's safety.
A client with a diagnosis of a recurrent major depression, exhibiting psychotic features, is admitted to the mental health unit. In an attempt to create a safe environment for the client, the nurse designs a plan of care that deals specifically with which aspect of the client's disorder?
Psychosis is defined as a state in which a person's mental capacity to recognize reality, communicate, and relate to others is impaired, thus interfering with the person's capacity to deal with life's demands. Altered thought processes can include the presence of hallucinations and delusions.
A client in a long-term care facility is being prepared to be discharged to home in 2 days. The client has been eating a regular diet for a week, yet is still receiving intermittent enteral tube feedings and will need to receive these feedings at home. The client states concern about not being able to continue the tube feedings at home. Which nursing response would be appropriate at this time?
An open communication statement such as, "Tell me more about..." often leads to valuable information about the client and the client's concerns.
The nurse is caring for a client who has a history of opioid abuse and is monitoring the client for signs of withdrawal. Which observation is indicative of the signs/symptoms associated with withdrawal from opioids?
Fever, yawning, irritability, diaphoresis, and diarrhea, this is an central nervous system (CNS) depressants. this Option identifies some of the signs & symptoms associated with withdrawal from opioids.
Fludrocortisone (Florinef) is prescribed for a client with Addison's disease. Which is the primary action of this medication?
Fludrocortisone has mineralocorticoid activity and a glucocorticoid effect. It acts primarily on the kidneys distal tubules, enhancing the reabsorption of sodium and chloride ions and the excretion of potassium and hydrogen ions. It promotes water retention.
A client receiving total parenteral nutrition through a central intravenous line is exhibiting signs and symptoms of an air embolism. The nurse immediately places the client in which position?
Lying on the left side may prevent air from flowing into the pulmonary veins. Trendelenburg's position increases intrathoracic pressure, which decreases the amount of blood pulled into the vena cava during inspiration
An adult client was burned as a result of an explosion. The burn initially affected the client's entire face (the anterior half of the head) and the upper half of the anterior torso, and there were circumferential burns to the lower half of both of the arms. The client's clothes caught on fire, and the client ran, which caused subsequent burn injuries of the posterior surface of the head and the upper half of the posterior torso. According to the rule of nines, what is the extent of this client's burn injury
the rule of nines. Knowledge of this rule is necessary in order to answer this question. According to the rule, the entire head equals 9%, each arm equals 9% (both arms, 18%), the anterior and posterior torsos each equal 18% (entire torso, 36%), each leg equals 18% (both legs, 36%), and the perineum equals 1%. Remember the following: 9% (head) + 18% (arms) + 36% (torsos) + 36% (legs) + 1% (perineum) = 100%.
