NUR 112 Exam 1 example test

Which is NOT a goal of Therapeutic communication. A. Identify B. Advocate C.Assess D.Allow E. Teach F.Implement G.Guide

B

7.Advantages of using informatics in health care delivery are (select all that apply) a. reduced need for nurses in acute care. b. increased patient anonymity and confidentiality. c. the ability to achieve and maintain high standards of care. d. access to standard plans of care for many health problems. e. improved communication of the patient's health status to the health care

C,d,e

According to the label, a vial containing one gram Cefotaxime should be reconstituted with 3 mL sterile water. The dosage strength will be 300 mg/mL. Round answer to the nearest tenth of a mL. Calculate how many mL will be in the one-gram vial after reconstitution.

Convert Gram to mg 1Gm = 1000 mg 300mg/ ml = 1000mg/ x mL X = 3.33 or 3. 3ML

Order: Ciprofloxacin 400 mg in 200 ml Normal Saline to infuse over 60 minutes Drop factor: 15 gtts/mL What would be the rate of infusion for this medication if you were using an infusion pump? (How will you set the rate on the infusion pump?)

Convert minutes to hours) 200mL/60min x 1 hr/60min = 200 mL/ 1 hr 60 min = 1 hour

Order: 100 mL 0.45% NS (Normal Saline or sodium chloride- NaCl) in 45 minutes by infusion pump. Calculate the flow rate in mL/hr.

100 mL = x mL = 45 min (X mL) = 100 mL (60 min) 45min 60 min (1Hr) 45 min(x mL) = 6000 mL x= 133.33 = 133 mL/hr 45 min 45min (1hr)

A father telephones the clinic nurse asking what he should do for his three-year-old son who developed fever, vomiting, and diarrhea today. What would be an appropriate recommendation by the nurse? 1. "Have him drink as much water as you can get him to swallow." 2. *Give small sips of commercial oral rehydration fluids frequently." 3. "Provide frequent sips of fruit juice and commercial sports drinks." 4. "Have him eat only bananas, rice, applesauce, and toast.

2

The medication ordered is Ticarcillin Disodium 1 Gm. According to the label, after reconstitution with 2 mL of diluent the dosage strength of this medication is 1 g/2.6 mL. How many mL will be needed for this order?

2.6mL

Order: Ciprofloxacin 400 mg in 200 ml Normal Saline to infuse over 60 minutes Drop factor: 15 gtts/mL a. Calculate the flow rate in gtts/min

200 mL x 15 gtts/mL = X gtts/min 3000 gtts/60 min = 50 gtts/min 60 min

The nurse caring for the following group of clients considers which client to be at highest risk for developing deficient fluid volume? clients considers which client to be at highest risk for developing deficient fluid volume? 1. A thin, 52-year-old female receiving corticosteroid therapy for bronchitis 2. A 60-year-old male who had a left inguinal herniorrha-phy 12 hours ago 3. A 76-year-old male who has a nasogastric (NG) tube to intermittent suction following colon resection 4. A 68-year-old female who is NPO for a flexible sigmoidoscopy procedure

3

After surgical repair of a urinary tract malformation, a school-aged child is to be discharged with an indwelling catheter. In the event of no urine drainage for 1 hour or more, place the interventions in the order in which they would be performed. 1. Offering more fluids 2. Pressing on the abdominal wall just above the bladder 3. Checking for blocked drainage tubing S 4. Calling the practitioner

3,2,1,4

Order: 30 mL of 0.9% NS with 500 mg of Antibiotic to infuse IV in 20 minutes by infusion pump. Calculate the flow rate in mL/hr

30 mL = X mL 20 min (x mL) = 1800 ml = 90 ml/hr 20min 60 min (1hr) 20min 20 min (1hr)

Order: D5 ½ NS at 30 mL/hr Drop Factor: microdrip Microdrip tubing drop factor is 60 gtts/mL Calculate the flow rate in gtt/min

30 mL/hr x 60gtts/min x 1hr/60 min = 30 ml x 60 gtts x 1hr 1800 = 30 gtt/ min ​​​​​​1hr 1 mL 60min 60 Volume x drop factor/ time = Xgtt/min

4. Using the SBAR format, number in order the steps for how the nurse would communicate information with the provider. (Number 1 is the first step, and number 4 is 4 or use MA. am caline from the uni because your patient .R, has anew onset of atrial fibrillation." "The atrial fibrillation started about 10 minutes ago. The heart rate is 124; BP 90/60. The patient is experiencing dizziness." ., who is 2 days postoperative for abovel resection for diverticulti, has a history of mitral valve disease." 5. The nurse is caring for a diabetic patient in the ambulatory surgical unit who has undergone wound debridement. Which task is appropriate for the nurse to delegate to

4,1,3,2

The medication ordered is Tobramycin 100 mg. According to the label, after reconstitution with 30 mL of diluent, the dosage strength of this medication is 40 mg/mL. How many mL will be needed for this order?

40 mg = 100mg 40 X mL = 100 x = 2.5mL 1mL X mL

3. The nurse is assigned to care for a newly admitted patient. Number in order the steps for using the nursing process to prioritize care. (Number 1 is the first step, and number 5 is ne last step.) —Evaluate whether the plan was effective. —Identify any health problems. —Collect patient information. —4 Carry out the plan. —Decide a plan of action.

5,2,1,4,3

Order: 500 mL Lactated Ringer's (RL) in 12 hours by infusion pump. Calculate the flow rate in mL/hr.

500mL = x mL (cross multiply) next 12 hr(X mL) = 500 mL/hr = x mL/hr = 41.66 or 42ml/hr 12 hr 1hr 12 hr 12 hr

A urinary catheter of ——to ——-Fr is generally used in infants. A length of ——-to ——Fr is recommended for most adult clients. A length of ——-to ——Fr is commonly used in adult males.

8-10 14-16 16-18

1. On which ethical theory do nurses implement their care when they act on the basis of the needs of one specific patient rather than the potential consequences to other patients? a. Deontology b. Autonomy c. Utilitarianism d. Nonmaleficence

A

8. What legal consequences may a nurse experience if the nurse is convicted of a crime? (Select all that apply.) a. Loss of nursing licensure b. Employment affirmation c. Monetary penalty d. Unit transfer e. Imprisonment

A,c,d

9. What is the best way for a nurse to avoid crossing professional practice boundaries with patients? a. Spend extensive time with a patient without visitors b. Focus on the needs of patients and their families c. Intervene in problematic patient relationships d. Relay personal stories when unsolicited

B

Which genitourinary factor contributes to urinary incontinence in older adult clients and needs to be considered by the nurse when planning the care for these clients? A.Sensory deprivation B.Urinary tract infection C.Frequent use of diuretics D.Inaccessibility of a bathroom

B

Which client statement indicates understanding of content taught about removing his or her three-way indwelling catheter and continuous bladder irrigation (CBI)? A. " I probably will have diluted urine." B. " I probably will be unable to urinate." C." I probably will produce dark red urine." D. "I probably will experience some burning on urination."

D

Which instruction would the nurse give to the client having a residual urine test? A.Void right after a urinary catheter is removed. B. Collect a specimen of urine during midstream. C. Attempt to void when a urinary catheter is in place. D.Empty the bladder before a urinary catheter is inserted.

D

At which site would the nurse obtain a sterile urinalysis from a client with an indwelling catheter? A.Tubing injection port B.Distal end of the tubing C.Urinary drainage bag D.Catheter insertion site

A.

7. Making prejudicial, untrue statements about another person during conversation may expose a nurse to being charged with what offense? a. Libel b. Assault c. Slander d. Malpractice

C

Which evidenced-based nursing intervention links to reducing catheter associated urinary tract infections (CAUTls) in clients requiring long-term indwelling catheters? A.Perform catheter care twice a day. B.Replace the catheter on a routine basis. C.Administer cranberry tablets three times a day. D.Administer prophylactic antibiotics twice a day for the duration of the catheter placement.

A

4. Which patient characteristic enhances the teaching-learning process? a. Moderate anxiety b. High self-efficacy c. Being in the precontemplative stage of change d. Being able to laugh about the current health problem

B

blood pressure of 190/94 who reports minimal urinary output despite adequate fluid intake? A.Thirst B.Weight gain C.Urinary retention D.Urinary hesitancy

B

1. A client is experiencing fluid volume deficit and the nurse notes that symptoms include tachycardia; pale, cool skin; and decreased urine output. What is the most likely cause of these symptoms? A. The body's natural compensatory mechanisms. B. Pharmacological effects of a diuretic. C. Effects of rapidly infused intravenous fluids. D. Cardiac failure.

A

2. Which is the priority patient teaching strategy when limited time is available? a. Setting realistic goals that have high priority for the patient b. Referring the patient to a nurse educator in private practice c. Observing more experienced nurse-teachers to learn how to teach faster and more efficiently d. Providing reading materials for the patient instead of discussing information the patient needs to learn.

A

3. The mother of a 1-month-old infant calls the nurse at the health clinic. The mother is concerned because the infant has had vomiting and diarrhea for 2 days. What instruction should the nurse give this infant's mother? . Bring the infant to the clinic for evaluation. B_ Give the infant at least 1 gunce of juice every 2 hours. C. Measure the infant's urine output for 24 hours. D. Provide the infant with 50ml of glucose water.

A

5. The nurse is caring for a diabetic patient in the ambulatory surgical unit who has undergone wound debridement. Which task is appropriate for the nurse to delegate to unlicensed assistive personnel (UAP)? a. Check the patient's vital signs. b. Assess the patient's pain level. c. Palpate the patient's pedal pulses. d. Monitor the patient's IV catheter site.

A

Which action would the nurse take after identifying that a client's urinary output is less than 40 mL/h over the past 3 hours? A. Assess breath sounds and obtain vital signs. B. Decrease the intravenous flow rate and increase oral fluids. C. Insert an indwelling catheter to facilitate emptying of the bladder. D. Check for dependent edema by assessing the lower extremities.

A

Which intervention is most important in preventing hospital-acquired catheter-associated urinary tract infections (CAUTls)? A.Removing the catheter B.Keeping the drainage bag off of the floor C.Washing hands before and after assessing the catheter D.Cleansing the urinary meatus with soap and water daily

A

4. Which interventions would the nurse expect to be included in a plan of care for a client who is hyperkalemic? (Select all that apply.) Administration of calcium gluconate intravenously, Oral administration of Kayexalate (sodium polystyrene). C. Administration of regular insulin and dextrose intravenously. D. Oral administration of potassium. or 1 cl4 1,090 words Engich (US) Tet Presidions On Editor Suggestions: Showing Search

A,b,c

Which primary interventions are most appropriate for the client who survived an earthquake and is presenting with sharp abdominal pain; decreased pulse pressure; decreased level of consciousness; cool, clammy skin; and decreased urine output? Select all that apply. One, some, or all responses may be correct. A.Ensuring patent airway B.Using a nonrebreather mask C.Inserting indwelling urinary catheter D.Preparing for a surgical intervention E.Assessing the quality and amount of pain

A,b,c

4. Which interventions would the nurse expect to be included in a plan of care for a client who is hyperkalemic? (Select all that apply.) A. Administration of calcium gluconate intravenously. Oral administration of Kayexalate (sodium polystyrene). C. Administration of regular insulin and dextrose intravenously. D. Oral administration of potassium. Cardiac monitoring. E.cardic monitoring

A,b,c,e

Which scenario would the nurse label as the "input" component of the nursing process? Select all that apply. One, some, or all responses may be correct. The nurse checks the client's health history for allergy to iodine before inserting a urinary catheter. The nurse finds the client's urine has the presence of blood after the urinary catheter is removed. The nurse checks for whether the client has a history of substance abuse before administering nasal medications. The nurse finds the client's skin color changed to bluish purple after applying cold therapy to reduce swelling. Before placing an internal fecal catheter, the nurse checks the clients medical records for any rectal surgery within the past year.

A,c,d

6. The nurse's role in addressing the National Patient Safety Goals established by The Joint Commission includes (select all that apply) a. answering all patient monitoring alarms promptly. b. memorizing all the rules published by The Joint Commission. c. obtaining a correct list of the patient's medications on admission. d. encouraging patients to be actively involved in their own health care. e. using side rails and alarm systems as necessary to prevent patient falls.

A,c,e

5. The nurse evaluates the hydration status of a client who has been receiving intravenous fluids at 150 ml/hr. The nurse identifies that the client has fluid volume excess after noting which assessment findings? (Select all that apply.) A. Neck vein distention when head of bed is elevated to 45 degrees, B. Hand veins empty when hand is raised above the heart. C. Peripheral pulses are rapid and weak. I D. Client becomes short of breath when ambulating. E. Pitting edema in extremities.

A,d,e

A client begins therapy with a new medication. One month later the client notices blood in the urine. Which medication would the nurse anticipate is the cause? A.Warfarin B.Nifedipine C.Nitrofurantoin D.Phenazopyridine

A.

Which is the recommended size of the urinary catheter that can be used in a 3-year-old child? A. 5 to 6 Fr B. 8 to 10 Fr C. 14 to 16 Fr D. 16 to 18 Fr

A.

The number of the question corresponds to the same-numbered outcome at the beginning of the chapter. 1. An example of a nursing activity that best reflects the American Nurses Association's definition of nursing is a. treating dyshythmias that occur in a patient in the coronary care unit. b. diagnosing a patient with a feeding tube as being at risk for aspiration. c. setting up protocols for treating patients in the emergency department. d. offering antianxiety drugs to a patient with a disturbed sleep pattern. 2. A nurse working on the medical-surgical unit at an urban hospital would like

B

Which intervention would the nurse implement when providing care for an older adult male client who is immobile and incontinent of urine? A.Restrict the client's fluid intake. B. Regularly offer the client a urinal. C. Apply incontinence pants. D. Insert an indwelling urinary catheter.

B

The prescriber orders methylprednisolone 60 mg IM now. The pharmacy supplies the medication with the following label. How many milliliters will the nurse administer? a. 0.5mL b. 0.75 mL c. 1.33 mL d. 1.3 mL

B 80 mg/ mL = 60mg/x mL 0.75 mL

2. A nurse working on the medical-surgical unit at an urban hospital would like to become certified in medical-surgical nursing. The nurse knows that this process would most likely require a. a bachelor's degree in nursing. b. formal education in advanced nursing practice. c. experience for a specific period in medical-surgical nursing. d. membership in a medical-surgical nursing specialty organization.

C

2. The nurse is caring for a client who is 3 days postoperative. Which intervention should the nurse implement to decrease the client's possibility of developing hypercalcemia? A. Measure vital signs every 4 hours. B. Assist the client to turn, cough, and deep breathe every 2 hours. Assist the client to ambulate around the room at least 3 times daily. D. Irrigate the client's nasogastric tube every 2 hours.

C

2. Which nursing intervention is the best example of patient advocacy? a. Collecting blood samples according to the physician's order each morning b. Assessing the vital signs of a patient who is receiving a blood transfusion c. Seeking an additional analgesic medication order for a patient who is experiencing severe pain d.Accompanying an ambulating patient who is walking for the first time after undergoing surgery

C

5. What would be the priority teaching goal for a middle-aged Hispanic woman about methods to relieve symptoms of menopause? a. Prevent the development of future disease. b. Maintain the patient's current state of health. c. Provide information on possible treatment options. d. Change the patient's beliefs about herbal supplements.

C

8. When using evidence-based practice, the nurse a. must use clinical practice guidelines developed by national health agencies. b. should use findings from randomized controlled trials to plan care for all patient problems. c. uses clinical decision making and judgment to decide what evidence is appropriate for a specific clinical situation. d. analyzes the relationship of nursing interventions to patient outcomes to discover evidence for patient interventions.

C

The nurse is caring for a client diagnosed with methicillin-resistant Staphylococcus aureus (MRSA) in the urine. The health care provider orders an indwelling urinary catheter to be inserted. Which safeguard would the nurse take during this procedure? A.Droplet precautions B.Reverse isolation C.Surgical asepsis D.Medical asepsis

C

The registered nurse (RN) is teaching a nursing student about how to safely use a urinary catheter. Which statement made by the nursing student indicates ineffective learning? A. "' will avoid the pooling of urine in the tubing." B."' will avoid prolonged clamping of the tubing." C. "' will avoid draining urine from the tubing before ambulation." D "I will avoid raising the drainage tube above the level of the bladder."

C

What nursing intervention is best when a patient is struggling with the decision to abort an abnormally developing fetus discovered during genetic testing in the first trimester of pregnancy? a. Recommend additional testing b. Refer the patient to an abortion clinic c. Listen to the patient's concerns d. Discuss regional adoption agencies

C

Which action would the nurse implement to prevent a client with urinary retention and an indwelling urinary catheter from developing a urinary tract infection? A.Assess urine specific gravity. B.Collect a weekly urine specimen. C.Maintain the prescribed hydration. D.Empty the drainage bag once a day.

C

Which catheter would the nurse use when a primary health care provider has prescribed an indwelling urinary catheter for a client? • А • В C D

C

Which diagnostic tests would the nurse expect the primary health care provider to prescribe to confirm the diagnosis of urinary tract infection in a client recovering from deep partial-thickness burns who develops chills, fever, flank pain, and malaise? A.Cystoscopy and bilirubin level. B. Specific gravity and pH of the urine C. Urinalysis with a urine culture and sensitivity D. creatinine clearance and albumin/globulin (A/G) ratio

C

Which goal is the nurse trying to achieve with continuous bladder irrigations (CBI) of a client who has undergone a suprapubic prostatectomy for cancer of the prostate? A. stimulate continuous formation of urine. B.Facilitate the measurement of urinary output. C. Prevent the development of clots in the bladder. D. Provide continuous pressure on the prostatic fossa.

C

10. What action should a nurse take if a patient who needs to sign an informed consent form for nonemergency surgery appears to be under the influence of drugs or alcohol? a. Contact the physician to see what should be done. b. Ask the patient's spouse to sign the informed consent form. c. Request permission to bypass the need for a signed consent form. d. Wait to have the informed consent form signed when the patient is alert and oriented.

D

3. What action should nurses who demonstrate accountability take if they forget to administer a patient's medication at the ordered time? a. Document the medication as refused by the patient. b. Administer the medication as soon as the error is discovered. c. Record the medication as given after making sure the patient is okay. d. Follow the administration and documentation procedures for medication errors.

D

Which nursing action is most important for a client with urinary retention related to benign prostatic hyperplasia who has a secondary diagnosis of delirium related to urosepsis and a prescription for the insertion of an indwelling urinary retention catheter? A.Secure a prescription for wrist restraints. B.Orient the client to time, place, and person. C.Involve family members in the client's care. D.Determine whether any unsafe behavior patterns exist.

D

Which problem is the nurse trying to prevent by encouraging a client with a spinal cord injury to increase oral fluid intake? A.Dehydration B. Skin breakdown C. Electrolyte imbalances D. Urinary tract infections

D

Order: D5 RL(Ringer's Lactate) at 75 mL/hr Drop Factor: 10 gtt/mL Calculate the flow rate in gtt/min

( convert hours to minutes 1hr=60 minutes) 75mL/ 1 hr = 1hr/60 min next 75 mL/60 min= X mL /1 min ( cross multiply) 75 x 1 = 60 x next 75 = 60 x X = 1.25 mL/min 1.25 mL/min = 10gtts/mL = 12.5 gtts/min or 13 gtts/min 60 60

The nurse is helping a client who was recently placed on a low-sodium diet to reduce fluid retention to choose foods for lunch. The nurse recommends which lunch menu that would be most beneficial for this client 1.Grilled chicken sandwich on white bread, apple, salad, and iced tea 2. Tuna salad sandwich on wheat bread, canned fruit cocktail, salad, and a soda. 3. Ham and bean soup, fresh fruit salad, low-sodium crackers, and a diet soda 4. Cheeseburger, grapes, fresh pineapple, and tomato juice)

1.

The provider writes the following order. How many mL/hr will the nurse set on the IV pump? Include only the numeral (not the units) in your answer. Round final answer to the nearest whole number. Order: 1000 mL 0.9% Sodium Chloride every 12hr. Enter your answer. ____ mL/hr.

83 mL/hr

Order: D5W 1500 mL over the next 12 hours, then infuse @ 50 mL/hr a. How many mLs will you infuse per hour over the first 12 hours? b. If you are using an administration set with a 20 gtt/mL drop factor, how many drops per minute will infuse when administering the first 1500 mL?

A. 1500mL = 1hr 1500 x 1 (x ml) = 1500 = XML x= 125 mL/hr 12 hr X mL 12 x 1 12 B.Volume x drop factor = gtts/min Answer: 50 gtts/min Time in minutes c. What will be your 24-hour total for this IV fluid order? 50 mL/hr x 24 hr = 1200 mL

Order: Vancomycin 1 gram in 250 mL Normal Saline to infuse IV over 75 minutes Drop factor: 15 gtts/mL a. Calculate the flow rate in gtts/min B.What would be the rate of infusion for this medication if you were using an infusion pump? (How will you set the rate on the infusion pump?)

A.250 mL x 15 gtts/mL = X gtts/min = 50 gtts/min 75 min. B.Converts minutes to hours 60 min =1 hr] 250 mL = x mL 1.5 hr hr 1. 5 x = 250 mL X = 166. 66 or 167 mL/hr

Order: Zosyn 2.25 grams in 50 mL D5W to infuse IV in 20 minutes. Drop factor: 10 gtts/mL a. Calculate the flow rate in gtts/min b. What would be the rate of infusion for this medication if you were using an infusion pump? (How will you set the rate on the infusion pump?)

A.Calculate the flow rate in gtts/min 50 mL x 10 gtts/mL = x gtts/min 500 gtts = 25 gtts/min 20 min. 20 min B.50 ml/ 20 min = X mL/ hr (convert minutes to hours.) 60 minutes = 1 hour 50mL x 60min 3000 mL= 150 mL /hr 20 min x 1 hr 20

4. Nursing students are held to which standards by the Code of Ethics for Nurses? (Select all that apply.) a. Clinical skills performance equal to that of an experienced nurse b. Demonstration of respect for all individuals with whom the student interacts c. Avoidance of behavior that shows disregard for the effect of those actions on others d. Accepting responsibility for resolving conflicts in a professional manner e. Incorporating families in patient care regardless of patient preference

B,c,d

1. Which technique is most appropriate when using motivational interviewing with a patient who tells you that he is ready to start a weight-loss program? a. Confirm that the patient is serious about losing weight. b. Insist that the patient consider an organized group weight-loss program. c. Focus on the patient's strengths to support his optimism that he can successfully lose weight. d. Ask a prescribed set of questions to increase the patient's awareness of his dietary behaviors.

C

Which health care team member would be considered the priority person to insert an indwelling urinary catheter for a client who underwent a hysterectomy? A.Registered nurse (RN) B.Client care associate C. Licensed practical nurse (LPN) D. Unlicensed assistive personnel (UAP)

C

Which room assignment would be given to a client with a urinary catheter in place who was admitted to the hospital with methicillin-resistant Staphylococcus aureus (MRSA) in the urine when no private rooms are available? • A roommate who has a urinary catheter without any infectious illness • A roommate who is bedridden and uses a bedpan for urination • A roommate who has MRSA in the urine, is ambulatory, and is confused • A roommate who is alert and oriented, has pneumonia, and practices good hygiene

C

———— is an evidence based framework to optimize team performance across the healthcare delivery system. A. IHI B. KSA C. STEPPS D. TJC

C

3. The nurse needs to include caregivers in patient teaching primarily because (select all that apply) a. caregivers provide all the care for patients after discharge. b. they might feel rejected if they are not included in the teaching. c. patients have better outcomes when their caregivers are involved. d. the patient may be too ill or too stressed to fully understand the teaching. e. caregivers are responsible for the overall management of the patient's care.

C,d

Which clinical manifestation would the nurse identify as an indicator suggesting a client has urinary retention and overflow after sustaining a cerebrovascular accident (CVA, also known as a "brain attack")? Select all that apply. One, some, or all responses may be correct. A.Edema B.Polyuria C.Frequent voiding D.Suprapubic distention E.Continual incontinence

C,d

5. If a student nurse overhears a peer speaking disrespectfully about a patient, nurse, faculty member, or classmate, what is the most ethical first action for the student nurse to take? a. Discuss the peer's actions during group clinical conference b. Ignore the initial occurrence and observe if it happens again c. Report the actions of the classmate to the clinical instructor d. Speak to the peer privately to prevent further occurrences

D

6. A patient tells the nurse that she enjoys talking with others and sharing experiences but often falls asleep when reading. Which teaching strategy would be most effective with this patient? a. Formal lecture b. Journal writing c. Web-based program D. Small group discussion

D

7. The nurse is administering glucose and insulin to a client whose potassium level is 6.3 mEg/ L. The client's wife says, "He doesn't have diabetes, so why is he getting insulin?" What is the best response by the nurse? A. Insulin is safer than giving laxatives such as sodium polystyrene sulfonate (Kayexalate)." B. "Insulin will help his kidneys excrete the extra potassium." C. "Insulin lowers his blood sugar levels and this is how the extra potassium is excreted." D. "Insulin will cause his extra potassium to go into his cells and lower the blood level."

D

Statutory: • Regulatory: • Case Law: • Civil: • Criminal: A. Nurses must actively seek to keep current to avoid practice illegally C. Civil or criminal D. Theft of narcotics and falsifying medical records E. Sets legal boundaries of nursing practice within each state 13 G. Legislative bodies enact

Statutory- g,e,c,j Regulatory-a,d Case law-c Civil-I Criminal-d

Order: 150 mL D5W in 2 hrs Drop factor: 20 gtt/mL Calculate the flow rate in gtt/min

Volume (mL) x drop factor /time (min) = x gtt/min 150mL x 20 gtts/mL = X gtts/min 2 hr x 60 min/hr 3000 gtts/ 120 min = 25 gtts/min

Order: Cefazolin 250 mg in 100 mL D5W. Infuse over 45 min Drop factor: 20 gtts/mL Calculate the flow rate in gtts/min

Volume (mL) x drop factor = x gtts/min 100ml x 20 gtts = X gtts/min = 2000 gtts = 44.44 Time (min) __ 1 mL_____ 45 min 45 min Final = 44 gtts/min

Order: 1,000 mL of Ringer lactate solution (RL) to infuse in 16 hr Drop factor: 15 gtt/mL Calculate the flow rate in gtt/min

Volume x drop factor / time = X gtts/min 1000 mL x 15gtt/mL / 16 hr x 60 min/1 hr = 15000 gtts /960 min= 15.625 or 16 gtts /min

The nurse is listening to the client speaking on the phone and doesn't leave the room. Is this a violation of the client's rights?

Yes ( intentional tort)

The health care provider orders the following IV. The nurse on the previous shift set the IV pump at 125 mL/hr. Is the IV infusing at the correct flow rate? If the rate is incorrect, please provide the math calculation to determine the correct rate of infusion. Order: 1000mL D5NS with 20 mEq KCL every 10 hours.

a. The IV flow rate of 125mL/hr is correct. b. The IV is infusing too fast. The correct flow rate is ____100mL/hr____________. c. The IV is infusing too slow. The correct flow rate is _______________. d. I don't know how to determine the correct rate.

Order: 2,000 mL D5W(5% Dextrose in Water) in 24 hr by infusion pump Calculate the flow rate in mL/hr.

mL/ hr- For IV pump infusion (cross multiply) 2000 mL = X mL next 24hr (x mL) = 2000mL/hr next x mL/hr= 83.33 or 83mL/hr 24 hr 1hr 24hr 24