nx

A licensed practical nurse (LPN) asks an unlicensed assistive personnel (UAP) to gather supplies in preparation for administering a tepid bath to a child with a fever. The LPN intervenes if the UAP obtains which unnecessary item(s)?

a bottler of alcohol

A client is having trouble remembering his prescribed medication regimen. Which statement by the nurse is therapeutic?

"Let me go over your prescribed medications with you again."

The nurse assists in developing a plan of care for a client who will be hospitalized for insertion of an internal cervical (vaginal) radiation implant. Which action should the nurse suggest including in the plan of care for the client?

--Place a radiation sign on the door outside of the client's room.

A health care provider's prescription reads: tobramycin sulfate, 7.5 mg intramuscularly twice daily. The medication label states 10 mg/mL. How many milliliters (mL) will the nurse give to administer 1 dose? Fill in the blank. Record your answer to two decimal places.

0.75ml

A client is complaining of abdominal pain and nausea. The prescription is as follows: give hydroxyzine (Vistaril) 25 mg intramuscularly and meperidine (Demerol) 25 mg intramuscularly, stat. Hydroxyzine (Vistaril) is available 50 mg/mL. Meperidine (Demerol) is available in 25 mg/0.5 mL. The nurse should combine the doses in one syringe for administration to the ventrogluteal muscle. How many milliliters should the nurse administer in total? Fill in the blank.

1 mL---- Rationale: Use the medication calculation formula to determine mL for each medication and then add the mL to determine the total amount. Hydroxyzine (Vistaril) Desired --------- × Quantity = mL per dose Available 25 mg ----- × 1 mL = 0.5 mL 50 mg Meperidine (Demerol) Desired --------- × Quantity = mL per dose Available 25 mg ----- × 0.5 mL = 0.5 mL 25 mg 0.5 mL of hydroxyzine (Vistaril) + 0.5 mL meperidine (Demerol) = 1 mL

Morphine sulfate, 2.5 mg subcutaneously, is prescribed for a client postoperatively. The medication label reads 2 mg/mL. How many milliliters should the nurse administer? Fill in the blank.

1.25

client is to receive 1000 mL of 5% dextrose in water (D5W) at a rate of 100 mL/hr. The drop (gtt) factor is 10 drops (gtt) per mL. The nurse adjusts the flow rate to deliver how many drops per minute? Fill in the blank. Record your answer to the nearest whole number

17GTT/MIN

The nurse hangs a 1000-mL intravenous (IV) bag of 5% dextrose in water (D5W) at 0700. The IV is to infuse at 100 mL/hr, and the nurse places a time tape on the IV bag. At noon the nurse should expect that the infusion line on the IV bag would be at which point? Refer to figure.

2

The nurse is preparing a small dose of a medication for administration to an infant. The nurse selects which syringe for preparing the medication? Refer to figure.

2

A health care provider prescribes 2000 mL of 5% dextrose in water to run over 24 hours. The drop (gtt) factor is 15 gtt/mL. The nurse plans to adjust the flow rate at how many drops per minute? Fill in the blank. Round answer to the nearest whole number

21

A health care provider prescribes 1000 mL of normal saline (NS) to be infused over a period of 10 hours. The drop (gtt) factor is 15 drops (gtt) per mL. The nurse adjusts the flow rate at how many drops per minute? Fill in the blank.

25gtt/min

The health care provider prescribes ibuprofen (children's Motrin) 5 mg per kg for a child who weighs 13 pounds. How many milligrams (mg) should the nurse administer to the child? Fill in the blank. Record your answer using one decimal place.

29.5mg

Why should the nurse who is focusing on facilitating positive outcomes regarding health care services become familiar with the cultural beliefs and practices of a childbearing woman?

A culturally diverse woman may have beliefs that impact the delivery of health care services.

The nurse is assigned to care for a client experiencing episodes of postural hypotension. Which action should the nurse take to ensure safety while transferring the client from the bed to the chair?

Allow the client to dangle the legs in a sitting position on the bed before transfer to a chair.--

The nurse is caring for a child with a diagnosis of roseola. The nurse provides instructions to the mother regarding preventing the transmission of the infection to the other children in the family and the other household members. Which instructions should the nurse reinforce to the mother?

Avoid allowing the children to share drinking glasses or eating utensils because the disease is transmitted through the saliva.

The nurse instructs a client at risk for hypokalemia about the foods high in potassium that should be included in the daily diet. The nurse determines that the client needs further teaching if the client states that which food is high in potassium?

EGGS

The nurse knows when preparing the Filipino American client for a surgical procedure it is important to assess for which culturally relevant influences? Select all that apply.

Familial hierarchy Cultural practices Reactions to surgery Pain management plans

The nurse is assigned to care for a client on contact precautions. On review of the client's record, the nurse notes that the client has a hospital-acquired infection caused by methicillin-resistant Staphylococcus aureus (MRSA). The client has an abdominal wound that requires irrigation and has a tracheostomy attached to a mechanical ventilator and requires frequent suctioning. The nurse gathers supplies before entering the client's room and obtains which necessary protective items?

Gloves, mask, gown, and goggles

The community health nurse has completed a teaching session about anthrax with members of the community. The licensed practical nurse reinforcing the teaching tells those attending that anthrax can be transmitted via which routes? Select all that apply.

Inhalation, skin Gastrointestinal

A 70-year-old client who has been treated for cellulitis of the leg asks the nurse how to improve resistance to infection. Which measures should the nurse reinforce in the teaching plan? Select all that apply.

Keep skin on arms and legs well lubricated. Wash any breaks in the skin with soap and water. Receive recommend vaccines against influenza and pneumonia.,Balance activity, rest, and avoid stress.

The nurse is reinforcing instructions to a client about safety measures while using oxygen in the home. The nurse determines that the client needs further teaching if the client verbalized which statement?

Keep the oxygen concentrator as close to the room wall as possible

Cloxacillin sodium 100 mg orally every 8 hours is prescribed for a child with an elevated temperature who is suspected of having a respiratory tract infection. The child weighs 17 pounds. The safe pediatric dosage is 50 mg/kg/day. Which statement accurately describes the prescribed dosage for this

SAFE DOSAGE

The nurse is assigned to care for a client who has a nasogastric (NG) tube and is receiving tube feedings. When implementing nursing care for the client, the nurse remembers which information?

That aspiration is a primary concern

An Appalachian family has brought a toddler to the emergency department with a fractured arm. The nurse knows that nonverbal communication is important to evaluate with assessing the family. Which factors are involved in non-verbal communication? Select all that apply.

Touch Body posture Use of space Eye behavior Facial expressions

The nurse is working with an unlicensed assistive personnel (UAP) to care for clients. While observing the UAP's delivery of care, the nurse notes which action by the UAP that indicates the need for further teaching regarding standard precautions? Select all that apply.

Uses soap and water to wash hands for 5 seconds and then dries hands Empties collection bag of an indwelling urinary catheter without wearing gloves Removes gloves and immediately uses computer to document care

A client with tuberculosis (TB) who is being prepared for discharge to home should be instructed to follow which practice to decrease the possibility of spreading the infection?

Wear a mask outside home

The nurse provides dietary instructions to a client at risk for hypokalemia about the foods high in potassium that should be included in the daily diet. The nurse tells the client that the fruit highest in potassium is which selection?

Kiwi

The nurse needs to increase the calcium in the diet of a client who is lactose intolerant. Which food items should the nurse encourage? Select all that apply.

tofu B0ccoli Sardines Mustard greens

An Appalachian family has brought a toddler to the emergency department with a fractured arm. The nurse knows that nonverbal communication is important to evaluate with assessing the family. Which factors are involved in non-verbal communication? Select all that apply.

touch, Body posture Use of space Eye behavior Facial expressions

The nurse knows that spatial behavior is related to territoriality in many Latino cultures. Which client needs are associated with territoriality? Select all that apply.

Privacy Security Autonomy self-identity

The nurse enters a laundry room to empty a bag of dirty linens and discovers that there is a fire in the laundry room. The nurse activates the alarm, closes the laundry room door, and obtains a fire extinguisher to extinguish the fire. Which is the first action when using the fire extinguisher?

Pulling the pin on the fire extinguisher

A client with a diagnosis of tonic-clonic seizures is being admitted to the hospital, and the nurse needs to institute seizure precautions. During a seizure, which item is least appropriate to use and could cause harm to the client?

restraints

A client who has calcium phosphate kidney stones tells the nurse, "Tell me what I can do, so that I never have this pain again." Which instructions should the nurse plan to include in the reinforcement of dietary instructions? Select all that apply.

Limit the intake of whole grains. Limit protein to 5 to 7 servings per week. Decrease sodium intake.

A client with hyperkalemia has a prescription for taking sodium polystyrene sulfonate (Kayexalate) for several days. The client also needs to consume a diet low in potassium. Which foods high in potassium content should the client avoid? Select all that apply.

Mushrooms, cabbage Strawberries

The nurse is caring for a client who has been prescribed cold pack applications to the right lower extremity. The nurse plans to collect which data specifically associated with this therapy before the initiation of therapy? Select all that apply.

Pedal pulses Capillary refill, Color of the extremity, Temperature of the skin

The nurse is caring for a client who has hand restraints. How often should the nurse assess the skin integrity of the restrained hands?

every30 min

A client has a diagnosis of hyperphosphatemia. The nurse reinforces teaching the client to eliminate which from the diet?

fish

The nurse is caring for a client with a health care-associated infection caused by methicillin-resistant Staphylococcus aureus who is on contact precautions. The nurse prepares to provide colostomy care to the client. Which protective items will be required to perform this procedure?

glove, gown , googles

A health care provider's prescription reads potassium chloride 20 mEq in 1000 mL normal saline and infuse at 100 mL/hr. The nurse assisting in caring for the client determines that the client will receive how many milliequivalents (mEq) of potassium every hour? Fill in the blank.

mEq 2

The nurse reinforces instructions to a client to increase the amount of riboflavin in the diet. The nurse should tell the client to select which food item that is high in riboflavin?

milk

A health care provider writes a prescription to apply a heating pad to a client's back. The nurse implements the prescription and avoids which action?

placing the heating pad under the client

A client with tuberculosis (TB) who is being prepared for discharge to home should be instructed to follow which practice to decrease the possibility of spreading the infection?

Wear a mask when in contact with people outside of the family until medications are effective.