ATI Williams Chest Trauma/CF

A nurse is preparing to administer vitamin K q mg to a newborn. Available is vitamin K injection 1 mg/0.5 mL. How much should the nurse administer? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

0.5 mL

A nurse is preparing to administer clindamycin 300 mg by intermittent IV bolus over 30 min to a client who has a staphylococci infection. Available is clindamycin premixed in 50 mL 0.90% sodium chloride (NaCl). The nurse should set the IV pump to deliver how many mL/hr? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trialing zero.)

100 mL/hr

A nurse is preparing to administer fluconazole 400 mg by intermittent IV bolus daily. Available in fluconazole 400 mg in 0.9% sodium chloride 200 ml to infuse over 2 hr. The nurse should set the IV pump to deliver how many ml/hr? (Round to whole/10th)

100 ml/hr

A nurse is teaching the mother of a 5 year old child who has cystic fibrosis about pancreatic enzymes. The nurse should understand that further teaching is necessary when the mother states which of the following?

A. "I will give my son the enzymes between meals."B. "The enzyme probably won't cause many adverse effects."C. "The enzyme helps him digest fat."D. "I will put the enzyme crystals in his applesauce."Correct answer: A. "I will give my son the enzymes between meals."

A nurse is presenting an in-service about the use of postural drainage for infants who have cystic fibrosis. Which of the following positions should the nurse identify as being contraindicated for the infant?

Trendelenburg

A nurse is caring for a client who has a disposable three-chamber chest tube in place. Which of the following findings should indicate to the nurse that the client is experiencing a complication?a. Continuous bubbling in the water-seal chamberb. Occasional bubbling in the water-seal chamberc. Constant bubbling in the suction-control chamberd. Fluctuations in the fluid level in the water-seal chamber

a. Continuous bubbling in the water-seal chamber

A nurse is monitoring a client who has a chest tube in place connected to wall suction due to right sided pneumothorax. The client complains of chest burning. Which of the following actions should the nurse take?

reposition client

A nurse is preparing to administer haloperidol 5mg IM to a client. The amount available is haloperidol 20 mg/mL. How many mL should the nurse administer? (Round the answer to the nearest hundredth. Use a leading zero if it applies. Do not use a trailing zero.)

0.25 mL

A nurse is caring for a client who has a three-chamber closed chest tube system. Which of the following should the nurse do after noticing a rise in the water seal with client inspiration?1. continue to monitor the client2. immediately notify the provider3. reposition the client toward the left side4. clamp the chest tube near the water seal

Continue to monitor the client; the fluid in the water seal chamber rises 2-4 inches during inhalation and falls during exhalation

a nurse is caring for a child who has a suspected diagnosis of cystic fibrosis. which of the following diagnostic tests will confirm the diagnosis

sweat chloride test

A nurse is caring for a client who is 1 day post op, following a left lower lung lobectomy. When checking the client's closed chest drainage system, the nurse notes that there is no bubbling in the suction controller chamber. The nurse should

Verify that the suction regulator is on and check the tubing for leaks.

A nurse is providing discharge teaching about nutrition to the parents of a child who has cystic fibrosis (CF). Which of the following responses by the parents indicates an understanding of the teaching?

We will give our child pancreatic enzymes with snacks and meals. CF interferes with the availability of pancreatic enzymes necessary for digestion and absorption of nutrients. Therefore, pancreatic enzymes must be taken with all meals and snacks.

A nurse is caring for a client who has a chest tube connected to a closed drainage system and needs to be transported to the x-ray department. Which of the following actions should the nurse take?

Keep the drainage system below the level of the client's chest at all times. During transport, the drainage system should be kept below the level of the client's chest to prevent air and drainage fluid from re-entering the thoracic cavity.

A child has a prescription to receive chest physiotherapy (CPT). Which of the following should the nurse do?1. perform CPT 15 min prior to meals2. perform CPT immediately after the child eats3. administer albuterol prior to CPT4. perform CPT prior to administering albuterol

Administer albuterol prior to CPT; bronchodilators relax and dilate the airway to promote air exchange. Facilitates removal of the secretions as the chest wall is being percussed.

A nurse is assessing a client who has a pneumothorax with a chest tube in place. For which of the following findings should the nurse notify the provider?

Movement of the trachea toward the unaffected side. A chest tube inserted for a spontaneous pneumothorax may result in the development of a tension pneumothorax, a medical emergency. This results from air in the pleural space compressing the blood vessels of the thorax and limiting blood return to the heart. An assessment of tracheal deviation, or movement of the trachea toward the unaffected side, is indicative of tension pneumothorax and should be reported to the provider immediately.

A nurse is caring for a client who has a chest tube in place to a closed chest drainage system. Which of the following findings should indicate to the nurse that the client's lung has re-expanded?

No fluctuations in the water seal chamber

A nurse is preparing to administer dextromethorphan 30 mg PO. The amount available is dextromethorphan oral liquid 7.5mg/5mL. How many mL should the nurse administer?

20 ml

a nurse is caring for a client who is to receive liquid medications via a gastrostomy tube. the client is prescribed phenytoin 250 mg. the amount available is phenytoin oral solution 25 mg/5 mL. How many mL should the nurse administer per dose? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trialing zero.)

50 mL

A nurse is preparing to administer ampicillin 500 mg via intermittent IV bolus over 30 min. Avaliable is 500 water toSw). The nurse should set the pump to deliver how many ml/h? (Round the answer to the nearest who applies. Do not use a trailing zero.) mg ampicillin in 50 mL dextrose 5% in

Available amount of drug is 500mg ampicillin in 50ml of dextrose 5% Volume of drug is 50ml Time to infuse the drug=30minute that is 0.5hr Calculation Flow rate (ml/hr)=total volume (ml)/infusion time (hr) 50ml/0.5hr=100ml/hr

A nurse is assessing a client who is 1 day postoperative following a lobectomy and has a chest tube drainage system in place. Which of the following findings by the nurse indicates a need for intervention?

Development of subcutaneous emphysema. Subcutaneous emphysema is an indication that air is trapped in and under the skin, which be the result of a pneumothorax and should be reported to the provider.