Exam 5

The medication prescribed is heparin sodium 650 units subcutaneously, every 12 hours. The medication vial reads heparin sodium 1000 units/mL. The nurse prepares how many milliliters to administer one dose?

0.65 mL

The medication prescribed is atropine sulfate, 0.4 mg intramuscularly, immediately. The medication label states atropine sulfate, 0.3 mg/0.5 mL. The nurse prepares how much medication to administer the dose? Fill in the blank and round answer to one decimal place.

0.7 mL

A client has been receiving parenteral nutrition at 125 mL/hr for 5 days. On data collection, the LPN notes bilateral crackles and 2+ pedal edema and that the client has gained 3 pounds in 5 days. Which would be appropriate as the initial nursing action?

Notify the registered nurse of the findings.

A client with new onset migraine headaches is being seen in the clinic. The client has a history of hypotension and diabetes mellitus. The nurse predicts that the client will experience undesirable cardiac side effects if the health care provider prescribes which medications?

Propranolol (Inderal) Verapamil (Calan)

A client is seen in the health care clinic, and a diagnosis of conjunctivitis is made. The nurse reinforces discharge instructions to the client regarding care of the disorder while at home. Which statement by the client indicates a need for further teaching?

"I do not need to be concerned about spreading this infection to others in my family."

A pregnant woman has a positive history of genital herpes, but she has not had lesions during her pregnancy. The nurse plans to provide which information to the client?

"You will be evaluated at the time of delivery for herpetic genital tract lesions. If they are present, a cesarean delivery will be needed."

The nurse is checking the date of an intravenous (IV) insertion in a client. The insertion date on the dressing is 2/9 (February 9). The nurse calculates that the site should be changed on which date?

2/12

The nurse is performing cardiopulmonary resuscitation (CPR) on an adult. The nurse should deliver how many breaths per minute to the client?

10

The medication prescribed is zidovudine (Retrovir), 0.2 g orally, three times daily. The medication label states zidovudine, 100-mg tablets. The nurse prepares to administer how many tablets for one dose?

2

The prescription reads to give ondansetron hydrochloride 0.15 mg/kg of body weight 30 minutes before receiving chemotherapy. The client weighs 132 pounds. How many milligrams (mg) of ondansetron hydrochloride will the nurse administer?

9 mG

The nurse is caring for a client with respiratory insufficiency. The arterial blood gas results indicate a pH of 7.50 and a PCo2 of 30 mm Hg, and the nurse is told that the client is experiencing respiratory alkalosis. Which additional laboratory value should the nurse expect to note?

A potassium level of 3.2 mEq/L

The nurse is reinforcing instructions for a client in how to perform a testicular self-examination (TSE). The nurse explains that which is the best time to perform this exam?

After a shower or bath

The nurse is caring for a client recovering from hepatitis. The nurse recognizes the need to report which laboratory test result to the health care provider?

Alanine aminotransferase (ALT) that is significantly elevated

The nurse has just confirmed that a client has been scheduled for a mammogram for the following week. The nurse reinforces that the client should take which action? Select all that apply.

Avoid applying skin lotion on the day of the test. Remove any necklaces before presenting for the procedure.

The nurse is preparing to care for a dying client, and several family members are at the client's bedside. Which therapeutic techniques should the nurse use when communicating with the family?

Encourage expression of feelings, concerns, and fears. Extend touch, and hold the client's or family member's hand if appropriate. Be honest and truthful, and let the client and family know that you will not abandon them.

When positioning for a surgical procedure, the nurse understands that the client's respiratory system is most at risk for dysfunction when in which position?

Lithotomy

The nurse is caring for a client with a diagnosis of chronic obstructive pulmonary disease (COPD). The nurse should monitor the client for which acid-base imbalance?

Respiratory acidosis

The nurse is reviewing laboratory results and notes that the client's International Normalized Ratio (INR) is 2.2. The nurse should realize this test is performed to monitor the effectiveness of which medication?

Warfarin (Coumadin)

The nurse is caring for a client at risk for postpartum endometritis. Which nursing intervention would minimize this risk following delivery?

Reviewing hand-washing techniques and pericare with the client

The nurse initiates a prescription from the health care provider and restrains a client who has a chest tube connected to suction. The client is confused and continues to remove the dressing around the tube and pulls at the tube. Which information should the nurse document in the client's medical record regarding restraints? Select all that apply.

Adequacy of circulation in the body area that is restrained Type of restraint and body area where the restraint was applied Communication with client and family member about need for restraint The alternative measures that were attempted before restraints were applied