PCC 2 exam 1
order : Metronidazole (Flagyl) 500 mg in 100 mL DsW IVPB over 20 minutes. Drop factor is 15 gtt/mL Calculate the flow rate in gtt/min. Round to the next whole number.
100 x 15= 1500 1500/ 20= 75
Order: lactated Ringer 125 mL/hour Drop factor: 15 gtt/mL Calculate the flow rate in gtt/min. Round to the nearest whole number.
125 x 15= 1875 1875/60=31.25 =32
Order: Morphine 2 mg every 4 hours as needed for pain Available: Morphine 4 mg/mL How many mL will you administer? Round to the nearest tenth
2mg/ 4mg= 0.5
Order: Medrol 4 mg/kg. Patient weight 64.8# Available: Medrol 500mg/ 4ml How many mL will you administer? Round to the nearest tenth
64.8/2.2= 29.45 29.45 x 4= 117.8 117.8/500= 0.23 0.23 x 4 = 0.9
Order: Zofran 8 mg every 8 hours Available: Zofran 4mg/ tsp How many mL will you administer?
8mg/4mg=2mg 2mg x 5 tsp= 10mL
a nurse is teaching a patient who has chronic kidney disease about planning a low protein diet. The patient states "Why do I have to be concerned about protein?" Which of the following responses should the nurse make?
A low protein diet reduces the risk for uremia
a patient underwent a transrectal resection of the prostate (TURP) yesterday for benign prostatic hyperplasia. Which intervention should the nurse perform for the patient during the first post-operative day?
Assess for excessive bleeding
the nurse assesses a patient with mechanical bowel obstruction who reports intermittent abdominal pain. An hour later, the patient reports constant abdominal pain. Which action should the nurse take next?
Assess the patient's bowel sounds
a nurse is reviewing the blood urea nitrogen (BUN) and creatinine levels of an older adult patient who has chronic kidney disease. The nurse should expect which of the following findings?
BUN 49 mg/dl and creatinine 5.0 mg/dl
a hospitalized patient with chronic kidney disease has returned to the nursing unit after a hemodialysis treatment. The nurse should check which of the following pre dialysis and post dialysis parameters first?
Blood pressure and weight
the nurse is caring for a 35 year old patient diagnosed with Crohn's disease with fistulas. The nurse should monitor the patient for signs on intra-abdominal abscess and sepsis. Which of the following symptoms would be of most concern to the nurse when assessing her patient?
Change in mental status
a nurse is caring for a patient who is 5 hour post-operative following a transrectal resection of the prostate (TURP). the nurse notes that the client's indwelling urinary catheter has not drained in the past hour. Which of the following actions should the nurse take first?
Check the tubing for kinks
the home care nurse is assessing a patient who began using peritoneal dialysis one week ago. Which of the following assessment findings would indicate peritonitis?
Cloudy dialysate output
the nurse is providing discharge teaching to a patient who has a new arteriovenous fistula in the left forearm. Which of the following manifestations should the nurse include in the teaching as a possible indication of venous insufficiency?
Cold and numbness distal to the fistula site
which of the following symptoms would the nurse expect to see in a patient diagnosed with acute pyelonephritis?
Costovertebral angle tenderness, flank pain, and chills
the nurse cares for a patient who is 2 days postoperative new colostomy . Which action should the nurse take?
Empty the pouch when it is 1/3 to 2/3 full to remove excess gas collection
The nurse is caring for a patient with a diagnosis of urolithiasis. Which information should the nurse include in the plan of care?
Encourage intake of at least 3 liters of fluids per day
a nurse is caring for a patient who has a new diagnosis of urolithiasis. which of the following should the nurse identify as an associated risk factor?
Family history
a nurse is planning care for a client with diverticulitis. Which of the following menu selections should the nurse include in the plan of care?
Grilled chicken with rice
a patient is diagnosed with late chronic kidney disease. Which of the following conditions would the nurse expect the patient to exhibit on assessment?
Hyperkalemia
a nurse is planning care for a patient with a diagnosis of cystitis . Which of the following intervention should the nurse include in the plan of care?
Instruct the patient to complete antibiotics even if symptoms improve
a patient with Crohn's disease reports numbness, tingling, and painful muscle contractions. After assessing the deep tendon reflexes of the patient, which intervention would the nurse anticipate performing after notifying the health care provider?
Intravenous administration of magnesium sulfate
a nurse is caring for a patient who has prostate cancer. The nurse should expect the provider to prescribe which of the following medications for the patient?
Leuprolide
a patient with chronic kidney disease returned to the nursing unit after receiving his second hemodialysis treatment. Which of the following symptoms would indicate disequilibrium syndrome?
Mental confusion
A 19 year old is brought to the emergency department due to nausea, vomiting, severe right lower quadrant pain and a WBC 17,000 mm^3. Which statement by the patient is of most concern to the nurse?
My belly doesn't hurt anymore
which of the following factors in the medical history would I nurse ask about in a patient with urethritis?
Pyuria
which assessment finding is associated with a small bowel obstruction? Select all that apply
Severe fluid imbalance Upper abdominal distention Profuse vomiting
the nurse in the clinic is reviewing the medication list of a patient with erectile dysfunction, coronary artery disease and hypertension. Which of the following medications on the patient's medication list with the nurse want to report to the health care provider? Select all that apply
Sildenafil (Viagra) Nitroglycerin
you are assessing a long term care patient with a history of benign prostate hyperplasia (BPH). which information will require the most immediate action?
The bladder is palpable above the symphysis pubis and the client is restless
a nurse is assessing a client who has end stage kidney disease and is receiving hemodialysis. Which of the following findings should the nurse identify as an indication the client is experiencing fluid overload?
The client has a 5 pound weight gain in one day
you obtain the following assessment data about your patient who has a transurethral resection of the prostate (TURP) and has continuous bladder irrigation. which finding indicates the most immediate need for nursing intervention?
The client reports painful bladder spasms
the nurse is assessing a client who has a new colostomy. which of the following should the nurse report to the provider immediately?
The stoma is dark purple
a nurse is caring for a client who has Crohn's disease. Which of the following food choices would follow the recommended diet for clients who have Crohn's disease?
Toast with Jelly
a nurse is preparing to obtain a daily weight from a client who has chronic kidney disease. Which of the following action should the nurse implement?
Weigh the patient after he or she has voided
a 67 year old patient with benign prostate hyperplasia (BPH) has a new prescription for tamsulosin (Flomax). which statement about tamsulosin is the highest priority to include when teaching this patient?
You should avoid sitting up or standing up too quickly
which of the following are classic symptoms of celiac disease? Select all that apply
abdominal distention diarrhea and Constipation steatorrhea abdominal pain
The nurse is caring for a client who has suspected appendicitis. Which of the following provider prescriptions should the nurse question?
administer sodium phosphate enema
a clear liquid diet has been prescribed for a patient with diverticulitis. The nurse should offer which item to patient?
apple juice
A nurse is caring for a client who has ulcerative colitis and is teaching the client about the common link with Crohns disease. Which of the following info should the nurse take
both are inflammatory
the nurse is caring for a patient with left forearm arteriovenous (AV) fistula that was created for hemodialysis. Which actions should the nurse take? Select all that apply
ensure that no blood pressure measurements are taken in the arm teach the patient to palpate for a thrill over the site auscultate for a bruit every shift
the nurse creates a menu for a patient newly diagnosed with celiac disease. Which lunches would be appropriate for this patient? Select all that apply
grilled chicken, baked potato, and strawberry non-additive yogurt rice noodles with chicken and broccoli corn tacos with ground beef and cheese
a patient came to the health clinic with complaints of erectile dysfunction. Which of the following are some possible causes of this condition that the nurse should discuss with the patient during the history taking interview? Select all that apply
long term hypertension diabetes mellitus recent prostatectomy consumption of beer each night
Which of the following acid base imbalance would likely occur in patient with an ileostomy?
metabolic acidosis
a nurse is planning care for patient with diverticulitis. Which of the following would the nurse anticipate the provider prescribing for the patient? Select all that apply
metronidazole (Flagyl) NPO IV fluids
Which of the following should the nurse include in post operative teaching when caring for a patient who has undergone a laparoscopic cholecystectomy? Select all that apply
most patients can resume activities within a week of surgery you should rest for 24 hours after the procedure you can apply heat to help with discomfort from carbon dioxide retention
which intervention would the nurse provide during the postoperative care of a patient who underwent surgery for a colostomy formation? Select all that apply
place a colostomy pouch over the stoma maintain an intravenous line assess the summer for edema and bleeding assess the color and integrity of the stoma frequently
a nurse is providing dietary teaching to a client who has chronic kidney disease. The nurse should instruct the patient to limit which of the following nutrients? Select all that apply
sodium protein phosphorus
a patient is newly diagnosed with ulcerative colitis. what type of anti-inflammatory medication does the nurse anticipate the provider to prescribe as first line treatment for this condition?
sulfasalazine (azulfadine)
You are providing postoperative care for a client who underwent laparoscopic cholecystectomy. Which of the following should be reported immediately to the physician?
the client reports right upper quadrant pain
which laboratory results is of most concern to you for an adult patient with cystitis?
urine bacteria count of 100,000 colonies per milliliter
