The health care provider orders 1000 mL of D5LR with 20 mEq KCl to run for 8 hours. Using an infusion set with a drop factor of 15 gtt/mL, the nurse calculates the flow rate to be: 1. 12 gtt/min 2. 22 gtt/min 3. 32 gtt/min 4. 42 gtt/min ANSWER ANS: 3 1000 mL […]
An elderly client is being discharged home after a short illness and stay in acute care. The physician has written an order for home health follow-up. In order to better understand the need for any assistive devices, the home health nurse makes an assessment: 1. At the initial home visit, in order to see the […]
On a 2-week follow-up visit to the health care provider, a 64-year-old female postoperative client shares with the nurse that she is having difficulty sleeping and has never had a history of sleeping problems. The nurse shares with the client that: 1. Because of her age, the client should expect to begin having some problems […]
Different topics are presented in the information sessions that are held in the outpatient clinic. In planning for a session on health maintenance/illness prevention, the nurse should select a topic on: 1. Use of assistive devices, such as canes 2. Self-help devices for post-CVA clients 3. Stress management techniques for working parents 4. Environmental alterations […]
The mother of a child receiving immunizations at a health clinic shares with the nurse that she and the child have not eaten today. Which of the following nursing interventions is best directed at impacting the immediate problem while being sensitive to the mother’s sense of self-worth? 1. Notifying family services of the problem 2. […]
The client has a large, deep wound on the sacral region. The nurse correctly packs the wound by: 1. Filling two thirds of the wound cavity 2. Leaving saline-soaked folded gauze squares in place 3. Putting the dressing in very tightly 4. Extending only to the upper edge of the wound ANSWER ANS: 4 […]
A newly graduated nurse is best prepared for the assignment of his first dying patient if he: 1. Completed a course dealing with death and dying 2. Is able to control his own personal emotions about death 3. Has previously experienced the death of a dear loved one 4. Has developed a personal understanding of […]
A client’s urine pH is 8.0. What further assessments would be indicated for this client? 1. Intake of fruits and vegetables 2. Intake of cranberries 3. Intake of high-protein foods 4. Symptoms of diarrhea 5. Symptoms of a urinary tract infection ANSWER Correct Answer: 1, 5 Rationale 1: Alkaline urine might indicate a diet […]
The home care nurse is reviewing a list of clients prior to making visits. For which client should the nurse plan interventions to decrease the risk of developing constipation? 1. An adult who is on bed rest 2. An infant who is breast-fed 3. A school-age child at recess 4. A toddler who is now […]
The nurse is administering morphine sulfate to a client for pain. The order has been written so that the nurse can chose from several routes of administration. The nurse knows that the morphine sulfate be most rapidly absorbed by which of the following routes? 1. Oral 2. IV 3. IM 4. Rectal ANSWER ANS: […]