1- A client who is hypotensive is receiving dopamine, an adrenergic…

Question Answered step-by-step 1- A client who is hypotensive is receiving dopamine, an adrenergic… 1- A client who is hypotensive is receiving dopamine, an adrenergic agonist, IV at the rate of 8 mcgkg min. Which intervention should the nurse implement while administering this medication ?A- Initiate seizure precautionsB-Assess pupillary response to light hourlyC- Monitor serum potassium frequentlyD-Measure urinary output every hour 2-A family member accompanies a client with schizophrenia to the mental health unit . The family member describes to the nurse the client experienced a prolonged psychotic episode that lasted for three days. Which action should the nurse implement first?A-Review the list of medications taken at home.B- Explore possible triggers to the episodeC-Verify nutrition and hydration statusD- Assess if warning signs were observed 3- The nurse of a medical surgical unit receives a report from a post anesthesia care unit nurse for a client being transferred following a right hemicolectomy, The nacu nurse reports the client has an intravenous infusion of 1000 ml lactated ringer infusing at 125 ml/hr into the left wrist with 300 ml remaining. Prescriptions include morphine sulfate 2 mg IV every 2 to 4 hours for pain, last administered 30 minutes ago, ondansetron 4 mg IV every 8 hours for nausea , last administered 15 minutes ago. Which additional information is most important for the nurse to obtain in the report?A-History of vomiting at home for 3 days prior toB- Peripheral present with full range of motion of both legsC- Soft abdomen, absent bowel sounds no bleeding on dressingD-Declining to take chips for complaints of dry mouth 3- The healthcare provider prescribes dalteparin 200 units subcutaneously once day for a client who weighs 154 poundsThe medication is available in 25,000 units/mL vial. How many mL should the administer. Enter numerical value. If rounding is required, round to the nearest tenth) 4- Which conditions are most likely to respond to treatment with antihistamines? (Select all that apply)A- MyocarditisB-BronchitisC- Contact dermatitisD-Otitis mediaE-Allergic rhinitis 5-A client treated for type 2 diabetes mellitus for eight years arrives to the clinic describing elevated blood glucose readings intermittently for the past two months. Which finding requires further follow-up by the nurse?A-Dark yellow urineB- Blood pressure 130/80 * mmHgC- Difficulty staying asleepD-Weak pedal pulses  6-A 4-year-old with acute lymphocytic leukemia (ALL) is receiving a chemotherapy protocol that includes methotrexate, an antimetabolite. Which information should the nurse provide the parents about caring for their child?A-Use sunblock or protective clothing when outdoorsB- Include the child on regular outings with the familyC-Obtain any childhood vaccination that is not up-to- dateD-Use a diluted commercial mouthwash with mouth care  7-A female child is brought to the emergency department after awakening with a bark-like cough and stridor. Upon arrival to the hospital, her respirations are labored, and she drooling. What action should the nurse implement?A-Assess the child for dehydration.B-Collect midstream urine specimen for culture.C-Examine oropharyngeal area for foreign bodyD-Prepare for emergency tracheotomy  8-An infant with esophageal atresia and trachooesophageal fistula receives a prescription for enteral feedings after corrective surgery. To promote normal growth and development of the infant, which action should the nurse include in the plan of care?A- Use sterile technique during feedingsB- Ensure placement the gastrostomy tube with an abdominal x-ray C- Offer a pacifier for non-nutritive suckingD- Speak to the healthcare provider instituting physical therapy 9- The nurse is preparing a client with an acoustic neuroma for a magnetic resonance image (MRI). Which client complaint is life-threatening and should be reported to the healthcare provider immediately.A- Intensifying headacheB- Difficulty with balanceC-Right ear hearing lossD-Facial numbness 10- A male client admitted with chronic pulmonary obstruction disease (COPD) exacerbation is receiving assisted ventilation with continuous positive airway pressure (CPAP). His vital signs are: temperature 98.8 F ( 37.1 C), heart rate 118 beats/ minute, respirations 46 breaths/ minute, blood pressure 176/92 mmHg. While completing the pulmonary assessment, his oxygen saturation reading is 78% and he is difficult to arouse. Which action should the nurse implement?A-Prepare for rapid sequence intubation.B- Complete neurological assessmentC-Increase the oxygen delivery by 10%.D-Administer PRN nebulizer treatment  11- The health makes a home visit to a male client with amyotrophic lateral (ALS). The client is sitting upright while feeding himself and coughs frequently during the meal. What action should the nurse implement? A- Encourage the use of assistive feeding devicesB- Assist the client to lie down and turn to the sideC- Demonstrate use of a tucked – chin position while eatingD- Recommend the use of supplemental liquid feedings 12- Which is the best approach for the nurse to use when interviewing a client about sexual abuse? I THINK C BUT NOT SUREA-Get the most difficult questions over with firstB- Ask questions in a vague, non -specific format.C-Begin with questions that are less sensitive in natureD-Share personal values to put the client at ease 13- The charge nurse observes new nurse preparing to insert an intravenous (|V) catheter. The new nurse has gathered supplies, including intravenous , an intravenous insertion , and a 4×4 gauze dressing to cover and secure the insertion. What action should the charge nurse? I THINK BETWEEN A AND DA-Confirm that the nurse has gathered the necessary supplies.B-Remind the nurse to tape the gauze dressing securely in placeC- Plan to observe the secured IV site after the insertion procedure. D-Instruct the nurse to use a transparent dressing over the site 14-The nurse is caring for a client with acute respiratory distress syndrome who is intubated and sedated. The nurse is explaining the client’s care to family members at the bedside. Which statement from a family member should the nurse recognize as needing clarification?  I THINK BETWEEN A AND DA-The head of the bed in lowest position reduces the risk for falls.B-Blood thinners are decreasing the chance for blood clots to form C-Analgesia and sedation medications helps with comfort and breathingD-Urine output measurements provides information on hydration 15- After receiving a change of shift report for clients on a medical surgical unit, which activity should the nurse delegate to the practical nurse (PN)? I THINK BETWEEN A AND DA-Evaluate and update plans of care for clients.B-Receive a postoperative client and conduct the assessmentC-Initiate teaching for client care after dischargeD-Collect client data based on plans of care 16- Which laboratory values are critical for the nurse to monitor for a client who is experiencing a thyrotoxic crisis? EVERYTHING IS TELLING ME A,B AND D SO I DON’T KNOW WHAT IS THE RIGHT ANSWERA-Blood and urine cultures.B-Glucose and calcium levelsC- Electrolytes and hemoglobin.D-Renal and liver function tests. 17- The nurse is providing education to a client with recurrent interstitial cystitis about prevention. Which statement should the nurse include?A-Increase citrus fruit consumptionB-Dilute apple cider vinegar in waterC-Avoid caffeinated beveragesD-Refrain from acetaminophen use. 18- A client with bone cancer report pain of 10 on a scale of to 10. Thirty minutes after the nurse medicates the client with pain medication, the client has no pain relief. Which intervention is most important for the nurse to include in the client’s plan of care?A-Assess client’s pain more frequently to determine amount of ongoing pain.B-Administer the prescribed analgesic on regular schedule around-the-clockC-Monitor and report break-through pain occurring between pain medicationD-Document any side effects the client experiences from the pain medication. 19- A client who is unconscious is brought by ambulance to the emergency department following an automobile accident. The nurse observes bleeding from the nose and the client’s vital signs on arrival are: heart rate 100 beats/minute, respirations 16 breaths/minute, and blood pressure 130/76 mm H_{3}. Which assessment finding warrants immediate intervention by the nurse?A-Clots of blood forming within nares.B- Halo around blood dropped on gauze.C-Pupils 3 mm with sluggish response.D-Blood pressure decreases to 110/64 mm Hg. 20- A client who weighs 65 kg receives a prescription for lorazepam d * 4mcg / k * g intravenously to be administer 20 minutes before a scheduled procedureThe medication is available in 2mo / m * L vial. How many should the administer. (Enter numerical value only rounding is required round to the nearest tenth) 21- The healthcare provider prescribes dalteparin 200 units subcutaneously once day for a client who weighs 154 poundsThe medication is available in 25,000 units/mL vial. How many mL should the administer. Enter numerical value. If rounding is required, round to the nearest tenth) 22- A client who has been running three miles a day for two months tells the nurse the goal is to lose weight and sleep better. The client describes frustration having trouble falling asleep at nightWhich action should the nurse implement?A- Encourage the client to exercise every day to eliminate bedtime wakefulnessB-Determine the amount of weight the client has lost since increasing activityC-Advise the client that lifestyle changes often take several weeks to be effective.D-Ask the client for a description of the exercise schedule that is being followed. Health Science Science Nursing NURS 5311 Share QuestionEmailCopy link Comments (0)