Explain why each of the following must be considered when…

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Question Answered step-by-step Explain why each of the following must be considered when… Explain why each of the following must be considered when developing a procurement plan Project objectives & overall project life cycleProject budgetSelection criteria for contractingManaging conflict with suppliers Business Management Project Management PROJECT MA 7020 Share QuestionEmailCopy link Comments (0)

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QuestionCalculate: milliliters per hour (hourly rate)1L of 0.9% Sodium Chloride for 6 hours 166-167 ml/hour  150 mL/hr  160 ml/hr  157-158 mL/hr  Calculate: minute flow rate (drops per minute)1L with 20mEq KCl @ 125mL/hr using macroset 124 gtts/min  28 gtts/min  31 gtts/min  125 gtts/min  Calculate: minute flow rate (drops per minute)1L with 20mEq KCl @ 125mL/hr using microset * 124 gtts/min  30 gtts/min  31 gtts/min  125 gtts/min Calculate: minute flow rate (drops per minute)1200mL of 0.45% Sodium Chloride and to infuse in 10 hours; the drop factor for the IV tubing is 12 gtt/mL. 24 gtts/min  25 gtts/min  27 gtts/min  26 gtts/min  A patient is receiving a liter of D5 LR every 12 hours and 15 minutes using an administration set with a drop factor of 15 gtts/min. At what rate should the nurse set this infusion? 10 gtts/min  83 gtts/min  20 gtts/min  33 gtts/min  Nurse Precious will infuse 1 ½ L of NS in over 7 hours; the drop factor is 15 gtts/mL. What flow rate (mL/hr) with nurse Precious set on the IV infusion pump? 124 mL/hr  142 mL/hr  241 mL/hr  214 mL/hr  The volume of the fluid is 1000 mL and the IV pump set at 66 mL/hr. How long will it take for the fluid to run? 17 hours  19 hours  15 hours  13 hours  A patient is to receive 1L of over the next 12 hours. What is the rate of infusion in drops per minute, if drop factor is 60 drops per mL? 73 gtts/min  63 gtts/min  93 gtts/min  83 gtts/min  At the change of shift, Nurse Janet notice 200 ml of solution left in her patient's IV bag. The IV is infusing at 80 ml/hr. How much longer in hours will the IV run? 15 hrs and 30 mins  12 hrs and 30 mins  2 hrs and 30 mins  5 hrs and 30 mins  A 69-year-old female patient was diagnosed with pneumonia and was brought under your care. The patient complains of difficulty of breathing, chest pain of 5/10, and coughing with phlegm. Your initial assessment reveals a respiratory rate of 33 bpm, temperature of 38.1ºC, heart rate of 90 bpm, and blood pressure of 110/80. The physician ordered an infusion of 1,000 mL of normal saline to be administered over the next nine (9) hours using a macroset with a drop factor of 10 drops per mL. You initiated the IV at 1:00 PM during your shift. With the current rate, at what time would you hang the next bag? 11:00 PM of the same day  10:00 PM the next day  10:00 PM of the same day  11:00 PM the next day  You have 500 mL of lipids on a second IV infusion controller to piggyback into a primary hyperalimentation line. You want to run the infusion over 24 hours. At what rate should you run the lipids? 17 mL/hr  48 mL/hr  5 mL/hr  21 mL/hr  D5 0.3 NaCl 500 mL to run for 52mL/hr. How many gtts/min will you regulate the IVF using macroset? 31 gtts/min  13 gtts/min  8 gtts/min  9 gtts/min  It is a dynamic changing relative state of well-being which includes the biological, psychological, spiritual, sociological, and cultural factors of the family system. Family Health  Family Health Assessment  Family Nursing Intervention  Family-based Nursing Process Clear selectionWhich of the following conditions reflect the presence of health deficit in the family. parasitism  smoking  unwanted pregnancy  loss of job of a the head of the family  You conducted a home visit to a family with a postpartum mother and newborn that was referred to the center by a neighbor. You were informed that it was a homebirth assisted by a hilot and mother has no prenatal record. You also noted that the newborn has not been vaccinated with BCG and Hepa B and Newborn Screening was not done. They live in a small, poorly ventilated, makeshift room together with seven other family members. The husband work as a construction worker in the nearby area on a seasonal basis. The 6 children were of close birth intervals, with the 10 year old eldest son already helping the father in the construction work. Which of the following health problems can be identified in the family? Select all that apply. Family size beyond what family resources can adequately provide as a Health Threat  Puerperium as presence of stress points and foreseeable crisis  ineffective breastfeeding as a health deficit  Presence of risk factors of specific diseases as a Health Deficit  Child labor as a health threat  Lack of immunization of children as a health threat  Inadequate living space as a health threat You conducted a home visit to a family with a postpartum mother and newborn that was referred to the center by a neighbor. You were informed that it was a homebirth assisted by a hilot and mother has no prenatal record. You also noted that the newborn has not been vaccinated with BCG and Hepa B and Newborn Screening was not done. They live in a small, poorly ventilated, makeshift room together with seven other family members. The husband work as a construction worker in the nearby area on a seasonal basis. The 6 children were of close birth intervals, with the 10 year old eldest son already helping the father in the construction work. Which of the following health tasks did the family most probably FAILED to perform?Select all that apply. Utilize community resources for health care  Provide a home environment conducive to health maintenance and personal development  Recognize the presence of a Problem or Health Condition  Provide adequate nursing care to the sick, disabled, dependent or vulnerable/at risk member of the family  Make Decisions With Respect to Taking Appropriate Health Action Which level of family assessment determines the extent to which family is able to perform the different health tasks? First Level Assessment  Second Level Assessment Clear selectionOne way to best prepare an herb in order to release its best medicinal properties is to boil the hard materials of the medicinal plant for a longer period of time to reduce and concentrate the liquid. This is called: Infusion  Decoction  Poultices  Compresses Clear selectionThis is a bulb like herbal medicinal plant that can be used for hypertension, toothache and helps lower the cholesterol level Allium Sativum  Blumea Balsamifera  Cassia Alata  Carmona Retusa Clear selectionWhat is/are NOT true about the use of herbal medicine? Select all that apply. In the preparation of herbal medicine, use a clay pot and remove cover while boiling at low heat.  Use only half the dosage prescribed for fresh parts like leaves when using dried parts.  More medicinal substances are found on young parts of the herbal plant.  If signs and symptoms are not relieved after 2 or 3 doses of herbal medication, consult a doctor  Use a combination of several herbal medicine to achieve optimal therapeutic effect for each symptom of sickness. Eating the fruit and leaves of Momordica Charantia helps lower blood sugar level  cholesterol level  fever  hyperacidity  These are conditions conducive to disease, accidents or failure to realize one's health potential. Health Deficits  Foreseeable Crisis  Health Threats  Stress Points  It displays pertinent family information in a family tree format that shows family members and their relationships over at least three generations. Family APGAR  Family Coping Index  Ecomap  Genogram  A visual diagram of the family unit in relation to other units or subsystems in the community Family Coping Index  Genogram  Family APGAR  Ecomap  It assesses whether the family has effective coping (ability to perform certain health tasks) and is the basis for estimating the nursing needs of a particular family. Ecomap  Genogram  Family APGAR  Family Coping Index  It demonstrates the family's integrity in terms of adaptability, partnership, growth, affection and resolve Genogram  Ecomap  Family APGAR  Family Coping Index  Nestor, a patient with asthma is having a difficulty of breathing. He will be best positioned in: High-Fowler's position  Orthopneic Position  Reverse Trendelenburg's Position  Genupectoral position  A client has just arrived in the PACU following a successful tracheostomy procedure. Which nursing action must be taken first? Suction as needed  Clean the tracheostomy inner cannula and stoma  Listen to lung sounds  Change the tracheostomy dressing as needed  The client who is concerned about getting a tracheostomy says, "I will be ugly, with a hole in my neck." What is the nurse's best response? "Your family and friends probably won't even care."  "But you know you need this to breathe, right?"  "Do you have a pretty scarf or a large loose collar that you could place over it?"  "It won't take you long to learn to manage."  Respirations of the sedated client with a new tracheostomy have become noisy, and the ventilator alarms indicate high peak pressures. The ventilator tube is clear. What is the best immediate action by the nurse? Humidifying the oxygen source  Increasing oxygenation  Removing the inner cannula of the tracheostomy  Suctioning the client  When caring for a client with a tracheostomy, the nurse would perform which recommended action? Suction the tracheostomy tube using sterile technique.  Assess a newly inserted tracheostomy every 3 to 4 hours.  Clean the wound around the tube and inner cannula at least every 24 hours.  Use gauze dressings over the tracheostomy that are filled with cotton.  A nurse suctioning a client through a tracheostomy tube should be careful not to occlude the Y-port when inserting the suction catheter because it would cause what condition to occur? Suctioning of carbon dioxide  Prevention of suctioning  Loss of Sterile Field  Trauma to the tracheal mucosa  A nurse who is caring for patient with a tracheostomy tube in place has just auscultated rhonchi bilaterally. If the patient is unsuccessful in coughing up secretions, what action should the nurse take? Preoxygenate the patient for 3 minutes before suctioning.  Encourage increased incentive spirometer use.  Encourage the patient to increase oral fluid intake.  Put on sterile gloves and use a sterile catheter to suction.  To prevent accidental decannulation of a tracheostomy tube, what does the nurse do? Obtain an order for continuous upper extremity restraints  Allow some flexibility in motion of the tube while coughing  Secure the tube in place using ties or fabric fasteners  Instruct the patient to hold the tube with a tissue while coughing  A patient sustained a serious crush injury to the neck and had a trach tube placed 3 days ago. As the nurse is performing trach care, the patient suddenly sneezes forcefully, and the tube falls out onto the bed linens. What does the nurse do? Ventilate the patient with 100% oxygen and notify the provider  Quickly rinse the tube with sterile solution and gently replace it  Give the patient oxygen; call for assistance and a new tracheostomy kit  Quickly and gently replace the tube with a clean cannula kept at the bedside  Which of the following are functions of dressings? 1. Promote Hemostasis 2. Keep Wound Bed Dry 3. Wound Debridement 4. Prevent Contamination 5. Increase Circulation 1, 3, 4  2, 3, 5  1, 2, 4  3, 4, 5  The nurse is removing a client's dressing and encounters resistance while removing tape from the client's skin. Which of the following strategies to remove tape is the most appropriate? Grasp the tape firmly and remove it with a quick, decisive pull  Squeeze a moderate amount of water-soluble gel along the edges of the dressing and then gently pull the tape away from the skin  Use a silicon-based adhesive remover  Saturate the tape with sterile normal saline solution; wait 10 to 20 minutes, then re-attempt removal  A nurse is cleaning the wound of a gunshot victim. Which of the following is a recommended guideline for this procedure? Use clean technique to clean the wound.  Once the wound is cleaned, dry the area with an absorbent cloth.  Clean the wound from the bottom to the top, and outside to center.  Clean the wound from the top to the bottom, and center to outside.  A nurse is removing sutures from the surgical wound of a client after an appendectomy and notices that the sutures are encrusted with blood and difficult to pull out. What would be the appropriate intervention in this situation? Do not attempt to remove the sutures because they need more time to heal.  Moisten sterile gauze with sterile saline to loosen crusts before removing sutures.  Wash the sutures with warm, sterile water and an antimicrobial soap before removing them.  Pick the crusts off the sutures with the forceps before removing them.  The greatest threat to the patient with tracheostomy is the danger of: Hemorrhaging  Pneumonia  Infection  Asphyxiation  The patient with a tracheostomy cannot talk because: Air does not reach the vocal cords.  The patient is too ill.  Of the presence of secretions.  There is swelling of the trachea.  Which of the following is not one of the purposes of tracheostomy? It may be done so that a respirator can be used.  It allows a critically ill patient to breathe when threatened by respiratory obstruction.  It provides an avenue for nutrition when the patient cannot take food and fluids orally.  It may be done to remove secretions before a patient's breathing is severely compromised.  The primary reason for tying the tapes or using Velcro tracheostomy holding the tracheostomy in place loosely is to prevent: Skin irritation.  Circulatory impairment.  Discomfort.  Undue pressure that could cause respiratory obstruction.  Which of the following statements explains the reason why a clamp and a tracheostomy tube are kept at the bedside of a patient with a tracheostomy? This equipment is used in an emergency if the original tube becomes dislodged.  The clamp is used to hold the tracheostomy tube for insertion in an emergency.  The clamp is used to clean the tracheostomy tube when the dressing is changed.  This equipment is used for changing the tracheostomy tube each 24 hours.  The primary reason for periodically deflating a cuffed tracheostomy tube is to: Adjust the position of the tube.  Remove and clean the tube.  Prevent tissue necrosis.  Promote the patient's comfort.  Suctioning the trachea and bronchi can improve the patient's respiration through which of the following? It may cause the patient to cough.  The oxygen available to the lungs is decreased.  It causes the collapse of alveoli.  It increases secretions.  A patient with a tracheostomy is at increased risk for aspiration. Which nursing intervention(s) will reduce this risk? 1. Encourage frequent sipping from a cup. 2. Encourage water with meals. 3. Inflate the tracheostomy cuff during meals. 4. Maintain the client upright for 30 minutes after eating. 5. Provide small, frequent meals. 6. Teach the client to "tuck" the chin down in the forward position to swallow. 4, 5, 6  1, 2, 3  2, 3, 4  3, 4, 5 Health ScienceScienceNursingNURSING 3245Share Question
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