A nurse is selecting clients for discharge due to a local external disaster. Which of the following clients should the nurse recommend for discharge?
A client who has ascites and had a paracentesis 4 hr ago
A client who is 6 hr postoperative following a hip arthroplasty
A client who has a blood glucose level of 380 mg/dL and is receiving insulin via IV infusion
A client who has pneumonia and is receiving 100% oxygen via a nonrebreather mask
The Correct Answer is A
This client has undergone a paracentesis for ascites, and since it was done 4 hours ago, they are likely stable and can be considered for discharge.
The client who is 6 hours postoperative following a hip arthroplasty may still require close monitoring and postoperative care. Discharging a postoperative client too early could lead to complications.
The client with a blood glucose level of 380 mg/dL receiving insulin via IV infusion requires ongoing monitoring and management of their diabetes. Discharging this client during an external disaster may not be appropriate due to the need for continued medical intervention.
The client with pneumonia receiving 100% oxygen via a nonrebreather mask likely requires continued medical attention and monitoring. Discharging a client with pneumonia who requires high-flow oxygen can pose risks to their respiratory status.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Log off the computer to attend the client's needs:
Logging off ensures that the client’s health information is protected, maintaining confidentiality and compliance with HIPAA regulations. This prevents unauthorized access to sensitive information when the nurse is away from the computer.
B. Complete the documentation before going to the client's room:
While completing documentation is important, the nurse should prioritize responding to the immediate needs of the client. The nurse can return to complete the documentation afterward.
C. Leave the computer in the hallway:
Leaving the computer unattended in the hallway poses a security risk and compromises the confidentiality of the client's information.
D. Minimize the screen while addressing the client's needs:
Minimizing the screen does not secure the information on the computer. It can still be accessed by others, potentially leading to breaches of client confidentiality.
Correct Answer is ["80"]
Explanation
To calculate the infusion rate in mL/hr for the gentamicin IV bolus, you can use the following formula:
Infusion Rate (mL/hr) = Volume (mL)/Time (hr)
In this case:
Infusion Rate=100 mL/1.25 hr
Infusion Rate=80mL/hr
Therefore, the nurse should ensure the IV pump is set to deliver 80 mL/hr for the gentamicin IV bolus, rounded to the nearest whole number.
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