A nurse on a medical-surgical unit is caring for a client who asks to review his medical record.

Which of the following responses should the nurse make?

You will have to submit a written request for access to your record.

We will provide you a copy of your records when we are preparing you for discharge.

Sorry, but you do not have the time to read your chart.

I can set up a time for you to meet with your provider to go over your medical record.

Answer and Explanation

The Correct Answer is D

Patients have the right to access their medical records and review them with their healthcare provider.
The nurse should set up a time for the client to meet with their provider to go over their medical record.
Choice A is not correct because patients do not need to submit a written request for access to their medical records.
Choice B is not correct because patients do not have to wait until discharge to review their medical records.
Choice C is not correct because it is not appropriate for the nurse to deny the patient’s request to review their medical record.

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Correct Answer is B

Explanation

To calculate the volume of cefixime oral suspension that the nurse should administer, you need to divide the prescribed dose (200 mg) by the concentration of the suspension (100 mg/mL).
This gives you 200 mg ÷ 100 mg/mL = 2 mL.
Therefore, the nurse should administer 2 mL of cefixime oral suspension.
Choice A is incorrect because 1.9 mL would provide a dose of 190 mg.
Choice C is incorrect because 2.1 mL would provide a dose of 210 mg.
Choice D is incorrect because 2.2 mL would provide a dose of 220 mg.

A. 0715. B. 0800. C. 0900. D. 1000.

Correct Answer is B

Explanation

NPH insulin has an onset of action of about 1 to 2 hours, peaks in 4 to 12 hours, and lasts up to 24 hours. Given the administration at 0700, the onset of action would typically occur between 0800 and 0900. Hypoglycemia is most likely to occur during the onset or peak periods due to the insulin's glucose-lowering effect.

Among the options:

A. 0715: Too early, as NPH insulin's onset is not within 15 minutes.
B. 0800: Within the onset window (1 hour after administration), making it a plausible time to observe for hypoglycemia.
C. 0900: Also within the onset window (2 hours after administration), another reasonable time to monitor.
D. 1000: Slightly beyond the typical onset but still early in the action profile, where hypoglycemia could occur if glucose levels drop.

Since the question asks for the time to observe for hypoglycemia caused by the onset, the earliest time within the onset window is most appropriate. Thus, B. 0800 is the best answer, as it aligns with the start of NPH insulin’s onset period.

Final Answer: B. 0800

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A nurse on a medical-surgical unit is caring for a client who asks to review his medical record. Which of the following responses should the nurse make?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing to administer cefixime to a patient. The dose is 200 mg PO. Available is cefixime oral suspension 100 mg/mL. How many milliliters should the nurse administer? Use a leading zero if it applies. Do not use a trailing zero.

Correct Answer is B

Explanation

A nurse administers subcutaneous NPH insulin at 0700 to a child who has diabetes. At which of the following times should the nurse observe for hypoglycemia caused by the onset of the medication?

Correct Answer is B

Explanation

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A nurse on a medical-surgical unit is caring for a client who asks to review his medical record.

Which of the following responses should the nurse make?