Client is admitted following cerebrovascular accident (CVA). Client is alert and oriented. Heart rate regular. Respirations rapid and non-labored. Wheezing auscultated in upper lobes of the lungs. Client is receiving 2 U/min of oxygen via nasal cannula. Right upper and lower extremities flaccid with decreased muscle tone and strength.
Client sitting up in a chair for lunch. Client states they are right-handed and are having difficulty feeding themselves.
For which of the following interprofessional team members should the nurse anticipate a provider's referral?
Select all that apply.
Case manager
Respiratory therapist
Diabetes nurse educator
Physical therapist
Occupational therapist
Correct Answer : D,E
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A.Medications and blood should never be mixed in the same line because it can cause reactions, interference with the blood product, and complications for the client. Medications should be administered through a separate IV line or a port further away from the client.
B.Blood transfusions should typically be completed within 2 to 4 hours to reduce the risk of bacterial contamination and ensure that the blood does not exceed a safe infusion duration.
C.Y tubing is commonly used for blood transfusions, where one arm of the Y is used for the packed RBCs and the other is for normal saline. Normal saline is used to flush the line before and after administering blood, ensuring the infusion is free of air and that the blood flows smoothly without clotting.
D.The drip chamber should not be completely filled with blood. It should have a small amount of blood for monitoring the infusion rate, but the filter within the drip chamber is designed to filter any clots or debris. A completely filled chamber with blood can make it difficult to assess the flow rate, and could indicate that the blood is not flowing properly.
Correct Answer is ["125"]
Explanation
To determine the mL/hr rate for the IV pump, we need to calculate the infusion rate of the
potassium chloride solution. Given:
Potassium chloride concentration: 40 mEq in 500 mL Infusion rate: 10 mEq/hr
We can set up a proportion to find the mL/hr rate:
(40 mEq / 500 mL) = (10 mEq / x mL) Cross-multiplying the equation:
40 mEq * x mL = 500 mL * 10 mEq Simplifying:
40x = 5000
Dividing both sides by 40:
x = 5000 / 40
x ≈ 125
Therefore, the nurse should set the IV pump to deliver approximately 125 mL/hr.
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