Patient Data

Exhibits

Review H and P, nurse's notes, flow sheet, and prescriptions.

Choose the most likely options missing from the statements by selecting from the list of options provided.

The nurse teaches the client about the fetus reactions to labor by

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. The nurse will assess the fetus reaction by

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.

The home health nurse makes a home visit to a client with amyotrophic lateral sclerosis (ALS). The client is sitting upright while feeding themself and coughs frequently during the meal.

Which action should the nurse implement?

An older adult client who cares for her husband at home has just learned that she needs to have knee replacement surgery. She tells the nurse she is concerned about her inability to provide care to her husband while she recovers from surgery and attends physical therapy. She has a friend who can drive her to and from her appointments once she is discharged, but cannot provide the care her husband needs.

How should the nurse respond to the client?

A client who weighs 22 pounds receives a prescription for amoxicillin 50 mg/kg/day PO in divided doses every 8 hours. The bottle is label "Amoxicillin for Oral Suspension, USP 250 mg per 5 mL". How many mL should the nurse administer with each dose?

(Enter numerical value only. If rounding is required, round to the nearest tenth.)

Following a gunshot wound, an adult client has a hemoglobin level of 4 g/dL (40 g/L). The nurse prepares to administer a unit of blood for an emergency transfusion. The client has AB negative blood type and the blood bank sends a unit of Type A Rh negative, reporting that there is no Type AB negative blood currently available. Which intervention should the nurse implement?

Reference Range

• Hemoglobin [14 to 18 g/dL (140 to 180 g/L)

A client with renal calculi is experiencing hematuria and reports severe flank pain. Which intervention should the nurse implement first?

An client who weighs 160 pounds receives a prescription for gentamicin 5 mg/kg/day IV in divided doses every 8 hours. How many mg should the nurse administer with each dose?

(Enter numerical value only. If rounding is required, round to the nearest whole number.)

A client with multiple sclerosis (MS) is receiving interferon beta-1b 0.1875 mg SUBQ every other day. The nurse reconstitutes the vial by slowly injecting "2 mL of diluent into the interferon vial for a reconstituted solution of 0.25 mg/1 mL How many mL should the nurse administer?

(Enter numeric value only. If rounding is required, round to the nearest hundredth.)

The nurse reviews the findings in the history and physical.

Drag from word choices to complete the sentence.

The nurse recognizes that

The nurse is stabilizing the client and preparing her for surgery.

What goal(s) should the nurse prioritize in the care plan for the client while in the emergency department? Select all that apply.

The client who has emphysema and recently experienced a stroke receives a prescription for a metered-dose inhaler with a spacer device. The client asks the nurse if using the spacer is necessary. Which information should the nurse provide?