The nurse receives report at 0700 on a client who has 500 mL of IV fluid left in the bag. The IV is running at 125 mL per hour. At what time should the nurse expect to change the bag (military time)?

1500

1200

1100

0200

Answer and Explanation

The Correct Answer is C

A.   1500 is 8 hours after 0700, which is too long for the remaining fluid to last.
B.   1200 is 5 hours after 0700, which means there would still be fluid left in the bag at this time.
C.   1100 is exactly 4 hours after 0700, which aligns with our calculation of when the remaining 500 mL will be finished.
D.   0200 is 19 hours after 0700, which is far too late for the IV fluid to last.

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Correct Answer is B

Explanation

A. This statement is false in terms of being a major risk factor for cervical cancer. While excessive alcohol consumption may have various health implications, moderate drinking, such as a glass of red wine with dinner, is not directly linked to an increased risk of cervical cancer.

B. Infection with certain high-risk strains of HPV is a major risk factor for cervical cancer. HPV is a sexually transmitted virus that can cause changes in cervical cells, leading to dysplasia and potentially progressing to cancer if not monitored and treated.
C. In fact, regular Pap tests are a preventive measure that can help detect cervical changes early before they develop into cancer. They are not a risk factor but rather a protective factor against the progression of cervical dysplasia to cancer.
D. While sexual history can influence HPV transmission, simply being married to the same person for an extended period does not inherently increase the risk of cervical cancer.

A. Encourage the client to consider egg donation B. There should be no difficulty conceiving once the client is in full remission C. Encourage the couple to look into adoption once a cure is achieved D. The priority at this time is beginning treatment in the hope for an eventual cure

Correct Answer is A

Explanation

A. Egg donation involves collecting eggs from a woman before undergoing fertility-compromising treatments. These eggs can then be fertilized with sperm and frozen for future use. This allows couples to have biological children after completing cancer treatment.
B. There should be no difficulty conceiving once the client is in full remission. While it is possible for some women to conceive after completing treatment for ALL, the risk of fertility problems remains. Additionally, the time it takes to achieve full remission can vary, and there is no guarantee that fertility will return to normal.
C. Encourage the couple to look into adoption once a cure is achieved. While adoption is a viable option for couples who cannot have biological children, it is important to discuss all available options with the client and her husband before they make a decision.
D. The priority at this time is beginning treatment in the hope for an eventual cure. While it is important to prioritize the treatment of ALL, it is also important to address the couple's concerns about fertility. By discussing egg donation, the nurse can help the couple make informed decisions about their future.

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Blood Cell	Normal Ranges
Red blood cells (mature, circulating)	Male: 451-6.01 million/mm3 Female: 4.01-5.51 million/mm3
Hemoglobin	Adult (15-64 yr) Male 14-17.3 g/dL Female 11.7-155 g/dL
Hematocrit	42%-52% in males 36% -48% in females
Reticulocytes	0.5% -2.5% of total RBC count
White blood cells (total)	4.5-11.1 10/mm3
Neutrophils	59% Bands 3% Segs-56%
Eosinophils	2.7%
Basophils	0.5%
Lymphocytes	34%
Monocytes	4%


Platelets	150,000-450,000/mm3

The nurse receives report at 0700 on a client who has 500 mL of IV fluid left in the bag. The IV is running at 125 mL per hour. At what time should the nurse expect to change the bag (military time)?

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Correct Answer is B

Explanation

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The nurse receives report at 0700 on a client who has 500 mL of IV fluid left in the bag. The IV is running at 125 mL per hour. At what time should the nurse expect to change the bag (military time)?