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Ati n200 med surg exam
Total Questions : 66
Showing 10 questions, Sign in for moreThe client has been diagnosed with rheumatoid arthritis and asks, "What impact will this have on my activities of daily living in the years to come?" What is the best response by the nurse?
A client with systemic lupus erythematosis has a history of tuberculosis exposure that has been treated. Which medication should the nurse question as possible cause for the lupus symptoms?
A client with rheumatoid arthritis is prescribed infliximab 3 mg/kg IV. The most essential addition to the client's care plan is to:
A nurse is assessing a client on the first post-operative day after a L3-4 laminectomy and diskectomy. The client now complains of numbness and tingling in the left leg. What is the nurse's first priority?
When the nurse admits a client with anorexia nervosa for treatment, what factors should the therapeutic milieu provide? (SELECT ALL THAT APPLY)
A client describes low back pain that radiates down one leg. Which factors that aggravate the pain increase the likelihood that this client has a herniated disc? (SELECT ALL THAT APPLY)
A patient is prescribed alendronate at 0800 for the treatment of osteoporosis. As the nurse you know you must administer this medication:
A client is admitted at 0700 with severe dehydration. The doctor orders D5W to run at 150 ml/hr. The client is ordered an IVPB antibiotic every 4 hours, that will be administered in 50 ml of IV fluid over 1 hour. The antibiotic is scheduled to start at 0800. The client is permitted liquids and takes the following: 4 oz gelatin 10 oz apple juice 500 ml of water 16 oz of ice chips which is consumed by the end of the shift Urine output is as follows: At 0900: 100 mL 1100: 250 mL 1330: 290 mL 1445: 250 ml At 1200, the client had 300 mL of a diarrhea stool. Calculate the cumulative fluid balance for the 0700-1500 shift.* *At this institution, Intake/Output is calculated at 1500 for the 0700-1500 shift.
Explanation
Intake:
IV Fluids:
D5W: 150 ml/hr from 0700 to 1500 (8 hours) = 150 ml/hr * 8 hr = 1200 ml
Antibiotic: 50 ml every 4 hours, starting at 0800. So, it will be administered at 0800 and 1200 = 50 ml * 2 = 100 ml
Oral Intake:
Gelatin: 4 oz = 4 * 30 ml = 120 ml
Apple Juice: 10 oz = 10 * 30 ml = 300 ml
Water: 500 ml
Ice Chips: 16 oz (since ice chips are half liquid) = 16 * 30 ml / 2 = 240 ml
Total Intake: 1200 ml (D5W) + 100 ml (Antibiotic) + 120 ml (Gelatin) + 300 ml (Apple Juice) + 500 ml (Water) + 240 ml (Ice Chips) = 2460 ml
Output:
Urine Output:
0900: 100 ml
1100: 250 ml
1330: 290 ml
1445: 250 ml
Diarrhea Stool:
1200: 300 ml
Total Output: 100 ml + 250 ml + 290 ml + 250 ml + 300 ml = 1190 ml
Cumulative Fluid Balance:
Intake - Output: 2460 ml - 1190 ml = 1270 ml
So, the cumulative fluid balance for the 0700-1500 shift is +1270 ml.
A client diagnosed with cervical spine degeneration has undergone a laminectomy. Which intervention should the nurse implement?
A client with osteoarthritis of the left knee will undergo an injection of corticosteroids into the joint. The nurse notes that the primary reason for this injection is to:
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