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Ivy Tech Exam 3 Fundamentals
Total Questions : 50
Showing 25 questions, Sign in for moreA nurse is reviewing factors that increase the risk of urinary tract infections (UTIs) with a female client who has recurrent UTIs. Which of the following factors should the nurse include? Select all that apply.
A nurse is researching dietary options for a patient that includes foods that supply energy to the body. Which are classes of nutrients that supply this energy? Select all that apply.
A client has an order to take 15 milligrams of liquid prednisone daily for 5 days. The pharmacy has 5mg/5mL concentration available. How many tablespoons will the nurse administer with each dose?
Explanation
1 tablespoon = 15 mL
The available concentration of prednisone available = 5mg/5ml The patient will require a total of 15mls (15 x5/5)
1 tablespoon = 15mls
Therefore, the nurse will administer about 1 tablespoon of prednisone with each dose.
A client is ordered to increase his warfarin to 5mg PO daily. The client has 2mg tablets on hand. How many tablets will the client take daily?
Explanation
To find the answer, we need to divide the ordered dose by the available dose. We can use the following formula:
ordered dose / available dose = number of tablets Substituting the given values, we get:
5 mg / 2 mg = 2.5 tablets
Therefore, the client will take two and a half tablets of warfarin daily.
The physician ordered digoxin (Lanoxin) 0.125 mg IV push every morning. Digoxin is available in a vial labeled 0.5mg/2mL. How many mL with the nurse administer?
Explanation
To find the volume of digoxin needed for each dose, we can use the formula: volume (mL) = dose (mg) / concentration (mg/mL)
Plugging in the given values, we get:
volume (mL) = 0.125 mg / 0.25 mg/mL
volume (mL) = 0.5 mL
So, the nurse will administer 0.5 mL of digoxin with each dose.
A 65 year old client is being seen at the outpatient clinic for a routine physical exam. The abdominal assessment shows distention, firmness, and the client states tenderness throughout the 4 quadrants. Upon further questioning of the client the following is determined; a slight decrease in appetite. consumes 320 mL of water per day along with 320 mL of other fluids such as coffee and soda, snacks frequently on cheese and crackers rather than full meals, and does not get much activity. Client states they have one to two bowel movements per week of hard formed stool. Based on the physical assessment and the answered questions what would be the recommended interventions for this client?
SELECT ALL THAT APPLY.
Codeine 15 mg IM q4h is ordered. Codeine is available in a vial containing 30 mg/mL. How many mL will the nurse administer?
Explanation
To answer this question, we need to use the formula: D/H x Q = X, where D is the desired dose, H is the dose on hand, Q is the quantity of the drug on hand, and X is the amount to administer. In this case, D is 15 mg, H is 30 mg, Q is 1 mL, and X is unknown. Plugging these values into the formula, we get:
15/30 x 1 = X
0.5 = X
Therefore, the nurse will administer 0.5 mL of codeine to the patient every four hours.
Patients who use supplemental oxygen should follow which safety precautions? SELECT ALL THAT APPLY
A patient consumed 8oz of coffee and 200mL of water at breakfast, and urinated 300mL. At lunch he consumed a 12oz tea, 60 mL popsicle (frozen ice), and urinated 300mL. After lunch the patient felt nauseated and had 60mL of emesis. Calculate the total output for this patient.
Explanation
To calculate the total output for this patient, we need to add up the amount of fluid that he lost through urination and emesis. Urination is the process of expelling urine from the body, and emesis is the medical term for vomiting. The patient urinated 300mL in the morning and 300mL at lunch, so the total amount of urine output is 600mL. The patient also had 60mL of emesis after lunch, so the total amount of emesis output is 60mL. Therefore, the total output for this patient is 600mL + 60mL = 660mL.
A 60-year-old client is experiencing pain that is caused by distention of the veins in their rectum. What health problem is this client most likely experiencing?
Which of the following are stages recognized by Maslow's Hierarchy of Needs Theory? (Select all that apply).
A nurse touches a patient's hand to indicate caring and support. What channel of communication is the nurse using within Berlo's Model of Communication?
A nurse is caring for a client who states "I just don't feel ready to go home." The nurse replies, "you don't feel ready to go home today?" Which type of interviewing technique is the nurse using to enhance communication with the client?
A nurse is providing instruction to a client who will be performing a 24 hour urine collection at home. Which of the following instructions will the nurse give the client?
A client has been prescribed a clear liquid diet. What food or fluid will not be served?
A nurse has received an order to suction a patient's endotracheal tube. Which action is most appropriate when performing this intervention?
A nurse is gathering assessment data on a new patient at the clinic for a yearly physical assessment. The patient is a 55-year-old Hispanic obese male. Patient states his father died at age 52 of a heart attack. During the interview, the patient states they have a desk job and sits all day, eats mostly fast- food, and traditional foods high in fat, and smokes 1 pack of cigarettes per day. The patient states in the evening he mostly enjoys sitting on the couch watching television. The nurse plans to provide education to the patient on modifiable risk factors to prevent coronary artery disease. Which of the following are a modifiable risk factors?
A client had his foley catheter removed eight hours ago and is unable to void. The nurse performs a bladder scan to check bladder volume. The bladder scan demonstrates more than 600mL of urine in the bladder. What should the nurse do next?
The nurse is assessing a client's stoma after a newly placed ostomy. The nurse understands that which of the following are expected findings of a healthy appearing stoma?
A client is on bedrest, and an enema has been ordered. In what position should the nurse position the client?
For which of the following clients should the nurse anticipate the need for a pureed diet?
A 73 year old client has been admitted to the hospital for their respiratory disease of COPD. The client states that they have no appetite and eat very little throughout the day due to shortness of breath. The client also states that they have lost significant amounts of weight over the past several months. The nurse caring for the client is concerned that the client may be suffering from malnutrition. Which lab value would the nurse want to check to determine if the client is malnourished?
Age, race, gender, and genetic inheritance are examples of what type of risk factors?
The nurse understands that emphysema decreases lung tissue elasticity. How does this affect lung inflation?
The nurse is obtaining morning vital signs and assessing a 64 year old female client who was admitted with community acquired pneumonia over night. The client is sleeping in supine position, however, she is easily arousable, alert and oriented, and reports no complaints at this time. The client's vital signs are: blood pressure 132/68, heart rate 88 beats per minute, respiratory rate 24 breaths per minute. O2 saturation 87% on 2L nasal cannula oxygen. What is the nurse's first priority action?
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