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Med Surg Exam Regular
Total Questions : 51
Showing 10 questions, Sign in for moreA patient is to receive 1000 mL of IV fluid over 4 hours. The drop factor is 15 gtt/mL. How many drops per minute should the IV be set to deliver?
NOTE
- DO NOT write the unit/s of measurement
- Enter ONLY the number
- DO NOT ROUND YOUR ANSWER
Explanation
Convert hours to minutes:
- 4 hours 60 minutes/hour = 240 minutes
Calculate the total drops:
- 1000 mL 15 gtt/mL = 15000 gtt
Calculate the drops per minute:
- 15000 gtt / 240 minutes = 62.5 gtt/minute
A client is complaining of severe chest pain became unresponsive and the cardiac monitor shows the heart rhythm below. What will be the most appropriate action
Explanation
Blank 1
Prepare for defibrillation: The client is unresponsive and has ventricular tachycardia. This indicates a life-threatening arrhythmia. If a patient with VTach is pulseless, the treatment is defibrillation.
Blank 2
Vtach (Ventricular tachycardia): The ECG tracing shows a rapid, wide-complex tachycardia, which is the hallmark of ventricular tachycardia.
A patient is brought to the ED by a friend who states that a tree fell on the patient’s leg and crushed it while they were cutting firewood. What priority actions should the nurse perform? (Select all that apply.)
Which combinations of drugs have been found to be effective in managing the pain associated with musculoskeletal and soft tissue inflammation?
Furosemide (Lasix) 70 mg IV daily. You retrieved Furosemide 10 mg/ml from the pyxis. How much ml will you administer to the client?
NOTE
- DO NOT write the unit/s of measurement
- YOUR ANSWER SHOULD BE IN WHOLE NUMBER
Explanation
- Available furosemide is at a concentration of 10 mg/mL.
- The ordered dose is 70 mg.
- To find the volume, divide the ordered dose by the concentration:
- 70 mg / 10 mg/mL = 7 mL
What outcomes do psychosocial and spiritual interventions have the power to employ in a patient? (Select all that apply, one, some, or all.)
A female patient was sexually assaulted when leaving work. When assisting with the physical examination, what nursing interventions should be provided? (Select all that apply.)
The nurse is caring for a patient with liver dysfunction. What is the maximum dose of acetaminophen the patient should receive in 24 hours?
The nurse and the other members of the team are caring for a client in the ED who converted to ventricular fibrillation (VF). The client was defibrillated unsuccessfully and the client remains in VF. Which medication should the nurse be prepared to administer?
Which therapeutic technique may be used to enhance coping in the critical care environment?
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