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Nur 250 med sug, (care of patients across life span) (excelsior University )
Total Questions : 53
Showing 10 questions, Sign in for moreA nurse is caring for client who has sepsis and a prescription for vancomycin 1 g in 250 ml dextrose 5% (DW) over 2 hr by IV intermittent bolus. The nurse should set the IV pump to deliver how many mL/hr? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
Explanation
Calculation:
Total volume to be infused = 250 mL.
Infusion time = 2 hr.
- Calculate the infusion rate in milliliters per hour (mL/hr).
Infusion rate (mL/hr) = Total volume (mL) / Infusion time (hr)
= 250 mL / 2 hr
= 125 mL/hr.
A nurse on a surgical unit is caring for a group of clients. Which of the following is the priority action of the nurse?
A nurse is preparing to administer metoprolol 5 mg IV bolus to a client for heart rate control. Available is metoprolol injection 1 mg/mL. How many mL should the nurse administer per dose? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
Explanation
Calculation:
Desired dose = 5 mg.
Available concentration = 1 mg/mL.
- Calculate the volume to administer.
Volume (mL) = Desired dose (mg) / Available concentration (mg/mL)
= 5 mg / 1 mg/mL
A nurse is preparing to administer haloperidol 5 mg IM to a client. The amount available is haloperidol 20 mg/mL. How many mL should the nurse administer? (Round the answer to the nearest hundredth. Use a leading zero if it applies. Do not use a trailing zero.)
Explanation
Calculation:
Desired dose = 5 mg.
Available concentration = 20 mg/mL.
- Calculate the volume to administer.
Volume (mL) = Desired dose (mg) / Available concentration (mg/mL)
= 5 mg / 20 mg/mL
= 0.25 mL.
A nurse is caring for a client who reports an area of redness, warmth, tenderness and pain in the right calf. The nurse anticipates which of the following orders when notifying the provider of this finding?
A nurse is interviewing a client who states, "I am at a total loss and don't know what to do anymore. I feel hopeless." Which of the following responses should the nurse make?
2000:
Client alert and oriented to person, place, and time. Skin warm and dry. Capillary refill less than 3 seconds. Lung sounds with crackles in bilateral bases. Heart sounds regular. Bowel sounds normoactive in all quadrants. 2+ edema noted to bilateral lower extremities. Pedal pulses +2 bilaterally. Client reports shortness of breath on exertion. Client lying in bed in semi- Fowler's position. Productive cough noted with white sputum. Daily weight 178 lbs.
2225:
Client alert and oriented to person, place, and time. Skin warm and dry. Capillary refill 4 seconds. Lung sounds with rales throughout bilaterally. Labored breathing noted. Cough with pink frothy sputum. Client reports shortness of breath. Jugular vein distention noted. 4+ pitting edema noted to bilateral lower extremities. Pedal pulses +1 bilaterally. Client lying in bed in semi-Fowler's position.
1950:
Blood pressure 150/84 mm Hg
Heart rate 105/min
Respiratory rate 24/min
Oxygen saturation: 93% on Room Air
Temperature 36.7 °C (98.1° F)
2225:
Blood pressure 168/102 mm Hg
Heart rate 122/min
Respiratory rate 32/min
Temperature 36.1° C (97.0° F)
A nurse is caring for a client who has been admitted to the medical- surgical unit.
A nurse is assessing a client who has pulmonary edema. Which of the following findings should the nurse understand is indicative of pulmonary edema? Select all that apply.
A nurse is caring for a client who experienced a femur fracture 8 hr ago and now reports sudden onset dyspnea and severe chest pain. Which of the following actions should the nurse take first?
A client is admitted to the emergency room with a respiratory rate of 7/min. Arterial blood gases (ABG) reveal the following values. Which of following is an appropriate analysis of the ABGs?
PH 7.22
PaCO2 68 mm Hg
Base excess -2
PaO2 78 mm Hg
Saturation 80%
Bicarbonate 26 mEq/L
Client is admitted with respiratory acidosis. Client has been taking acetaminophen with hydrocodone daily for back pain that began one week ago. Client reports mild difficulty breathing that has worsened over the last 24 hours. Lungs are clear to auscultation bilaterally. Skin is warm, dry, with normal color for ethnicity.
2135:
Client admitted to medical surgical unit with exacerbation of chronic obstructive pulmonary disease. Client reports mild shortness of breath that has worsened over the last 24 hr. Lungs are diminished with wheezing noted bilaterally. Barrel chest noted. Skin is warm, dry. Bowel sounds normoactive in all quadrants. 2+ non-pitting edema noted in bilateral lower extremities.
2230:
Client reports increasing shortness of breath. Currently in orthopneic position. Barrel chest noted with use of accessory respiratory muscles. Lungs with wheezing noted throughout. Non-productive cough noted. Oxygen saturation 83%. Cyanosis noted to fingers with capillary refill delayed. Provider notified of findings.
2000:
Blood pressure 140/86 mm Hg
Heart rate 95/min
Respiratory rate 30/min
Oxygen saturation 92% on room air
Temperature 36.7 °C (98.1° F)
2230:
Temperature 36.7 °C (98.1° F)
Heart rate 72/min
Respiratory rate 10/min
Blood pressure 156/96 mm Hg
Oxygen saturation 83% on room air
2240:
Arterial blood gases
pH 7.37 (7.35 to 7.46)
PaCO2 65 mm Hg (34 to 45 mm Hg)
HCO3 35 mEq/l (21 to 28 mEq/L)
p02 59 mm Hg (80 to 100 mm Hg)
Electrocardiogram reveals sinus rhythm
2230:
Arterial blood gases stat
Electrocardiogram
A nurse is caring for a client who has been admitted with chronic obstructive pulmonary disease.
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