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GI/GU
Meds
Math
Labs
100
C: Intake of refined sugar should be limited whereas intake of carbohydrate, associated with dietary fiber, is encouraged.
Which of the following statements about nutritional management of this patient is/are correct: A: Energy restriction is needed. B: Cholesterol level, level of triglycerides and electrophoresis of lipoproteins should be determined in order to administer the most appropriate diet. C: Intake of refined sugar should be limited whereas intake of carbohydrate, associated with dietary fiber, is encouraged. D: 'Crash' type diets (severe restriction or total fasting) are usually ineffective in the long term.
100
Check to see if the catheter is patent
A client with an indwelling catheter reports a need to urinate. What intervention should the nurse perform?
100
First-pass effect
After an oral medication has been absorbed, most of he medication is inactivated as the blood initially passes through the liver, providing little therapeutic effect; this is called
100
320mg ÷ 160mg = 2 x 5mL = 10mL
The provider prescribes Tylenol 320mg PO q4h PRN pain. The amount available is 160mg/5mL. The nurse should administer how many mL?
100
NA 135-145 K 3.3-5.0 Cl 95-107 Ca 9.5-10 CO2 35-45 HCO3 22-26
What are normal values of Na K Cl Ca CO2 HCO3
200
Stage III – full dermal thickness, necrosis, SubQ exposed, to fascia (not through), no pain
What stage is the following ulcer classified as: full thickness tissue loss and some subcutaneous fat is visible. There is some sloughing but you can see the depth of tissue loss. There is also undermining and tunneling.
200
The specimen cannot be contaminated with urine
A nurse is caring for a client who will perform fecal occult blood testing at home. What should the nurse include when explaining the procedure to the client?
200
Mimic the action of the body’s own hormones Block the action of the body’s own compounds
When medications act on receptors the can do what?
200
10gtt/min x (250mL/30min) = 83gtts/min
The provider prescribes 0.9% NaCl 250mL IV to infuse over 30min. The drop rate factor is 10gtt/mL. The nurse should set the IV flow rate to deliver how many gtt/min?
200
Respitory Alkalosis from Kussmaul's RF causes metabolic acidosis, but the lungs are compromising by blowing off CO2 and become alkaline
I'm in renal failure and now I'm hyperventilating with deep fast breaths, what labs would I have? What would I be?
300
Clarify the order with the provider
A nurse is caring for a client for whom a tap water enema is prescribed, to be repeated until the return is clear. What actions should the nurse take?
300
Hypotension Fever Poor skin turgor Abdominal cramping
A nurse is caring for a client who has had diarrhea for the past 4 days. When assessing the client, the nurse should expect what findings?
300
Held under the tongue until dissolved
Nitroglycerin tablets, which are often prescribed for clients who have cardiovascular disorders, are given sublingually. This means that the tablets are
300
66lbs/2.2 = 30kg x 15mg = 450mg, 0.45g ÷ 3 = 0.15mL
The provider prescribes Kantrex 15mg/kg/qd PO to be given in 3 divided doses. The client weighs 66lbs. The amount available is 1g/mL. How many mL should the nurse administer?
300
Metabolic Acidosis ABG, V/S, UOP, change in LOC
You are caring for a client that has <30mL/h urine output, who is now becoming confused and disorientated. Arterial blood gas shows pH 7.33, CO2 46, HCO3 23. V/S are 90P, 136/89, 20R, 98.9˚F. What should the nurse inform the provider of? What is it called?
400
B: A client who has heart failure
A nurse on a medical-surgical unit has been assigned to care for 4 clients. Which of the following clients is at risk for fluid volume excess? A: A client who is receiving a high-ceiling loop diuretic B: A client who has heart failure C: A client who has lost 500mL of blood during surgery D: A client who is 4hr postoperative and is receiving nasogastric suction
400
Tape from the client’s nose to the nasogastric tube
The proper way to secure a nasogastric tube is to apply
400
B: Checking with the provider when a single dose medication requires administration of multiple tablets
Which of the following nursing actions may prevent medication errors? A: Taking all the medications out of the multi-dose wrappers before entering the client’s room B: Checking with the provider when a single dose medication requires administration of multiple tablets C: Giving the prescribed medication and then looking up the usual dosage range D: Relying on another nurse to clarify a medication prescription
400
A drop in temperature around the site Local swelling at the site A damp dressing
When assessing the IV site for infiltration, the nurse should look for what?
400
A: Infuse hypotonic IV fluids
A nurse is caring for a client who is hpernatremic. Which of the following should be included in the plan of care? A: Infuse hypotonic IV fluids B: Restrict oral intake of water C: Increase Na intake D: Administer a loop diuretic
500
Delayed clearance of medications
When caring for a client who has renal damage secondary to glomerulonephritis, what should the nurse monitor when administering medications?
500
Tachycardia Furrowed tongue Sunken eyeballs
A nurse is collecting data from an older client who states he has had vomiting and diarrhea for the last 48hrs. Which of the following findings should indicate to the nurse that the client is hypovolemic?
500
Observing the medication side effects Monitoring for therapeutic effects Maintaining an up-to-date knowledge base
When implementing medication therapy, the nurse’s responsibilities include what?
500
75mL/15min = 5mL/min x 60min = 300mL/h
The provider prescribes Lactated Ringers 75mL IV to be infused over 15min. The nurse should set the IV flow rate at how many mL/h?
500
Increased HCT Increased serum Na Increased urine osmolarity
A nurse is caring for a client who was admitted to the hospital for peritonitis and has sings of dehydration. What laboratory findings would be expected for this client?