Nokea
An adult has and IV line in the right forearm infusing D5 ½ NS with 20 mEq of potassium at 75 ml/h. which statement would be a correct report from the RN?
- A. The potassium bag is piggybacked into the dextrose at 75ml/h
- B. The clamp should be closed below the D5 ½ NS bag
- C. Potassium is on the secondary line
- D. 75 ml infuse in one hour
Correct Answer: C
Rationale: Correct Answer: C
Rationale:
1. Potassium is typically administered on a secondary line to prevent rapid infusion and potential adverse effects.
2. The primary line carries the D5 ½ NS solution without potassium, while the secondary line delivers the potassium.
3. Reporting that "potassium is on the secondary line" accurately describes the setup for this IV infusion.
Summary:
A: Incorrect - Incorrectly states that the potassium bag is piggybacked into the dextrose.
B: Incorrect - Closing the clamp below the D5 ½ NS bag is unnecessary and does not address the potassium infusion.
D: Incorrect - Fails to address the specific issue of the potassium infusion being on a secondary line.
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Correct Answer: D
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A nursing intervention for anemia is:
- A. Medical therapy
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- D. Chemotherapy
Correct Answer: B
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The nurse is developing a teaching plan for a patient. Which of the following is a modifiable risk factor for the development of hypertension? i.Race iv.Sedentary lifestyle ii.High cholesterol v.Age iii.Cigarette smoking
- A. 1 and 2
- B. 2, 3, 4 and 5
- C. 2, 3 and 4
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Correct Answer: C
Rationale: The correct answer is C: 2, 3, and 4. High cholesterol, cigarette smoking, and a sedentary lifestyle are modifiable risk factors for developing hypertension. High cholesterol can lead to atherosclerosis, increasing blood pressure. Smoking can constrict blood vessels, raising blood pressure. Sedentary lifestyle can lead to obesity and overall poor cardiovascular health, contributing to hypertension. Race and age are non-modifiable risk factors. Choice A is incorrect because it includes race, a non-modifiable factor. Choice B is incorrect because it includes age, which is also non-modifiable. Choice D is incorrect because it includes all factors, including non-modifiable ones.
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- A. Reviewing the current literature to determine evidence-based nursing actions
- B. Checking orders for diagnostic and laboratory tests
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- D. Ordering medications
Correct Answer: C
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Correct Answer: A
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Incorrect choices:
B: Hypertension - Didanosine is not contraindicated in hypertension.
C: Diabetes mellitus - While monitoring blood sugar levels is important, didanosine does not directly affect diabetes.
D: Asthma - Didanosine does not have a significant impact on asthma.
In summary, the client's pre-existing peripheral neuropathy makes it important to exercise caution with didanosine to avoid worsening this condition.