A nurse is preparing to administer sucralfate 80 mg/kg/day to divide into four doses per day to a child who weighs 35 kg. The amount available is sucralfate oral suspension 1 g/10 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.)
Correct Answer: 7 mL
Rationale: 35 kg × 80 mg/kg/day = 2800 mg/day; 2800 mg ÷ 4 = 700 mg/dose; 700 mg ÷ (1000 mg/10 mL) = 7 mL/dose.
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A nurse is reinforcing teaching about advance directives with a client who has terminal colorectal cancer. Which of the following statements by the client indicates an understanding of the teaching?
- A. I'm glad to have the opportunity to choose what kind of care I receive while I still can.
- B. I can't change my mind about the care I will receive once I sign my living will.
- C. Once I fill out my living will, there will be a 1-month delay before it is legally binding.
- D. If I want life support, I'll need to sign a separate consent form first.
Correct Answer: A
Rationale: This reflects understanding that advance directives allow care choices while capable.
A nurse is setting up a sterile field in a client's room. Which of the following actions should the nurse take?
- A. Placing the cap of a sterile solution on a clean surface with the inside facing down.
- B. Placing a sterile instrument within 1.3 cm (0.5 in) of the edge of the sterile field.
- C. Opening the top flap of the sterile tray package away from their body.
- D. Dropping sterile objects onto the field from a height of 5 cm (2 in).
Correct Answer: C
Rationale: Opening the flap away prevents contamination from the nurse’s body.
A nurse is preparing to remove an NG tube for a client who is postoperative following colon surgery. In which sequence should the nurse perform the following steps?
- A. Apply clean gloves.
- B. Disconnect the tube from the suction device.
- C. Instill 50 mL of air into the tube.
- D. Ask the client to take a deep breath.
- E. Pinch and withdraw the tube.
Correct Answer: A,B,C,D,E
Rationale: A: Gloves ensure hygiene. B: Disconnect suction. C: Air clears tube. D: Breath aids removal. E: Pinch prevents leakage.
A charge nurse is observing a newly licensed nurse who is caring for a group of clients. Which of the following statements by the newly licensed nurse indicates an understanding of infection control principles?
- A. I will use disinfectant to clean the blood pressure cuff after use on a client.
- B. I will double-bag a client's linens each day.
- C. I will wear sterile gloves when bathing a client who is incontinent.
- D. I will rinse the contaminants from a bedpan with hot water.
Correct Answer: A
Rationale: Disinfecting the cuff reduces cross-contamination, aligning with infection control standards.
A nurse is assisting in the care of a 72-year-old female client who recently had a stroke and is being monitored for complications. Complete the following sentence by using the lists of options. The client is at risk for developing ___ due to ___.
- A. Deep vein thrombosis (DVT)
- B. Prolonged immobility
- C. Urinary Catheter
- D. constipation
Correct Answer: A,B
Rationale: A: DVT is a risk post-stroke. B: Immobility increases clotting risk.
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