Nokea
The client's potassium level is 6.7 mEq/L. Which intervention should you delegate to the student nurse under your supervision?
- A. Administer Kayexalate 15 g orally
- B. Administer spironolactone 25 mg orally
- C. Assess ECG strip for tall T waves
- D. Administer potassium 10 mEq orally
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
You may also like to solve these questions
What is the best example of documentation of patient teaching regarding wound care?
- A. The patient was instructed about care of wound and dressing changes.
- B. The patient demonstrated correct technique of wound care following instruction.
- C. The patient and caregiver verbalize that they understand the purposes of wound care.
- D. Written instructions regarding wound care and dressing changes were given to the patient.
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
What comfort measure may the nurse delegate to unlicensed assistive personnel (UAP) for a client receiving O2 at 4 liters per nasal cannula?
- A. Apply water-soluble ointment to nares and lips.
- B. Periodically adjust the oxygen flow rate.
- C. Remove the tubing from the client's nose.
- D. Turn the client every 2 hours or as needed.
Correct Answer: A
Rationale: The correct answer is A - Apply water-soluble ointment to nares and lips. This is an appropriate comfort measure that can be safely delegated to UAP as it helps prevent dryness and irritation caused by the oxygen flow. UAP can apply ointment without adjusting the oxygen flow rate (B), which should be done by licensed staff. Removing the tubing (C) can disrupt oxygen delivery. Turning the client (D) is important for preventing pressure ulcers but is not directly related to oxygen therapy comfort.
Chronic hepatitis C may be treated with
- A. Sulfasalazine.
- B. Interferon and ribavirin.
- C. Metronidazole or ciprofloxacin.
- D. Acetaminophen.
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
To clean a wound, it is best to use
- A. Hydrogen peroxide to bubble away the debris.
- B. Tap water.
- C. Saline.
- D. It is best not to disturb a healing wound.
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
You are reviewing a client’s morning laboratory results. Which of these results is of most concern?
- A. Serum potassium 5.2 mEq/L
- B. Serum sodium 134 mEq/L
- C. Serum calcium 10.6 mg/dL
- D. Serum magnesium 0.8 mEq/L
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.