Nokea
The nurse should set the IV infusion pump to deliver how many ml/hr to administer half the total volume in the first 8 hr?
Correct Answer: 255
Rationale: Half of 4,080 mL is 2,040 mL; over 8 hours, this equals 255 mL/hr.
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A nurse is caring for a client who asks for information regarding organ donation. Which of the following responses should the nurse make?
- A. I cannot be a witness for your consent to donate.
- B. You must be at least 21, years of age to become an organ donorâ€
- C. Your desire to be an organ donor must be documented in writingâ€
- D. Your name cannot be removed once you are listed on the organ donor list.
Correct Answer: C
Rationale: The correct response should be C: "Your desire to be an organ donor must be documented in writing." This is the correct answer because in order for someone to become an organ donor, their decision must be documented in writing, typically through an organ donor card, a driver's license designation, or registration with a national organ donation registry. This documentation is crucial to ensure that the individual's wishes are respected and followed in the event of their death.
The other choices are incorrect:
A: "I cannot be a witness for your consent to donate." This statement is incorrect as a nurse can provide information and support regarding organ donation, but they are not required to be a witness for consent.
B: "You must be at least 21 years of age to become an organ donor." This statement is incorrect as the legal age requirement to become an organ donor varies by country or state, and it is not always 21 years of age.
D: "Your name cannot be removed once you are listed
Complete the diagram by dragging from the choices below to specify what condition the client is most likely experiencing, 2 actions the nurse should take to address that condition, and 2 parameters the nurse should monitor to assess the client's progress
- A. Teach the client to use self-talk. Ask, “What kind of drugs have you been taking?â€. Reduce external stimuli. Ask,Have you been sick recently?" Engage with the client several times each day to establish trust"
- B. Brief psychotic disorder. Delirium. Anxiety. Substance use disorder.
- C. Ability to care for self. Fearfulness. Suicide risk. Tremulousness. Temperature
- D. Brief psychotic disorder
Correct Answer:
Rationale: Action to Take: Teach the client to use self-talk, Engage with the client several times each day to establish trust; Potential Condition: Anxiety; Parameter to Monitor: Fearfulness, Suicide risk.
Rationale: The correct actions to take for addressing anxiety would be teaching self-talk and building trust through engagement. Fearfulness and suicide risk are relevant parameters to monitor in assessing the client's progress and response to interventions. These choices align with addressing anxiety and ensuring client safety and well-being.
Incorrect Choices:
- A: "Ask, 'What kind of drugs have you been taking?' and 'Have you been sick recently?' are not appropriate actions for addressing anxiety.
- B: Brief psychotic disorder and delirium are not the potential conditions the client is most likely experiencing.
- C: Monitoring ability to care for self and tremulousness are not the most relevant parameters for assessing anxiety.
Which of the following actions should the nurse take? Select all that apply.
- A. Vaginal culture
- B. Urine culture
- C. Obtain provider prescription for antibiotics
- D. Ibuprofen 660 mg every& hi for mid to moderate pain
- E. Obtain provider prescription for phenazopyridine
Correct Answer: B,C,E
Rationale: The correct actions for the nurse to take are B, C, and E. B, Urine culture, is important to identify the causative organism of a urinary tract infection. C, Obtaining a provider prescription for antibiotics, is necessary to treat the infection. E, Obtaining a provider prescription for phenazopyridine, can help alleviate urinary discomfort.
Choice A, Vaginal culture, is not relevant to the scenario of a urinary tract infection. Choice D, Ibuprofen for pain, is not addressing the infection itself. Without a prescription, phenazopyridine should not be administered.
The nurse should identity which of the following conditions as a contraindication for receiving this treatment?
- A. Hypertension
- B. Obesity
- C. Hypothyroidism
- D. Herpes zoster
Correct Answer: D
Rationale: The correct answer is D. Herpes zoster is a contraindication for certain treatments because it is a viral infection that can worsen with immunosuppressive therapy. Hypertension, obesity, and hypothyroidism are not direct contraindications for receiving the treatment mentioned. Hypertension can be managed, obesity and hypothyroidism do not directly impact the treatment's efficacy. Herpes zoster, on the other hand, can lead to serious complications if the treatment suppresses the immune system. It is crucial to address active infections before starting immunosuppressive therapy to prevent further complications.
When performing medication reconciliation for the client, which of the following actions should the nurse take?
- A. Encourage the client to make his own list after he returns to his home
- B. Include any adverse effects of the medications the client might develop
- C. Exclude nutritional supplements from the list of medications the client reports
- D. Compare new prescriptions with the fist of medications the client reports,
Correct Answer: D
Rationale: Comparing prescriptions prevents duplication and interactions.