Nokea
The nurse would be correct to set the infusion pump for which hourly rate?
- A. 50 mL
- B. 75 mL
- C. 100 mL
- D. 125 mL
Correct Answer: D
Rationale: The order is 1,000 mL over 8 hours. Dividing 1,000 by 8 gives 125 mL/hour, the correct rate for the infusion pump.
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When is the correct time for the nurse to administer the child's morning dose of a combination regular and NPH insulin?
- A. 30 minutes before breakfast is served
- B. 15 minutes before breakfast is served
- C. 30 minutes after breakfast is served
- D. 15 minutes after breakfast is served
Correct Answer: A
Rationale: Regular insulin peaks in 2-4 hours, and NPH peaks in 4-12 hours. Administering the combination 30 minutes before breakfast aligns insulin onset with food intake, controlling postprandial glucose levels effectively.
Which response by the nurse would be most helpful in this situation?
- A. You should attempt to discuss the dangers of drug abuse with the patient to see if treatment is necessary.
- B. It will be necessary to get a court order before you can force your child to enter a drug treatment program.
- C. The success of the drug treatment program will depend on your child's desire to become drug-free.
- D. It's best that you force your child into the treatment program because otherwise participation probably will not occur.
Correct Answer: C
Rationale: The success of drug treatment relies on the adolescent's motivation to recover, making it important to discuss their willingness and readiness for treatment.
Which statement by an adolescent with acne indicates that additional teaching about taking tetracycline hydrochloride (Panmycin) is needed?
- A. I'll take the medication with a full glass of water.
- B. I won't take any antacids with this medication.
- C. I'll take this medication with food.
- D. I'll avoid sun exposure while taking this medication.
Correct Answer: C
Rationale: Tetracycline should be taken on an empty stomach, as food reduces absorption. The statement about taking it with food indicates a need for further teaching.
Before beginning a newborn’s physical assessment,the nurse reviews the newborn’s medical record and sees this notation: “31 weeks’ gestation.” Considering this information the nurse determines that a physical assessment of the infant should reveal which finding?
- A. Flexion of all four extremities
- B. The ability to suck
- C. The absence of lanugo
- D. Vernix covering the infant
Correct Answer: D
Rationale: "Preterm infants (31 weeks) are covered with vernix caseosa. Flexion is minimal sucking is absent before 33 weeks and lanugo is extensive."
Diabetic control is important before conception to reduce the incidence of:
- A. Maternal nephropathy.
- B. Diabetic ketoacidosis.
- C. Congenital anomalies.
- D. Maternal retinopathy.
- E. C-section.
Correct Answer: C
Rationale: Preconception glycemic control in diabetes reduces the risk of congenital anomalies which are significantly increased with poor control (e.g. neural tube defects cardiac anomalies). Other complications are less directly tied to preconception control.