150Q EXAM REVIEW | Mobility
Calculations Nursing Diagnosis
Priority Interventions A+ Answers
1. Client was prescribed morphine IV 0.05mg/kg/dose now and every 2 hours as needed
for moderate to severe pain. Morphine is available in parenteral dose of 2mg/mL. How
much medication should the nurse draw up for administration? (Client weight 32 kg)
Answer: 1.6 mL
2. Before giving the initial dose of pain medication or antibiotic, which action should the
nurse take first?
Answer: Ask the client if he is aware of any allergies to medications
3. When the client's foot pain is controlled, which nursing diagnosis should take priority?
Answer: Impaired physical mobility
4. Which goal is correct for the client's diagnosis of impaired physical mobility?
Answer: The client will sit in the chair for each meal beginning on the day of admission
5. Client weighs 70 kg and is prescribed enoxaparin 1 mg/kg subcutaneously every 12
hours. How many mg should the nurse administer? (Available: 30 mg/0.3 mL)
Answer: 70 mg
6. The nurse should administer how much enoxaparin for the 70 kg client?
Answer: 2.3 mL
7. Client with total hip replacement weighs 60 kg. Order: Morphine 0.1 mg/kg IV q4h PRN.
How many mL of 4 mg/mL solution?
Answer: 1.5 mL
8. Which is the priority nursing diagnosis for client 2 days post-op hip fracture?
Answer: Risk for falls
9. Client prescribed alendronate 70 mg PO weekly. What volume of 70 mg/75 mL
suspension?
Answer: 75 mL
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, 10.Before administering initial alendronate dose, nurse should instruct client to:
Answer: Remain upright for 30 minutes after taking
11.Client weighs 80 kg, order: DVT prophylaxis heparin 5000 units SQ q8h. Available 5000
units/mL. Administer:
Answer: 1 mL
12.Priority assessment before mobilizing client with hip surgery?
Answer: Check physician orders for weight-bearing status
13.Which is the MOST appropriate goal for client with impaired mobility?
Answer: Client will ambulate 50 feet with walker by day 3
14.Client 176 lbs prescribed oxycodone 5 mg IV q4h PRN. Available 10 mg/mL. Administer:
Answer: 0.5 mL
15.First action when client reports sudden calf pain day 2 post-op?
Answer: Assess for signs of DVT
16.Client weighs 150 lbs. Order: Acetaminophen 15 mg/kg PO q6h. Available 160 mg/5 mL.
Dose:
Answer: 17.2 mL
17.Which nursing diagnosis has highest priority for bedrest client?
Answer: Risk for impaired skin integrity
18.Goal for risk for impaired skin integrity diagnosis?
Answer: Skin remains intact during hospitalization
19.Client prescribed morphine PCA 1 mg/hr basal + 1 mg/demand. Total first hour dose?
Answer: 2 mg
20.Priority intervention for client reporting new weakness in operative leg?
Answer: Notify physician
21.Client 88 kg, order: Hydromorphone 0.015 mg/kg IV q3h PRN. Available 2 mg/mL. mL to
administer?
Answer: 0.66 mL
22.Which is priority mobility precaution for new hip replacement?
Answer: No adduction past midline
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