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When preparing to administer a B) Withhold the medication until the dosage can be
prescribed medication to a homeless confirmed.
client at a community psychiatric
clinic. The client tells the nurse that
the usual dosage taken is different
from the dose the nurse is giving.
Which action should the nurse take?
A) Inform the client that he may
refuse the medication and document
whether or not the client takes it.
B) Withhold the medication until the
dosage can be confirmed.
C) Explain to the client that the
dosage has been changed.
D) Tell the client to take the
medication then verify the dosage at
the next healthcare team meeting.
,The charge nurse is making B) Viral meningitis whose temperature change from
assignments for one practical nurse 101 S to 102F.
and three registered nurses who are
caring for neurologically
compromised clients. Which client
with which change in status is best to
assign to the PN?
A) Subdural hematoma whose blood
pressure changed from 150/80 to
170/60.
B) Viral meningitis whose
temperature change from 101 S to
102F.
C) Diabetic keto acidosis who is
Glasgow coma scale score changed
from 10 to 7.
D) Myxedema, whose blood
pressure change from 80/50 to
70/40.
The nurse is caring for a client with A) Maintain strict intake and output.
pneumonia who now develops initial
signs of septic shock and multi organ
failure. The healthcare provider
prescribes a sepsis protocol. Which
intervention is most important for the
nurse to include in the plan of care?
A) Maintain strict intake and output.
B) Keep head of bed raised 45°.
C) Excess warmth of extremities.
D) Monitor blood glucose level.
,And adolescent client is admitted to D) Go to the clients room and ask what happened.
the hospital because of writing a
suicide note to a teacher at school.
On the second day of
hospitalization, the nurse asked the
client to meet with the treatment
team. After the team meeting, the
client leaves in tears and goes to
their room. Which nursing
intervention is best?
A) Let the client rest quietly in their
room for a while.
B) Explore the clients goals and
desire for treatment.
C) Ask the treatment team about the
clients behavior.
D) Go to the clients room and ask
what happened.
The healthcare provider prescribes 0.6
dalteparin 200 units per kilogram
subcutaneous once a day for a client
who weighs 154 pounds. The
medication is available and 25,000
units per milliliter vial. How many
milliliters should the nurse
administer? (Enter numerical value
only. If rounding is required, round to
the nearest 10th.)
, NGN: The client is a 49-year-old B) Start oxygen 3 L per minute via nasal cannula.
male who reports flu like symptoms C) Place the client on a cardio respiratory monitor.
including fever and chest congestion
for four days. He came to the
emergency department last night
when he was having more difficulty
breathing he has a history of 1/2 pack
a day cigarette smoking for 20 years.
He has no significant medical or
surgical history.
Which two orders should the nurse
complete first?
A) Sputum culture.
B) Start oxygen 3 L per minute via
nasal cannula.
C) Place the client on a cardio
respiratory monitor.
D) Chest x-ray.
E) Acetominophen 350 mg PO every
six hours for temperature control.
F) Run 0.9% sodium chloride IV
infusion at 150 mL per hour.
G) Start peripheral IV.
H) NPO.