NR 439 evidence based practice EXAM A+ GRADE ASSURED COMPLETE SOLUTIONS AND VERIFIED ANSWERS LATEST UPDATE!!!!

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Module 8: Pharmacology and Intravenous Therapies 2 zm zm zm zm zm zm




026 A+ GRADE ASSURED COMPLETE SOLUTIONS AND V
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ERIFIED ANSWERS (C3852) zm zm




QUESTION 1 zm




A nurse notes that the site of a client's peripheral intravenous (IV) catheter is redden
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ed, warm, painful, and slightly edematous near the insertion point of the catheter. On
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the basis of this assessment, the nurse first: A Removes the IV catheter B Slows the ra
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te of infusion C Notifies the healthcare provider D Checks for loose catheter connectio
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ns
ANSWER

A Removes the IV catheter
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QUESTION 2 zm




A nurse hangs a 500-
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mL bag of intravenous (IV) fluid for an assigned client. One hour later the client comp
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lains of chest tightness, is dyspneic and apprehensive, and has an irregular pulse. The
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mIV bag has 100 mL remaining. Which of the following actions should the nurse take fi
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rst? A Removing the IV B Sitting the client up in bed C Shutting off the IV infusion D S
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lowing the rate of infusion zm zm zm zm




ANSWER

C Shutting off the IV
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QUESTION 3 zm




A physician prescribes 2000 mL of 5% dextrose and normal saline 0.45% for infusion
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over 24 hours. The drop factor is 15 gtt/mL. At how many drops per minute does the
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nurse set the flow rate? (Round to the nearest whole number).
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ANSWER

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QUESTION 4 zm




A nurse is assessing a peripheral intravenous (IV) site and notes blanching, coolness,
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and edema at the insertion site. What should the nurse do first? A Remove the IV B A
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pply a warm compress C Check for blood return D Measure the area of infiltration
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ANSWER

A Remove the IV
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QUESTION 5 zm




A home care nurse has been assigned a client who has been discharged home with a
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prescription for parenteral nutrition (PN). Which of the following parameters does the
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nurse plan to check at each visit as a means of identifying complications of the PN th
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erapy? Select all that apply. A Weight B Glucose test C Temperature D Peripheral puls
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es E Hemoglobin and hematocrit
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ANSWER

A Weight B Glucose test C Temperature
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QUESTION 6 zm




A nurse is monitoring a client who is receiving parenteral nutrition (PN). Which of th
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e following signs and symptoms causes the nurse to suspect that the client is experien
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cing hyperglycemia as a complication? A Pallor, weak pulse, and anuria B Nausea, vo
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miting, and oliguria C Nausea, thirst, and increased urine output D Sweating, chills, an
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d decreased urine output
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ANSWER

C Nausea, thirst, and increased urine output
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QUESTION 7 zm




At 1600 the nurse checks a client's parenteral nutrition (PN) infusion bag and finds 1
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100 mL remaining in the 3000-
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mL bag. The solution is running at a rate of 100 mL/hr. The bag was hung the previo
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us day at 1800. The nurse plans to change the infusion bag and tubing this evening at
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: A 1700 B 1800 C 2000 D 2100
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ANSWER

B 1800
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, QUESTION 8 zm




A client is receiving parenteral nutrition (PN) with fat emulsion (lipids) piggybacked t
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o the PN solution. For which signs of an adverse reaction to the fat emulsion should t
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he nurse monitor the client? Select all that apply. A Chills B Pallor C Headache D Ches
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t and back pain E Nausea and vomiting F Subnormal temperature
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ANSWER

A Chills C Headache D Chest and back pain E Nausea and vomiting
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QUESTION 9 zm




The nurse is preparing to change the solution bag and intravenous tubing of a client r
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eceiving parenteral nutrition (PN) through a left subclavian central venous line. Which
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essential action does the nurse ask the client to perform just before switching the tu
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bing? A Turn the head to the left B Turn the head to the right C Exhale slowly and ev
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enly D Take a deep breath and hold it
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ANSWER

D Take a deep breath and hold it
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QUESTION 10 zm




A nurse suspects that a client receiving parenteral nutrition (PN) through a central lin
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e has an air embolism. The nurse immediately positions the client on the: A Left side
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with the head lower than the feet B Left side with the head higher than the feet C Rig
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ht side with the head lower than the feet D Right side with the head higher than the f
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eet
ANSWER

A Left side with the head lower than the feet
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QUESTION 11 zm




A client with schizophrenia has been taking an antipsychotic medication for 2 months.
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For which adverse effect should the nurse monitor the client closely? A Akathisia B P
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elvic thrusts C Athetoid limbs D Protruding tongue
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ANSWER

A Akathisia
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QUESTION 12 zm