NACE Exam with 100% Correct Answers With Complete Solutions

What part of the nursing process would the nurse come up with a nursing diagnoses? a. Assessment b. Analysis c. Implement d. Evaluation - ANSWERS,Analysis 1 liter of fluid at 1100 is going at 125ml/hr. What time will the next bag of fluids be hung? - ANSWERS,1900hrs Patient is taking Alendronate for osteoporosis. What diet the patient choose, lets you know they understand what to eat when taking this medication? a. Turnup greens, salmon b. Take first thing in the morning with 6-8 ounces of milk c. Take 30 minutes before other medications and food d. Only take with plain water - ANSWERS,Turnip greens, salmon Take 30 minutes before other medication Only take with plain water Patient's order states to give digoxin 0.125mg and what's ordered is digoxin 0.05. How many mg of digoxin will the patient receive? - ANSWERS,l/0.05 x 0.125 =2.5 mg Remember orderxdosage Doctor asks the nurse on the elevator how is his patient in room 913 doing? What is the nurses' response? - ANSWERS,Let's step off the elevator to discuss this A patient is having a grand mal seizure and is found unconscious. What will the nurse do first? - ANSWERS,Protect the patient from injury (loosen neck tie) Hold head in lap if on the floor; then position the patient to provide a patient airway What size gauge needles you would use to give intramuscular injections? - ANSWERS,Gauges 22-25 needles (in the muscles) What size gauge needle would you use to give Subcutaneous injections? - ANSWERS,Gauges 23-25 needles. Subcutaneous injections are given in fatty tissue over triceps Subjective Data - ANSWERS,things a person tells you about that you cannot observe through your senses; symptoms; patient tells you how/what they feel: pain, ex. Patient states he feels dizzy and patient said he fell down the stairs, itching. Objective Data - ANSWERS,information that is seen, heard, felt, or smelled by an observer; signs. Examples: bleeding, heart rate, wound appearance, blood pressure, respirations, ambulation description, hives, abdominal distention, vomiting. This is what you observe. A co-worker of a patient who is hospitalized called and asked the diagnosis of the patient in the hospital. What is the nurses response? - ANSWERS,You have to contact the hospital's contact person. The nurse was asked by a patient to pray with them. What is the nurses response? - ANSWERS,I don't feel comfortable but will find someone else who does feel comfortable praying with you. How long should you wash your hands when soiled? - ANSWERS,15 seconds What are the two identifiers used to identify - ANSWERS,The patient's name and date of birth