RED CROSS LIFEGUARDING ONLINE
ANSWERS. Graded A+
A nurse is caring for a client who has terminal pancreatic cancer. The client is competent and
has requested no resuscitative measures be taken in the event of respiratory or cardiac arrest.
Which of the following is necessary to legally change the client's code status to do-not-
resuscitate (DNR)? - CORRECT Ans-A written prescription from the provider
A DNR is typically instituted at the request of a client or family member and should be a written
order instead of a verbal prescription. Until a DNR prescription exists. every attempts to revive
the client should be made in the event of respiratory or cardiac arrest. A written prescription
from the provider is necessary to legally change the client's code status to a DNR
A nurse is caring for a toddler who has acute otitis media and is prescribed benzocaine
(Americaine) ear drops for pain relief. Which of the following actions by the nurse is appropriate
when administering the ear drops? - CORRECT Ans-Warm refrigerated drops to room
temperature prior to instillation.
Because of the anatomy of internal ear structures, it is important to remember that the ear is
sensitive to extremes in temp. Ear drops should be warmed to room temp prior to instillation to
reduce the risk of painful stimuli
, A nurse is caring for a client who has a new colostomy. The client is being discharged and plans
to live with her daughter. Which of the following responses by the nurse is appropriate when
the daughter states that she doesn't know how she is going to care for her mother's colostomy?
- CORRECT Ans-"What part of your mother's care concerns you?"
A nurse is caring for a client who is diagnosed with bipolar disorder and is taking lithium
(Lithane). Which of the following serum lithium levels indicates the client's dosage is appropriate
for maintenance therapy? - CORRECT Ans-0.75 mEq/L
Lithium is a mood-stabilizing medication used in the treatment of bipolar I acute and recurrent
manic and depressive episodes. To achieve a therapeutic range, give 300 mg to 600 mg of
lithium during the active phase. The therapeutic serum lithium level is between 0.8 mEq/L and
1.4 mEq/L. Maintenance levels of 0.4 to 1.3 mEq/L are then achieved for clients who are
prescribed lithium for long-term therapy. Because small increments of dosage separate
therapeutic, maintenance, and toxic levels of lithium, knowledge of these levels is essential to
ensure safe, quality care. This serum lithium level indicates the client's dosage is appropriate for
maintenance therapy.
A nurse is caring for a client who is scheduled for a lumbar puncture. The nurse should teach the
client that which of the following is a post-procedure complication? - CORRECT Ans-Headache
A headache is a manifestation experienced by 15 to 30% of clients following a lumbar puncture
that results from cerebrospinal fluid leakage at the puncture site. These headaches are managed
primarily with analgesics, hydration, and bed rest
ANSWERS. Graded A+
A nurse is caring for a client who has terminal pancreatic cancer. The client is competent and
has requested no resuscitative measures be taken in the event of respiratory or cardiac arrest.
Which of the following is necessary to legally change the client's code status to do-not-
resuscitate (DNR)? - CORRECT Ans-A written prescription from the provider
A DNR is typically instituted at the request of a client or family member and should be a written
order instead of a verbal prescription. Until a DNR prescription exists. every attempts to revive
the client should be made in the event of respiratory or cardiac arrest. A written prescription
from the provider is necessary to legally change the client's code status to a DNR
A nurse is caring for a toddler who has acute otitis media and is prescribed benzocaine
(Americaine) ear drops for pain relief. Which of the following actions by the nurse is appropriate
when administering the ear drops? - CORRECT Ans-Warm refrigerated drops to room
temperature prior to instillation.
Because of the anatomy of internal ear structures, it is important to remember that the ear is
sensitive to extremes in temp. Ear drops should be warmed to room temp prior to instillation to
reduce the risk of painful stimuli
, A nurse is caring for a client who has a new colostomy. The client is being discharged and plans
to live with her daughter. Which of the following responses by the nurse is appropriate when
the daughter states that she doesn't know how she is going to care for her mother's colostomy?
- CORRECT Ans-"What part of your mother's care concerns you?"
A nurse is caring for a client who is diagnosed with bipolar disorder and is taking lithium
(Lithane). Which of the following serum lithium levels indicates the client's dosage is appropriate
for maintenance therapy? - CORRECT Ans-0.75 mEq/L
Lithium is a mood-stabilizing medication used in the treatment of bipolar I acute and recurrent
manic and depressive episodes. To achieve a therapeutic range, give 300 mg to 600 mg of
lithium during the active phase. The therapeutic serum lithium level is between 0.8 mEq/L and
1.4 mEq/L. Maintenance levels of 0.4 to 1.3 mEq/L are then achieved for clients who are
prescribed lithium for long-term therapy. Because small increments of dosage separate
therapeutic, maintenance, and toxic levels of lithium, knowledge of these levels is essential to
ensure safe, quality care. This serum lithium level indicates the client's dosage is appropriate for
maintenance therapy.
A nurse is caring for a client who is scheduled for a lumbar puncture. The nurse should teach the
client that which of the following is a post-procedure complication? - CORRECT Ans-Headache
A headache is a manifestation experienced by 15 to 30% of clients following a lumbar puncture
that results from cerebrospinal fluid leakage at the puncture site. These headaches are managed
primarily with analgesics, hydration, and bed rest
