COMPLETE SOLUTIONS VERIFIED
The nurse is administering a sustained release capsule to a new patient. The
patient insists that he cannot swallow pills. What is the nurse's next best course
of action?
a. Ask the prescriber to change the order
b. Crush the pill
c. Hide the capsule in some food
d. Open the capsule and sprinkle it over food
a
The nurse assesses a patient who has been hospitalized for 2 days. The patient
has been receiving normal saline IV at 100 mL/hr, has a nasogastric tube to low
suction and is NPO. Which assessment finding would be a priority for the nurse
to report to the HCP?
a. Oral temperature of 100.1ºF
b. Serum sodium level of 128 mEq/L
c. Gradually decreasing level of consciousness
d. Weight gain of 2 pounds above the admission weight
c
A patient at risk for hypernatremia is one who
a. Has a deficiency of aldosterone
b. Has prolonged vomiting and diarrhea
, c. Receives excessive 5% dextrose solution intravenously
d. Has impaired consciousness and decreased thirst sensitivity
d
The nurse is caring for a patient with a diagnosis of hypernatremia. The following
orders are written on the client's chart. Which order should the nurse question?
a. Administer an IV of D5W at 125 ml/hr
b. Strict I + O monitoring
c. Restrict oral intake to 900 ml every 24 hr
d. Monitor electrolytes level every 4 hrs
c
A nursing instructor asked a group of nursing students to discuss experiences
with charting assessment data. Which comment by the student indicates the need
for further teaching?
a. "I find it difficult to avoid using phrases like, 'the patient tolerated the
procedure well'"
b. "It's confusing to have to remember which abbreviations this hospital allows"
c. "I need to work on documenting assessments and interventions right after they
are done"
d. "My patient was really quiet and didn't say much, so I documented that he
acted depressed"
d
The nurse identifies the diagnosis of ineffective breathing pattern related to
inability to maintain adequate rate and depth of respirations for a client with an