Clinical Judgement Questions And
Answers
I'mnluckynInhavenanprescriptionnplannthatnallowsnmentonbuynpillsninnbulknquantitiesn-nAnswern-
nAnnursenisnprovidingneducationnaboutnannewnprescriptionnfornnitroglycerinn(NitroQuick)ntonanclientn
whonisndiagnosednwithnangina.nWhichnofnthenfollowingnstatementsnbynthenclientnindicatesnanneednfor
nfurthernteaching?
1.nI'llnmakensurenthatnthenmedicationncontainernisnkeptntightlynsealed
2.nI'mnluckynInhavenanprescriptionnplannthatnallowsnmentonbuynpillsninnbulknquantities
3.nI'llnkeepnmynpillsninnthenmedicinencabinetnwhennI'mnhome
4.nI'llngontonthenemergencynroomnifnmynchestnpainndoesn'tngonaway
Pallorn-nAnswern-
nAnnursenisncaringnfornanclientnwhonisndiagnosednwithnanemia.nWhichnofnthenfollowingnskinncolornvari
ationsnisncausednbynanreducednamountnofnoxyhemoglobin?
1.ncyanosis
2.njaundice
3.nerythema
4.npallor
2.5ntabletsn-nAnswern-
nAnnursenisncaringnfornanclientnwhonisndiagnosednwithnanurinaryntractninfection nandnisnprescribedncipr
ofloxcinn(Cipro)n250nmgnPOntwontimesndaily.nThenamountnavailablenisn100mg/tablet.nHownmanyntabl
etsnshouldnthennursenadministernwithneachndose?
, Deepnreddish-coloredntonguen-nAnswern-
nAnnursenisncollectingnnutritionalndatanonnannoldernadultnclient.nWhichnofnthenfollowingnfindingsnisnsu
ggestivenofnanhealthynnutritionalnstatus?
1.nspongyngumsnthatnarenreceding
2.nfissuresnatneyelidncorners
3.neasilynpluckednhair
4.ndeepnreddish-coloredntongue
Reducenthenratenofnthenfeedingsn-nAnswern-
nAnnursenisncaringnfornanclientnwhonisnreceivingnintermittentnenteralntubenfeedingsnandnhavingndiarrh
eanafterneachnfeeding.nWhichnofnthenfollowingnactionsnshouldnthennursentakeninnannattemptntonpreve
ntndiarrheanafternsubsequentnfeedings?
1.nchillnformulanpriorntonadministration
2.nverifynfeedingntubenplacement
3.nreducenthenratenofnthenfeedings
4.nplacenthenclientnsupinenduringnfeedings
2.5ntspn-nAnswern-
nAnnursenisnprovidingndischargeneducationntonthenparentsnofna npreschoolernwhonisnprescribesnacetam
inophenn(tylenol)n300nmgneveryn4nhrnasnneeded.nThenacetaminophennliquidnsuspensionnthatnhasnbee
nnprescribednprovidesn120nmg/5mL.nHownmanynteaspoonsnshouldnthennursenteachnthenparentsntonad
ministernperndose
Livingnwillsndetailntreatmentnwishesnofnthenclientninntheneventnofnterminalnillnessn-nAnswern-
nAnnursenisnassistingnwithnthenpreparationnofnanneducationnprogramnregardingnadvancendirectivesnfor
nnewlynhirednstaff.nWhichnofnthenfollowingninformationnshouldnbenincluded naboutnlivingnwills?
1.nlivingnwillsnrequirenanwrittennprescriptionnfromnthenproviderntonbenlegal
2.nlivingnwillsnallownthenclientntondesignatenanhealthncarenproxy
3.nlivingnwillsnensurenhospitalsnprovidenemergencyncarenregardlessnofnhealthncoverage
4.nlivingnwillsndetailntreatmentnwishesnofnthenclientninntheneventnofnterminalnillness