COMPLETE 600 QUESTIONS WITH DETAILED VERIFIED
ANSWERS AND RATIONALES (VERSION A AND B) /A+ STUDY
MATERIAL // BRAND NEW!!
Terms in this set (218)
You are caring for a 14- Choices B, C, and D are correct.
month-old B is correct. Black stools are an expected
diagnosed with severe response to iron supplementation. It is an
iron deficiency anemia. appropriate nursing action to document this
She is admitted for a finding in the chart, but no further action is
blood needed.
transfusion and is
started on oral iron C is correct. Black stools are an expected
supplementation. response to iron supplementation. It is an
When you change her appropriate nursing action to continue with
diaper, you note a your assessment. Since the finding is
dark black stool. What expected, no other steps are necessary.
are the appropriate D is correct. Black stools are an expected
nursing actions? response to iron supplementation. It is an
Select ALL appropriate nursing action to administer the
A. Notify the healthcare oral iron supplement as prescribed.
provider. Choice A is incorrect. Black stools are an expected
B. Document the finding.
response to iron
supplementation. The nurse doesn't need to notify the
C. Continue with your
healthcare provider of this.
assessment.
NCSBN Client Need Topic: Physiological
D.Administer the oral
Integrity, Subtopic: Pharmacological
iron supplement as
therapies, Pediatrics Hematology
prescribed
,The nurse is re- Choice B is correct.
educating on discharge A patient with chronic diabetes insipidus (DI)
instructions to a patient is instructed to weigh themselves daily. This
who has chronic weight should be taken with the same scale
diabetes insipidus (DI). and obtained after the first-morning void.
Which of the Choices A, C, and D are incorrect. Fluid restrictions
would be appropriate for a
following patient patient with syndrome of inappropriate
statements would
indicate a correct antidiuretic hormone (SIADH). This would not
understanding of the be appropriate for DI as the patient will need
discharge instructions? to consume more fluids to replace those that
are lost. Salty snacks are not encouraged
A. "I will need to drink because this may hasten the
no more than 800 ml hypernatremia associated with this disease.
per day." Logging intake and output are not useful
B. "I will need to weigh because this provides a crude way of
myself at the same assessing fluid status.
time every day."
C. "I should increase
salty snacks in my
diet."
D. "I need to log my
fluid intake and urine
output."
This nurse is caring Choices A and D are correct
for a patient who is Ketorolac is a medication used to treat pain
receiving prescribed and pyrexia. A patient exhibiting a decrease
ketorolac. Which of in pain and having a decrease in temperature
the following findings would be a therapeutic response.
would indicate a Choices B, C, and E are incorrect. Ketorolac does not
therapeutically lower blood
therapeutic pressure, increase urinary output, or increase
response? muscle coordination. Medications that could
Select all be used to lower blood pressure would be
that apply. agents such as lisinopril, atenolol, etc.
Agents used to increase urinary output
A. Decreased pain would be diuretics such as furosemide. The
B. Increased urinary
improvement in muscle coordination may be
output
achieved by medications such as levodopa-
C. Decreased blood
pressure carbidopa.
, D. Decreased temperature
E. Increased muscle
coordination
Choices B and C are correct.
Which of the following B is correct. Double-checking the last time the
falls under the right medication was administered is a part of the
time of the 8 rights of right time step in the 8 rights of medication
medication administration. This is important because the
administration? nurse needs to verify that she is giving the
Select all that apply. dose correctly and that it is not being
administered too frequently based upon the
A. Have a second
previous administration.
nurse independently
C is correct. Verifying the frequency with
calculate the
which the medication is ordered is a part of
medication dosage.
the right time step in the 8 rights of
B. Double-check the
medication administration. The nurse needs
last time that the
to verify that the frequency with which the
medication was
medication is being ordered will be safe not
administered.
just for this dose but for the cumulative
C. Verify the
dosage if the medication is being
frequency with
administered more than once. For example, with
which the
acetaminophen, one dose of 1,000 mg may be
medication is
appropriate, but administering this dosage
ordered.
q4 would result in a daily
D. Document the pertinent
vital signs. intake of 6,000 mg of acetaminophen, far
above the maximum of 4,000 mg. This is why
the right frequency is a part of the right
time step in the 8 rights of medication
administration.
The nurse is caring for a Choice A is correct.
primigravida A reactive NST is an expected finding and indicates
patient with the fetal well-being.
following clinical data.
The nurse should take
which of the following
actions based on the
result?
See the exhibit.->