A nurse is caring for a client who is pregnant and undergoing a contraction stress test (CST). The nurse observes three uterine contractions in 10 minutes, with no late or significant variable decelerations of the fetal heart rate (FHR). How should the nurse interpret this finding? A. Positive CSTB. Negative CSTC. Unsatisfactory CSTD. Equivocal CST […]
The nurse is assessing the symmetry of the client’s chest. The nurse recognizes that a client’s symmetric expansion of the chest is best confirmed by: A.Percussion of the posterior chest B.Inspection of the shape and configuration of the chest wall C.Placing the palmar surface of the fingers of one hand against the chest and having
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Cardiac monitoring is initiated for a patient with diabetic ketoacidosis. The nurse determines that this measure is important to identify: A.Electrocardiographic (ECG) changes and dysrhythmias related to hypokalemia. B.The presence of hypovolemic shock related to osmotic diuresis. C.Cardiovascular collapse resulting from the effects of hyperglycemia. D.Fluid overload resulting from aggressive fluid replacement. The Correct Answer
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A nurse has to administer 0.05 mcg/kg of a medication to an infant who weighs 7 kg.Calculate the dose that the nurse should administer to the infant. A.0.35 mcg B.350 mcg C.35 mcg D.3.5 mcg The Correct Answer and Explanation is: To determine the correct dose of medication for the infant, follow these steps: Therefore,
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A nurse is assessing a client who has hypermagnesemia. Which of the following medications should the nurse prepare to administer? A.Calcium gluconate B.Flumazenil C.Protamine sulfate D.Acetylcysteine The Correct Answer and Explanation is: The correct answer is A. Calcium gluconate. Explanation Hypermagnesemia, an elevated level of magnesium in the blood, can result from excessive intake of
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A nurse is assessing a client who has hypermagnesemia. Which of the following medications should the nurse prepare to administer? A.Calcium gluconate B.Flumazenil C.Protamine sulfate D.Acetylcysteine The Correct Answer and Explanation is: The correct answer is A. Calcium gluconate. Explanation: Hypermagnesemia, an elevated level of magnesium in the blood, is a condition that requires careful
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A nurse is preparing to administer vancomycin IV to an adult client. The client asks the nurse if the medication can be given 2 hr earlier. Which of the following statements should the nurse make? A.“I can adjust the time and schedule for when it’s convenient for you.”. B.“I can start the medication 30 minutes
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An angry client has just thrown a chair across the room and is racing to pick up another chair to throw. Which is the most appropriate action by the nurse? A.Call for an emergency response from trained personnel. B.Calmly call the client by name and encourage verbal expression of anger. C.Approach the client and firmly
A nurse is preparing to administer 2.5 L of lactated Ringer’s to a client. How many mL should the nurse administer? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.) The Correct Answer and Explanation is: To convert 2.5 liters (L) of lactated
A nurse is preparing to administer 2.5 L of lactated Ringer’s to a client. Read More »
A nurse is assisting with the care of a postoperative client who has developed malignant hyperthermia. Which of the following actions should the nurse take? A.Administer meperidine IM. B.Instill a warm enema solution. C.Apply a cooling blanket. D.Ventilate client with 50% oxygen. The Correct Answer and Explanation is: The correct answer is C. Apply a