A nurse is caring for a client. Vital Signs. 1600: Nurses’ Notes. Temperature 37.6°C (99.7°F). Blood pressure 110/58 mm Hg. Heart rate 72/min. Respiratory rate 18/min. Pulse oximetry 98% on room air. 1630: Temperature 37.5°C (99.5°F). Blood pressure 78/52 mm Hg. Heart rate 112/min. Respiratory rate 26/min. Pulse oximetry 92% on room air. 1600: Antibiotic […]
A nurse is caring for a client. Read More »
A nurse stops administering an enema because the patient develops bradycardia and hypotension. The nurse understands the response as a result of stimulating a specific nerve. Patient has had a The Correct answer and Explanation is: Answer: The patient has had a vagal response. Explanation: When a nurse observes bradycardia (slow heart rate) and hypotension
How many milliliters are contained in 3 liters of fluid? (Enter numeric value only.) A.3000 B.4000 C.1000 D.500 The Correct answer and Explanation is: The correct answer is A. 3000. Explanation: To convert liters to milliliters, you need to use the conversion factor between these two units of volume. The conversion factor is based on
How many milliliters are contained in 3 liters of fluid Read More »
A client with acute renal injury (AKI) weighs 110.3 pounds (50 kg) and has a potassium level of 6.7 mEq/L (6.7 mmol/L) is admitted to the hospital. Which prescribed medication should the nurse administer first? Reference Range: Potassium [3.5 to 5 mEq/L (3.5 to 5 mmol/L)] A Sodium polystyrene sulfonate 15 grams by mouth.B Sevelamer
The normal PR interval is: A.0.04-0.20 seconds B.0.12-0.20 seconds C.Less than half the R-to-R ratio D.0.08-0.10 seconds The Correct answer and Explanation is: The correct answer is B. 0.12-0.20 seconds. Explanation: The PR interval is a key component of the electrocardiogram (ECG) that measures the time between the onset of atrial depolarization and the onset
The normal PR interval is Read More »
A nurse is obtaining vital signs from 2-month-old infant. The infant’s heart rate is 190/min and his temperature is 40° C (104° F). The father asks the nurse why the infant’s heart is beating so fast. Which of the following responses by the nurse is appropriate A.“The fever is causing an increase in your baby’s
A nurse is obtaining vital signs from 2-month-old infant. Read More »
A nurse is obtaining vital signs from a 2-month-old infant. The infant’s heart rate is 190/min and his temperature is 40° C (104° F). The father asks the nurse why the infant’s heart is beating so fast. Which of the following responses by the nurse is appropriate? A.“This is within the expected range for your
A nurse is obtaining vital signs from a 2-month-old infant Read More »
The nursing diagnosis of Excess Fluid Volume is made for a patient with chronic kidney disease. Which of the following data is most important for the nurse to collect for this patient based on the nursing diagnosis? A.daily weight B.vital signs C.intake and output D.skin turgor The Correct answer and Explanation is: Correct Answer: A.
A nurse is reviewing the signs and symptoms of a fungal superinfection with a client.The client demonstrates understanding of the information when he identifies which of the following as suggesting a fungal superinfection?A.Bloody diarrhea. B.Abdominal cramping. C.Creamy white patches on the throat. D.Heartburn. The Correct answer and Explanation is: The correct answer is C. Creamy
A nurse is reviewing the signs and symptoms of a fungal superinfection with a client. Read More »
A client is receiving orlistat as part of a weight management program. Which ongoing assessment should be included in the plan of care to determine the effectiveness of the medication? A.Depression screening. B.Body mass index. C.Daily calorie count. D.Serum protein levels. The Correct answer and Explanation is: The correct answer is B. Body mass index
A client is receiving orlistat as part of a weight management program. Read More »