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NurseLogic 2.0: Knowledge and Clinical Judgement - Advanced Test Exam 2024!!
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NurseLogic 2.0: Knowledge and Clinical Judgement - Advanced Test Exam 2024!!
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NurseLogic 2.0: Knowledge andClinical Judgement - Advanced Test
Exam 2024!!
A nurse is caring for a client who has terminal pancreatic cancer. The client
is competent and has requested no resuscitative measures be taken in the
event of respiratory or cardiac arrest. Which of the following is necessary to
legally change the client's code status to do-not-resuscitate (DNR)? - -A
written prescription from the provider
A DNR is typically instituted at the request of a client or family member and
should be a written order instead of a verbal prescription. Until a DNR
prescription exists. every attempts to revive the client should be made in the
event of respiratory or cardiac arrest. A written prescription from the
provider is necessary to legally change the client's code status to a DNR
-A nurse is caring for a toddler who has acute otitis media and is prescribed
benzocaine (Americaine) ear drops for pain relief. Which of the following
actions by the nurse is appropriate when administering the ear drops? - -
Warm refrigerated drops to room temperature prior to instillation.
Because of the anatomy of internal ear structures, it is important to
remember that the ear is sensitive to extremes in temp. Ear drops should be
warmed to room temp prior to instillation to reduce the risk of painful stimuli
-A nurse is caring for a client who has a new colostomy. The client is being
discharged and plans to live with her daughter. Which of the following
responses by the nurse is appropriate when the daughter states that she
doesn't know how she is going to care for her mother's colostomy? - -"What
part of your mother's care concerns you?"
-A nurse is caring for a client who is diagnosed with bipolar disorder and is
taking lithium (Lithane). Which of the following serum lithium levels indicates
the client's dosage is appropriate for maintenance therapy? - -0.75 mEq/L
Lithium is a mood-stabilizing medication used in the treatment of bipolar I
acute and recurrent manic and depressive episodes. To achieve a
therapeutic range, give 300 mg to 600 mg of lithium during the active phase.
The therapeutic serum lithium level is between 0.8 mEq/L and 1.4 mEq/L.
Maintenance levels of 0.4 to 1.3 mEq/L are then achieved for clients who are
prescribed lithium for long-term therapy. Because small increments of
dosage separate therapeutic, maintenance, and toxic levels of lithium,
knowledge of these levels is essential to ensure safe, quality care. This
, serum lithium level indicates the client's dosage is appropriate for
maintenance therapy.
-A nurse is caring for a client who is scheduled for a lumbar puncture. The
nurse should teach the client that which of the following is a post-procedure
complication? - -Headache
A headache is a manifestation experienced by 15 to 30% of clients following
a lumbar puncture that results from cerebrospinal fluid leakage at the
puncture site. These headaches are managed primarily with analgesics,
hydration, and bed rest
-A nurse is reinforcing teaching about a new prescription for cromolyn
sodium (Intal) metered-dose inhaler (MDI) to a school-age child who has
asthma. Which of the following statements should indicate to the nurse that
the child needs further teaching? - -"I will use my cromolyn inhaler before
using my albuterol inhaler."
When both cromolyn and albuterol are prescribed, albuterol should be
inhaled first to open the airways because it is a bronchodilator. After waiting
a few minutes, the cromolyn can then be inhaled and will reach further into
the lungs because of the dilatory effects of albuterol.
-A nurse is planning to obtain blood pressure on four clients. On which of the
following clients should the nurse perform an electronic blood pressure
measurement? - -A client who is recovering from a cardiac catheterization
Electronic blood pressure measurement is attained through a sensor that
detects vibrations caused by blood rushing through the arteyr, is appropriate
for use when the blood pressure must be monitored frequently, and should
not be taken on clients with conditions that can result in an inaccurate
reading. A client who is recovering from a cardiac cath requires frequent
blood pressure measurements. It is appropriate to perform an electronic
blood pressure measurement on this client.
-A nurse is caring for a client who weighs 132 lb and has been prescribed
gentamicin (Garamycin) 5mg/kg/day by IV bolus in three equal doses.
Available on hand is 40 mg/mL that is to be added to 50 mL 0.9% sodium
chloride. How many mL should the nurse add to the solution per dose? - -2.5
mL
-A nurse is providing education to the parent of an infant who is newly
diagnosed with biliary atresia. The nurse should teach the parent that which
of the following is a clinical manifestation associated with the illness? - -Dark
urine
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