Elsevier EAQ 148 Questions Correctly And Well Answered |22 Pages
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Elsevier EAQ
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Elsevier EAQ
A 500-mL bag of 5% Dextrose and 0.45% Sodium Chloride injection USP (D5 in ½ NS) is hung at 1:00 AM and is to infuse at 45 mL/h for a child receiving fluid replacement. At 6:00 AM the nurse notes there is 125 mL left in the bag. The nurse concludes which item is correct regarding the amount left i...
A 500-mL bag of 5% Dextrose and 0.45% Sodium Chloride injection USP (D5 in ½ NS) is hung at 1:00 AM
and is to infuse at 45 mL/h for a child receiving fluid replacement. At 6:00 AM the nurse notes there is
125 mL left in the bag. The nurse concludes which item is correct regarding the amount left in the bag? -
✔ ✔ Is more than the child should have received
A child with plumbism is prescribed edetate calcium disodium (calcium EDTA). Which assessment would
be the most appropriate for the nurse to conduct before administering EDTA? - ✔ ✔ Checking for
protein in the urine
A client enters the emergency department reporting shortness of breath and epigastric distress. Which
would be the triage nurse's first intervention? - ✔ ✔ Provide the client with oxygen
A client had a rubella infection (German measles) during the fourth month of pregnancy. At the time of
the infant's birth, the nurse places the newborn in the isolation nursery. Which type of infection control
precautions would the nurse institute? - ✔ ✔ Droplet
A client is to receive an antibiotic by intravenous piggyback (IVPB). The antibiotic is available in 50 mL of
solution to infuse in 20 minutes. The drop factor of the IV set is 15 gtt/mL. The nurse will set the
piggyback to flow at how many drops per minute? Record your answer using a whole number. - ✔ ✔
38
A client who takes antipsychotic medications complains of painful muscle spasms. The nurse suspects
that the client may have pseudoparkinsonism. Which medications are indicated to counter this
condition? Select all that apply. One, some, or all responses may be correct. - ✔ ✔ a. Benztropine
b. Trihexyphenidyl
A client with congestive heart failure is receiving intravenous digoxin therapy. The registered nurse
identifies which item on the client's care plan is appropriate for a licensed practical nurse (LPN) to
perform? Select all that apply. - ✔ ✔ -Help the client ambulate when required
-Monitor the client vital every 30 minutes
-Administer adequate oral fluids to the client
,A client with Laënnec cirrhosis has a Sengstaken-Blakemore tube in place. The client becomes
increasingly confused and tries to climb out of bed. The client's breath becomes fetid. Which is the
nursing priority? - ✔ ✔ Implement fall precautions and/or prevention measures
A client's infusion of vesicant intravenous solution through a short peripheral catheter leaks into their
extravascular tissue. After stopping the infusion and disconnecting the administration set, which action
would the nurse take next? - ✔ ✔ Aspirate the medication from a short peripheral catheter
A few hours after being admitted to the hospital with a diagnosis of inevitable abortion, a client at 16
weeks' gestation begins to experience a bearing-down sensation and suddenly expels the products of
conception in the bed. Which would be the nurse's immediate action? - ✔ ✔ Monitor and measure
vaginal bleeding
A nurse provides instructions to a client who has glaucoma. Which statement made by the client after
receiving the nurse's instructions indicates that the nurse needs to intervene? Select all that apply. - ✔
✔ "I can lift objects that weigh more than 10 lb (4.5 kg)."
"I should keep my head in a dependent position."
A pregnant client is admitted with abdominal pain and heavy vaginal bleeding. Which is the immediate
nursing action? - ✔ ✔ Establishing IV access
A pregnant client is prescribed heparin to prevent the risk of thromboembolism. Which is a possible
adverse effect of this medication when used during pregnancy? Select all that apply. One, some, or all
responses may be correct. - ✔ ✔ Osteoporosis
Increased risk of serious bleeding
Compression fractures of the spine
A woman who misused illicit substances during pregnancy gave birth to a neonate who experiences
withdrawal. Which nursing intervention would be beneficial to the neonate? Select all that apply. One,
some, or all responses may be correct. - ✔ ✔ Administering neonatal doses of the dependent
substance
Monitoring the neonate closely
, Educating the mother about the risks to the neonate
According to the disaster triage tag system, which client has been correctly tagged? - ✔ ✔ b- open
fracture at elbow- Yellow
After completing education on accidental poisoning in the home for the parent of a toddler, which
parent statements would concern the nurse? Select all that apply.One, some, or all responses may be
correct - ✔ ✔ A. My cosmetics are in my purse B. I only keep children's chewable vitamins on the
counter
D. I make sure all of m medications are stored in a bottle with childproof cap
Among clients with sleep disturbances after surviving a large-scale disaster, which client is most likely
contraindicated for further evaluation using the Impact of Event Scale-Revised (IES-R)? - ✔ ✔ Client
A= 50 years old= Alzheimer's disease
An ultrasound scan of a baby shows the proximal tubule in the kidney is not well developed. Which
medication treatment in the mother during pregnancy would the nurse identify as a potential cause for
this condition? - ✔ ✔ Angiotensin-converting enzyme inhibitors
arrange the steps involved in applying a surgical in the correct order - ✔ ✔ 1.Find the top edge of the
mask.
2.Hold the mask by its two strings or loops.
3.Secure the two top ties at the back of the head, with the ties above the ears.
4.Tie the two lower ties snugly around the neck with the mask well around the chin.
5.Gently pinch the upper metal band around the bridge of the nose.
Based on laboratory values, which client's needs would the nurse address first? - ✔ ✔ Client B:
A1C%: 6.8Fasting plasma glucose level (mg/dL): 130Two-hour plasma glucose level (mg/dL): 200
Based on the data in the table, which client who arrived at the hospital after a large-scale disaster is
appropriately tagged according to the disaster triage tag system? - ✔ ✔ Client C = Black= 90% of
body with full thickness burns
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