100% satisfaction guarantee Immediately available after payment Both online and in PDF No strings attached
logo-home
NUR28NUR280 Exam Practice Questions and Answers |100% Pass The nurse is reviewing medical prescriptions for newly admitted clients. It would be a priority for the nurse to follow up with the physician if a client with (a) a potassium level of 4.5mEq/L has $12.49   Add to cart

Exam (elaborations)

NUR28NUR280 Exam Practice Questions and Answers |100% Pass The nurse is reviewing medical prescriptions for newly admitted clients. It would be a priority for the nurse to follow up with the physician if a client with (a) a potassium level of 4.5mEq/L has

 3 views  0 purchase
  • Course
  • 2024/2025
  • Institution
  • 2024/2025

NUR280 Exam Practice Questions and Answers |100% Pass The nurse is reviewing medical prescriptions for newly admitted clients. It would be a priority for the nurse to follow up with the physician if a client with (a) a potassium level of 4.5mEq/L has Kayexalate (sodium polystyrene) prescribed ...

[Show more]

Preview 4 out of 59  pages

  • October 6, 2024
  • 59
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • 2024/2025
  • 2024/2025
avatar-seller
EmillyCharlotte
EMILLYCHARLOTTE 2024/2025 ACADEMIC YAER ©2024 EMILLYCHARLOTTE. ALL RIGHTS RESERVED
FIRST PUBLISH SEPTEMBER 2024




NUR280 Exam Practice Questions and
Answers |100% Pass

The nurse is reviewing medical prescriptions for newly admitted clients. It


would be a priority for the nurse to follow up with the physician if a client with


(a) a potassium level of 4.5mEq/L has Kayexalate (sodium polystyrene)


prescribed


(b) a Dilantin (phenytoin) level of 8 mcg/ml is placed on seizure precautions


(c) sensitivity to Aspirin (acetylsalicylic acid) is prescribed Tylenol (acetaminophen)


(d) sensitivity to Penicillin is prescribed Zithromax (azithromycin) - Answer✔✔-1. A. The normal

potassium level is 3.5 - 5.0 mEq/L. Giving Kayexalate in this situation may cause the client to lose

potassium, causing hypokalemia, therefore the drug is not indicated; the therapeutic level for Dilantin is

10 - 20 mcg/ml, a level of 8 is sub therapeutic thereby increasing the risk of seizure activity.

Acetaminophen can be safely prescribed to clients with ASA sensitivity. Azithromycin (Zithromax) can be

safely prescribed for clients with sensitivity to Penicillin.


The nurse should intervene if the nurse notes a staff member


(a) obtaining a clients consent prior to their operative procedure after receiving


Ativan (lorazepam)


(b) placing a client on the affected side following surgical repair of a retinal


Page 1/59

,EMILLYCHARLOTTE 2024/2025 ACADEMIC YAER ©2024 EMILLYCHARLOTTE. ALL RIGHTS RESERVED
FIRST PUBLISH SEPTEMBER 2024


detachment


(c) handling a wet cast with the palms of the hands


(d) using a broad base of support while transferring a client - Answer✔✔-2. A. Informed consent,

explanation and decision making must occur before sedation is given; therapeutic interventions for

retinal detachment include bedrest with the area of detachment in a dependent position to promote

healing; the cast should be handled with the palms of the hands while wet to prevent denting; a broad

base of support is used during transfers to prevent muscle injury.


The community health nurse is caring for the following clients. It would be a


priority for the nurse to initiate a multidisciplinary conference for the client who


is


(a) 12 years old with Autism who is starting a new school and recently had a


URI (upper respiratory tract infection)


(b) 16 years old, has type 1 Diabetes Mellitus, is unemployed and had a recent


Hemoglobin A1c of 13%


(c) 52 years old, with Myasthenia Gravis, recently prescribed Mestinon (pyridostigmine) and employed as

a mail carrier


(d) 70 years old, has schizophrenia, lives alone and reports hearing


non threatening voices. - Answer✔✔-3. B. An adolescent with uncontrolled Diabetes Mellitus would

require the greatest number of disciplines (multidisciplinary) to manage their care i.e. Medicine, Nursing,



Page 2/59

,EMILLYCHARLOTTE 2024/2025 ACADEMIC YAER ©2024 EMILLYCHARLOTTE. ALL RIGHTS RESERVED
FIRST PUBLISH SEPTEMBER 2024


Social Work, Nutritionist; the other choices do not require as many providers of care to meet their

needs.


The nurse from the postpartum unit has been temporarily assigned to the


medical surgical unit. It would be most appropriate to assign this nurse to the


client who


(a) has returned from right total hip replacement surgery four hours ago


(b) is being observed for increased intracranial pressure


(c) had surgery two hours ago to remove the appendix


(d) is two weeks post partum being maintained on a mechanical ventilator for respiratory failure -

Answer✔✔-4. C. The management of a client following abdominal surgery is standard. The postpartum

nurse routinely cares for mothers following caesarean section; therefore it is appropriate to assign this

client; The other choices are not appropriate to assign to this nurse.


The nurse in a well baby clinic has assessed several children today. It would


be a priority for the nurse to suggest follow up for the child who is


(a) 2 months old with a positive babinski reflex


(b) 5 months old and does not hold their own bottle


(c) 10 months old who cries around strangers


(d) 18 months old who needs support while ambulating - Answer✔✔-5. D. A child experiencing normal

growth and development should be ambulating independently by 12 months; the Babinski reflex


Page 3/59

, EMILLYCHARLOTTE 2024/2025 ACADEMIC YAER ©2024 EMILLYCHARLOTTE. ALL RIGHTS RESERVED
FIRST PUBLISH SEPTEMBER 2024


disappears after 2 years of age; an infant typically holds their own bottle by 6 months; stranger anxiety

usually develops at approximately 7 months


The nurse is caring for a mechanically ventilated client who was declared brain


dead. An Advance Directive is not documented on the medical record. It


would be most appropriate to obtain consent for organ donation from the


(a) client's primary care provider


(b) client's nurse manager


(c) closest living family member


(d) hospital's ethics committee - Answer✔✔-6. C. Consent for organ donation is given by a client's next

of kin in the absence of an Advance Directive


The nurse has received report on four clients. The nurse should first


assess the client who has:


(a) Chronic Obstructive Pulmonary Disease (COPD) with a pulse oximetry reading of 90%


(b) Parkinson's Disease and is demanding to leave the hospital against medical advice (AMA)


(c) been admitted with suspected Guillian Barre Syndrome and has begun plasmapheresis therapy


(d) Congestive Heart Failure (CHF) whose pitting edema has increased to 2(+) - Answer✔✔-7. C. The

client admitted with Guillain-Barre' Syndrome should be assessed first because of the possibility of rapid

progression of this illness and neuromuscular respiratory failure; clients with COPD are likely to have




Page 4/59

The benefits of buying summaries with Stuvia:

Guaranteed quality through customer reviews

Guaranteed quality through customer reviews

Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.

Quick and easy check-out

Quick and easy check-out

You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.

Focus on what matters

Focus on what matters

Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!

Frequently asked questions

What do I get when I buy this document?

You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.

Satisfaction guarantee: how does it work?

Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.

Who am I buying these notes from?

Stuvia is a marketplace, so you are not buying this document from us, but from seller EmillyCharlotte. Stuvia facilitates payment to the seller.

Will I be stuck with a subscription?

No, you only buy these notes for $12.49. You're not tied to anything after your purchase.

Can Stuvia be trusted?

4.6 stars on Google & Trustpilot (+1000 reviews)

75323 documents were sold in the last 30 days

Founded in 2010, the go-to place to buy study notes for 14 years now

Start selling
$12.49
  • (0)
  Add to cart