In a patient with chronic kidney disease (CKD) the fluid intake is restricted, and the patient is ordered potassium to be administered. What should the nurse do in this case? A. Contact prescriber B. Follow the orders as given C. Calculate the dose to be administered D. Collect additional safety information on the drug
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- When assessing a patient receiving a continuous opioid infu-sion, the nurse immediately notifies the physician when the patient has:a. A respiratory rate of 10/min with normal depthb. A sedation level of 4c. Mild confusiond. Reported constipationA Nurse is preparing to administer levothyroxine sodium 100 mcg po daily. Available is 20 levothyroxine sodium 50 mcg tablets. How many tablets should the nurse administer daily?A patient with a feeding tube will be receiving risperidone (Risperdal) 8 mg in 2 divided doses via the feeding tube. The medication is available in a 1 mg/mL solution. How many milliliters will the nurse administer for each dose?
- A nurse is monitoring a patient who is receiving an IVinfusion of normal saline. The patient is apprehensive andpresents with a pounding headache, rapid pulse rate, chills,and dyspnea. What would be the nurse’s priority interventionrelated to these symptoms?a. Discontinue the infusion immediately, monitor vitalsigns, and report findings to primary care providerimmediately.b. Slow the rate of infusion, notify the primary care providerimmediately and monitor vital signs.c. Pinch off the catheter or secure the system to prevent entryof air, place the patient in the Trendelenburg position, andcall for assistance.d. Discontinue the infusion immediately, apply warm, moistcompresses to the site, and restart the IV at another site.A client is scheduled to receive phenytoin (Dilantin) 100 mg orally at 6 PM but is having difficulty swallowing capsules. What method should the nurse to help the client take the medication? a. In most settings, student nurses are permitted to accept verbal orders from a physician. b. Upon admittance to a hospital, all patient medications from home should be sent home with the family or placed in safe-keeping. c. When a patient is admitted to a hospital, all drugs that the physician may have ordered while the patient was at home are continued. d. Safe practice dictates that a nurse follows. Written or verbal orders.The nurse is admitting a client who is diagnosed with syndrome of inappropriate antidiuretic hormone secretion (SIADH) and has serum sodium of 118 mEq/L (118 mmol/L). Which primary health care provider prescriptions should the nurse anticipate receiving? Select all that apply. 1. Initiate an infusion of 3% NaCl. 2. Administer intravenous furosemide. 3. Restrict fluids to 800 mL over 24 hours. 4. Elevate the head of the bed to high-Fowler's. 5. Administer a vasopressin antagonist as prescribed.
- A client will be sent home on diuretic therapy and has a prescription for liquid potassium chloride (KCl). What teaching will the nurse provide before the client goes home? a. Do not dilute the solution with water or juice; drink the solution straight. b. Increase the use of salt substitutes; they also contain potassium. c. Report any weakness, fatigue, or lethargy immediately. d. Take the medication immediately before bed to prevent heartburn. Why letter c is the correct answer and explain why other options are incorrectThe nurse weighs the client who is on an infusion of lactated Ringer’s postoperatively and finds that there has been a weight gain of 1.5 kg since the previous day. What would be the nurse’s next highest priority? a. Check with the client to determine whether there have been any dietary changes in the last few days. b. Assess the client for signs of edema and BP for possible hypertension. c. Contact dietary to change the client’s diet to reduced sodium. d. Request a diuretic from the client’s provider. Explain the answer and why the remaining options are bot correctA nurse is performing a physical assessment of a patient whois experiencing fluid volume excess. Upon examination of thepatient’s legs, the nurse documents: “Pitting edema; 6 mm pit;pit remains several seconds after pressing with obvious skinswelling.” What grade of edema has this nurse documented?a. 1+ pitting edemab. 2+ pitting edemac. 3+ pitting edemad. 4+ pitting edema
- A patient is reporting pain 2 days after a below the knee (BKA) amputation. which nursing intervention should be considered while treating this patient?a. offer non- pharmacologic measures in addition to the current prescribed medicationb. monitor the serum drug level of the prescribed analgesic as neededc. treat the pain only as it occurs in order to prevent drug addictiond. do not provide any pain relief measures since the patient is 2 days post-opA physician has ordered hypotonic parenteral therapy for a post-operativeclient over a 24-hour period. Based on this order, what is the priority nursing action? a. Verify the order with the physician and pharmacy and hang the fluid as ordered.b. Obtain a pump for the infusion. c. Place the client on intake and output measures.d. Begin intravenous hypotonic fluids.a medication order states, administer vitamin B12 0.5 mg IM bi-monthly. Available is vitamin B12 1000 mcg/mL. How many mL should the nurse administer for each dose? (Record answer to the tenth, or one decimal place. Use a leading zero if it applies. Do not use a trailing zero.)
