A registered nurse delegates care to a practical nurse. The person most responsible for the safe performance of the care is the:
The patient with liver cirrhosis receives 100 ml of 25% serum albumin intravenously. Which of the following findings would best indicate that the albumin is having its desired effect?
The nurse manager has just prepared a medication for a patient and she asked you to give the medication. Which of the following is the best response to the nurse manager ' s request?
A patient with deep partial-thickness and full-thickness burns of the face and chest is admitted to the emergency department. The nurse must be particularly alert for:
Which of the following techniques should the nurse implement to prevent the patient ' s mucous membranes from drying when the oxygen flow rate is higher than 4 liters per minute?
While assessing a patient, the nurse learns that he has a history of allergic rhinitis, asthma, and multiple food allergies. The nurse must:
A nurse is not familiar with a particular solution ordered to irrigate a patient ' s wound. The appropriate action would be to:
A medication was ordered by a physician. The nurse believes the medication dose is incorrect. What should the nurse do next?
A nurse is making rounds taking vital signs. Which of the following vital signs is abnormal?
During balloon inflation of an indwelling urinary catheter, the patient complains of pain and discomfort. The nurse should:
One factor affecting the pharmokinetics of older patients ' drug absorption is:
You are the nurse providing post-operative care for a 9 year old boy who is 6 hours post-tonsillectomy. He is sleeping, but on routine observation you notice that his pulse has increased, he seems to be restless and trying to swallow frequently. Your immediate action would be:
The nurse is caring for a patient who is receiving dialysis. The patient has an arteriovenous (AV) fistula. Appropriate care for this patient would include which one of the following options?
A newborn is diagnosed with ventricular septal defect. The baby is discharged with a prescription for digoxin syrup 20 micrograms bid. The bottle of digoxin is labeled as 0.05 mg/ml. The nurse should teach the mother to administer on each dose:
The nurse should administer nasogastric tube (NGT) feeding slowly to reduce the hazard of:
The patient is to receive 100 ml/hr of D5W through a micro drip. How many drops per minute should the patient receive?
The nurse should place the automatic external defibrillator (AED) electrodes on the patient ' s anterior chest with one electrode placed:
Which of the following laboratory blood values is expected to be decreased in hepatic dysfunction?
Order: Compazine 8 mg IM stat. Drug availablE. 10 mg/ 2mL in vial.
How many mLs would you give?
A nurse prepares to set up a secondary intravenous (IV) cannula. The primary IV infusing is normal saline. In order for the secondary cannula to infuse correctly, the nurse should set up the primary IV to:
A patient is to receive 50mL of fluid in 1/2 hour (30 min). The infusion pump should be set to deliver how many milliters per hour?
After application of a cast in the upper extremity, the patient complains of severe pain in the affected site. Which of the following would the nurse initiate?
To remove soft contact lenses from the eyes of an unconscious patient the nurse should:
You have started work on a new ward. One of the patient ' s allocated to you has been on the ward for the last 7 months since she had a cerebrovascular accident (CVA). You notice that her nursing care plan says strict bed rest, but on assessment you can not see any reason why this patient can not sit out of bed for short periods. Your nursing action would be:
Which of the following actions is the most effective measure to reduce hospital acquired infections?
A young patient is extremely irritable due to meningitis. It would be most important for the nurse to:
The coronary care nurse draws an Arterial Blood Gas (ABG) sample to assess a patient for acidosis. A normal pH for arterial blood is:
A patient with allergic rhinitis reports severe nasal congestion, sneezing, and watery eyes at various times of the year. To teach the patient to control these symptoms the nurse advises the patient to:
An 85-year-old man is admitted with dementia. He continuously attempts to remove his nasogastric tube. The nurse applies cloth wrist restraints as ordered. Which of the following actions by the nurse is most appropriate?
The patient is receiving piperacillin (Pipril) I.V. Which of the following should the nurse consider when administering the medication to the patient?
The patient ' s pre-operative blood pressure was 120/68 mmHg. On admission to the Post Anesthesia Care Unit, the blood pressure was 124/70 mmHg. Thirty minutes after admission, the patient ' s blood pressure falls to 112/60 mmHg, pulse to 72 BPM, and the skin appears warm and dry. The most appropriate action by the nurse at this time is to:
Nursing management of a patient with pulmonary embolism would focus on which of the following actions?
As a part of the treatment given to a child with leukemia the child is placed on reverse barrier isolation to:
When caring for a patient with impaired mobility that occurred as a result of a stroke (right sided arm and leg weakness). The nurse would suggest that the patient use which of the following assistive devices that would provide the best stability for ambulating?
A patient has had a total hip joint replacement. Which of the following actions should the nurse consider for the patient ' s daily recommended exercise program?