Administer 12 mL of an IV medication in 22 minutes using a microdrip set. _____
a. 11 gtt/min
b. 20 gtt/min
c. 33 gtt/min
d. 50 gtt/min
ANS: C
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When a patient suddenly experiences respiratory difficulty in the cafeteria, the nurse begins assessment for foreign body airway obstruction. What is the most appropriate question to ask the victim?
a. "What did you swallow?" b. "Are you choking?" c. "Are you OK?" d. "Can I help you?"
When the nurse is obtaining a sexual history, which assessment data reflects a physical factor associated with sexual functioning?
A. The client is single. B. The client is dressed as a female. C. The client uses condoms for birth control. D. The client believes sexual functioning is an important part of being a healthy woman.
The postpartum patient delivered 4 hours ago. She has a mediolateral episiotomy and large hemorrhoids. She is rating her pain at 7 on a scale of 1–10. She has a history of anaphylactic reaction to Tylenol (acetaminophen)
1. Offer the patient 800 mg Advil (ibuprofen) orally with food. 2. Provide two Percocet (oxycodone with acetaminophen) by mouth. 3. Encourage use of Dermoplast topical anesthetic spray. 4. Run very warm water into the tub and assist her into the bath.
A nurse is providing hygiene care to a bariatric patient using chlorhexidine gluconate (CHG) wipes. Which actions will the nurse take? (Select all that apply.)
a. Do not rinse. b. Clean under breasts. c. Inform that the skin will feel sticky. d. Dry thoroughly between skin folds. e. Use two wipes for each area of the body.