Infuse 0.5 L D5LR in 8 hours
a. 63 mL/hr
b. 83 mL/hr
c. 100 mL/hr
d. 125 mL/hr
ANS: A
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A nurse is preparing to culture a client's wound to determine if it is infected. Which of these steps should the nurse take?
a. Irrigate the wound with antiseptic, swab over granulation tissue, and replace swab in culture tube. b. Irrigate the wound with saline, swab over granulation tissue, and replace swab in culture tube. c. Irrigate the wound with antiseptic, swab over eschar, and replace swab in culture tube. d. Swab over granulation tissue, replace swab in culture tube, and redress the wound.
Which statement by a patient indicates the need for additional teaching?
a. "I will take my multivitamin every morning with breakfast to avoid the feeling of nausea." b. "Now that I am taking a daily multivitamin I will not have to worry about what foods I eat." c. "If I experience any signs of allergic reaction such as rash or swelling I will contact my prescriber." d. "My multivitamin also contains essential minerals that I need to take in every day."
In a POMR charting method of documentation, which of the following items are used? (Select all that apply.)
a. Progress notes b. Database c. Medical diagnosis d. Problem list e. Care plan
A client is diagnosed with stage II Hodgkin's lymphoma. The nurse realizes that this diagnosis means the disease is:
1. terminal. 2. limited to lymph nodes on the same side of the diaphragm. 3. in the bone marrow. 4. easily treated.