Order for the PCA: Morphine sulfate 30 mg/30 mL Maximum dose: 28 mg in 4 hours Continuous dose: 1 mg/hr PCA dose: 1 mg Lockout: q10 min The client has received a total of 14 mg in 4 hours. How many milligrams of the total dose are from the PCA dose? _____
a. 10
b. 4
c. 14
d. 28
ANS: A
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Population-based risk assessment is useful when:
a. determining the best use of staff and re-sources. b. evaluating a community health center. c. instituting new health promotion pro-grams. d. providing care for terminally ill patients.
33. The nurse is caring for a 10-year-old child who has an acute head injury, has a pediatric Glasgow Coma Scale score of 9, and is unconscious. What intervention should the nurse include in the child's care plan?
a. Elevate the head of the bed 15 to 30 degrees with the head maintained in midline. b. Maintain an active, stimulating environment. c. Perform chest percussion and suctioning every 1 to 2 hours. d. Perform active range of motion and nontherapeutic touch every 8 hours.
A client has been diagnosed with memory dysfunction associated with Alzheimer's disease. The nurse determines that damage to the client's brain includes deterioration of temporal lobe structures and the nerves of which of the following?
A) Basal ganglia B) Limbic system C) Frontal lobe D) Hippocampus
A 73-year-old woman has been providing for all of her husband's needs since he was first diagnosed with Alzheimer's disease 2 years ago
The woman considers herself to be resourceful and resilient and is proud of the fact that her husband has been able to remain in his home for so long. Today, however, the woman describes herself to the nurse as being "drained dry" and "near the end of my rope." The nurse should recognize the possibility of what nursing diagnosis? A) Ineffective Coping related to client's changes in health as evidenced by the wife's statement that she is "near the end of my rope" B) Caregiver Role Strain related to caregiving responsibilities as evidenced by the wife's statement that she is "near the end of my rope" C) Fatigue related to caregiving responsibilities as evidenced by the wife's statement that she is "drained dry" D) Risk for Anxiety related to client's prognosis as evidenced by the client's wife's statement that she is "near the end of my rope"