The nurse evaluates the patient's serum phenytoin (Dilantin) level and determines the level is therapeutic when it is within what range?
A) Between 5 and 12 mcg/mL
B) Between 10 and 20 mcg/mL
C) Between 15 and 50 mcg/mL
D) Between 40 and 100 mcg/mL
B
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The therapeutic serum level range for phenytoin is between 10 and 20 mcg/mL. The other options are incorrect.
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A nurse is caring for a laboring woman from an unfamiliar culture who has limited English skills. Which nursing actions are important to provide nursing care to this patient? (Select all that apply.)
A. Allow artifacts that have religious or cultural significance to remain with the woman. B. Assess the woman's beliefs about childbirth, breastfeeding, and postpartum nutrition. C. Communicate with the woman and family using a professional interpreter. D. Identify community resources that are culturally appropriate and acceptable. E. Restrict visitors to one person who can then communicate with the other family members.
The nurse is caring for a patient who has just died. Which assessment findings by the physician and nurse are used to confirm that death has occurred? (Select all that apply.)
a. The patient was incontinent of bowel and bladder. b. The patient's pupils are fixed and dilated. c. The physician does not hear a heartbeat. d. The patient's extremities are cool and mottled. e. The patient has no palpable peripheral pulses. f. The patient's face is relaxed and the mouth is open.
A registered nurse (RN) is considering delegating some tasks to unlicensed assistive personnel (UAP). Which of the following things should the nurse consider when making this decision? (Select all that apply.)
a. Does the task have exact, unchanging directions? b. Does the UAP want to do the task? c. Is an RN or other licensed personnel required to do this task? d. Is the UAP competent to perform this task? e. Is there a licensed provider, such as an RN, available to supervise?
What timeframe must blood be transfused within once it has been removed from refrigeration?
a. 2 hours b. 4 hours c. 6 hours d. 3 hours