A medicated IV of 100 mL is ordered to infuse in 2 hours. What is the flow rate in mL per hr?
What will be an ideal response?
50 mL per hr
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The vision of a female patient is deteriorating, and she is depressed about her condition. Which nursing intervention is most likely to address both conditions?
a. Provide adequate lighting without glare. b. Maintain a consistent room arrangement. c. Train her with low-vision assistive devices. d. Offer your arm when ambulating in the hall.
The nurse is assessing a client who has had a cerebral vascular accident (CVA or stroke) and has difficulty with verbal expression, but no other deficits. What approach should the nurse use to assess this client's level of pain?
1. The nurse asks the client's family member to place a number on the client's pain using a scale of 0 (no pain) to 10 (most pain), since the family member knows the client best. 2. The nurse considers the client's behavior and vital signs and determines a number from the pain scale (0–10) based on these objective findings. 3. The nurse uses the Wong-Baker "FACES" pain rating scale. 4. The nurse reviews the previous pain assessments and makes a determination based on these findings.
The nurse uses a closed-system endotracheal (ET) suctioning system for the client. Which does the nurse implement?
1. Insert catheter between ventilator cycles to avoid airway interference. 2. Insert catheter 10 inches and apply continuous suction during withdrawal. 3. Visualize black line in the catheter's sheath before completing procedure. 4. Withdraw suction and discard suction catheter after completing procedure.
The nurse is taking a health history on a client who reports frequent stabbing headaches occurring once a day lasting about an hour. Which statement by the client is most indicative of cluster headaches?
a. "I usually have nausea and vomiting with my headaches." b. "My whole head is constantly throbbing." c. "It feels like my head is in a vice." d. "The pain is on the left side over my eye, forehead, and cheek."