An IV is infusing at 8 gtt/min. The drop factor is 15 gtt/mL. In 24 hours, the client will have received _______________
a. 120 mL
b. 490 mL
c. 768 mL
d. 1,200 mL
ANS: C
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The nurse is taking care of a toddler who is admitted to the hospital for the first time. Which approach should the nurse take when approaching the child?
1. Make the initial approach with the parent present. 2. Approach the without the parent present. 3. Enter the room hurriedly while talking to the child. 4. Stay outside the room while speaking to the child.
A 36-year-old patient diagnosed with meningitis has a fever of 102.3° F. A family member verbalizes a concern that the patient is "breathing fast."
Upon assessment, the nurse notes a res-piratory rate of 20 breaths/min, pulse oximetry is 92% on 2L/O2, and lungs clear to auscultation. What is the best explanation for the rapid respiratory rate that the nurse can give the family member? a. "He is most likely anxious because he is in the hospital." b. "His fever has increased his metabolic rate and is causing him to breathe faster." c. "He is hyperventilating because he needs more oxygen." d. "He has an acid-base imbalance, which is causing him to hyperventilate."
A client with portal-systemic encephalopathy (PSE) is placed on a protein-restricted diet. What is the rationale for this diet choice?
A. A low-protein diet will help restore liver function. B. A low-protein diet will help reduce the amount of ammonia in the blood. C. The diet will give the liver a chance to rest. D. Once albumin levels are normal, less protein is needed to prevent fluid from leaking into the abdomen.
The student nurse is assessing a patient with a probable fractured tibia-fibula. What assessment technique used by the student nurse causes the supervising nurse to intervene?
a) Inspects the fracture site for swelling or deformity b) Instructs the patient to wiggle the toes c) Assesses the bilateral dorsals pedis pulse d) Pushes on the leg to elicit pain response