The nurse prepares to irrigate a client's wound with an antibiotic in solution. How many milliliters of a 45% gentamycin solution will contain 9 grams of gentamycin?
1. 6
2. 8
3. 14
4. 20
4
Rationale 1: Using dimensional analysis, the amount of solute is 9 grams and the strength is 45%. In a 45% solution there are 45 grams of gentamycin in 100 mL of solution. The equation should be set up as 9 grams x 100 mL/45 grams = 20 mL.
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A 55-year-old patient is recuperating from a myocardial infarction. At a follow-up visit to his physician's office, he tells the nurse practitioner, "I haven't had much interest in sex since my heart attack
My wife is wondering if something's wrong with me. The truth is, I know having sex puts a strain on my heart, and I don't know if my heart is strong enough.". The nursing diagnosis for this patient would be: a. Sexual dysfunction related to self-esteem disturbance. b. Sexual dysfunction related to knowledge deficit. c. Disturbed body image related to lifestyle changes. d. Disturbed body image related to treatment side effects.
At 7 AM, a patient demands in a loud, tremulous voice, "Where's my doctor? The doctor promised to see me first thing in the morning. Call the doctor and say that I'm waiting.". An appropriate response from the nurse would be:
a. "Please get ready for breakfast. It's only 7 AM. Your doctor will be in and I'll make sure that you're seen.". b. "Don't yell at me like that; it isn't polite and certainly isn't necessary. I want to help you, but I will not be verbally abused.". c. "You seem very angry that your doctor has not come in yet. Your doctor will be in this morning but not until later. The doctor spends time with everyone.". d. "Your doctor doesn't come to the unit until after breakfast and morning groups are over. Have your breakfast now so you'll be ready when your doctor gets here.".
With which of the following interventions does the nurse best reflect caring by maintaining belief in a client?
1. Offering a client with cancer pain medication before a family visit 2. Explaining to a client what to expect during a bone marrow aspiration 3. Arranging for a burn client to talk with others who survived similar burns 4. Explaining to a client that he may select from a variety of entrees for dinner
A nurse is preparing a teaching session for a group of parents with children newly diagnosed with attention deficit/hyperactivity disorder (ADHD). When explaining this disorder to the parents, what would the nurse include as being involved?
Select all that apply. A) Impulsivity B) Inattention C) Distractibility D) Hyperactivity E) Defiance F) Anxiety