Order: 1000 ml of D5W to run for 12 hours. Using a micro drip set calculate the drops per minute (gtts/ min):
A. 20 gtts/min
B. 45 gtts/min
C. 60 gtts/min
D. 83 gtts/min
The nurse should observe for which of the following symptoms in a patient who has just undergone a total thyroidectomy:
A. Weight gain
B. Depressed reflexes
C. Muscle spasm and twitching
D. Irritable behavior
The patient with liver cirrhosis receives 100 ml of 25% serum albumin intravenously. Which of the following findings would best indicate that the albumin is having its desired effect?
A. Decreased blood pressure
B. Increased serum albumin level
C. Increased urine output
D. Improved breathing pattern
A newborn infant is assessed using the Apgar assessment tool and scores 6. The infant has a heart rate of 95, slow and irregular respiratory effort, and some flexion of extremities. The infant is pink, but has a weak cry. The nurse should know that this Apgar score along with the additional symptoms indicates the neonate is:
A. Functioning normally
B. Needing immediate life-sustaining measures
C. Needing special assistance
D. Needing to be warmed
The coronary care nurse draws an Arterial Blood Gas (ABG) sample to assess a patient for acidosis. A normal pH for arterial blood is:
A. 7.0 - 7.24
B. 7.25 - 7.34
C. 7.35 - 7.45
D. 7.5 - 7.6
In preparing the patient for electroencephalogram (EEG), the nurse should: A. Withhold breakfast
B. Give sleeping pills the night before
C. Shave the hair
D. Restrict intake of coffee
During balloon inflation of an indwelling urinary catheter, the patient complains of pain and discomfort. The nurse should:
A. Continue the procedure and assure the patient
B. Aspirate the fluid and remove the catheter
C. Withdraw the fluid and reinsert the catheter
D. Decrease the amount of injected fluid and secure
A patient presents to the emergency department with diminished and thready pulses, hypotension and an increased pulse rate. The patient reports weight loss, lethargy, and decreased urine output. The lab work reveals increased urine specific gravity. The nurse should suspect:
A. Renal failure
B. Sepsis
C. Pneumonia
D. Dehydration
A patient complains of pain in his right arm. The physician orders codeine 45 mg and aspirin 650 mgs every 4 hours PRN. Each codeine tablet contains 15mg of codeine and each aspirin tablet contains 325mg of aspirin. What should the nurse administer?
A. 2 codeine tablets and 4 aspirin tablets
B. 4 codeine tablets and 3 ?aspirin tablets
C. 3 codeine tablets and 2 aspirin tablets
D. 3 codeine tablets and 3 aspirin tablets
A patient on diuretics has had vomiting and diarrhea for the past 3 days. Which of the following is this patient most at risk for developing?
A. Hypokalemia and cardiac arrhythmias
B. Hypercalcemia and polyuria
C. Dehydration and hyperglycemia
D. Hyperalimentation and heart block
