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NURS3260 Evolve Fundamentals Practice Exam 2 QUESTIONS AND
ANSWERS LATEST UPDATE 2022/2023 GUARANTEED A+
During the initial morning assessment, a male client denies dysuria but reports that his urine appears dark amber. Which intervention should the nurse implement? Provide additional coffee on the client's breakfast tray. Exchange the client's grape juice for cranberry juice. Bring the client additional fruit at mid-morning. Encourage additional oral intake of juices and water. Correct answer(s): D 2 The nurse is caring for a client who is receiving 24-hour total parenteral nutrition (TPN) via a central line at 54 ml/hr. When initially assessing the client, the nurse notes that the TPN solution has run out and the next TPN solution is not available. What immediate action should the nurse take? Infuse normal saline at a keep vein open rate. Discontinue the IV and flush the port with heparin.
[Date] Thalamus. Hypothalamus. Frontal lobe. Parietal lobe. Correct answer(s): C 4. The nurse prepares a 1,000 ml IV of 5% dextrose and water to be infused over 8 hours. The infusion set delivers 10 drops per milliliter. The nurse should regulate the IV to administer approximately how many drops per minute? 80 8
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Correct answer(s): C
A client is to receive 10 mEq of KCl diluted in 250 ml of normal saline over 4 hours. At what rate should the nurse set the client's intravenous infusion pump? 13 ml/hour. 63 ml/hour.
[Date] practices. Conventional medical practices will ultimately replace the use of complimentary healing practices. Correct answer(s): C 7.
[Date] A client is to receive cimetidine (Tagamet) 300 mg q6h IVPB. The preparation arrives from the pharmacy diluted in 50 ml of 0.9% NaCl. The nurse plans to administer the IVPB dose over 20 minutes. For how many ml/hr should the infusion pump be set to deliver the secondary infusion? Correct answer(s): 150
The nurse is performing nasotracheal suctioning. After suctioning the client's trachea for fifteen seconds, large amounts of thick yellow secretions return. What action should the nurse implement next? Encourage the client to cough to help loosen secretions. Advise the client to increase the intake of oral fluids. Rotate the suction catheter to obtain any remaining secretions. Re-oxygenate the client before attempting to suction again. Correct answer(s): D
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[Date] Leisure activities. Financial stressors. Correct answer(s): B .
The healthcare provider prescribes the diuretic metolazone (Zaroxolyn) 7.5 mg PO. Zaroxolyn is available in 5 mg tablets. How much should the nurse plan to administer? ½ tablet. 1 tablet. 1½ tablets. 2 tablets.
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A hospitalized male client is receiving nasogastric tube feedings via a small- bore tube and a continuous pump infusion. He reports that he had a bad bout of severe coughing a few minutes ago, but feels fine now. What action is best for the nurse to take?
[Date] Record the coughing incident. No further action is required at this time. Stop the feeding, explain to the family why it is being stopped, and notify the healthcare provider. After clearing the tube with 30 ml of air, check the pH of fluid withdrawn from the tube. Inject 30 ml of air into the tube while auscultating the epigastrium for gurgling. Correct answer(s): C 14. An elderly resident of a long-term care facility is no longer able to perform self-care and is becoming progressively weaker. The resident previously requested that no resuscitative efforts be performed, and the family requests hospice care. What action should the nurse implement first? Reaffirm the client's desire for no resuscitative efforts. Transfer the client to a hospice inpatient facility. Prepare the family for the client's impending death.
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[Date] Ask another nurse to interview the mother now. Tell the mother politely to look at you when answering. Correct answer(s): B
What is the most important reason for starting intravenous infusions in the upper extremities rather than the lower extremities of adults? It is more difficult to find a superficial vein in the feet and ankles. A decreased flow rate could result in the formation of a thrombosis. A cannulated extremity is more difficult to move when the leg or foot is used. Veins are located deep in the feet and ankles, resulting in a more painful
[Date] Spiritual meditation requires a time commitment of 15 to 20 minutes daily.
[Date] Obtain your healthcare provider's permission before starting meditation. Complementary therapy and western medicine can be effective for you. Correct answer(s): A 20. Seconal 0.1 gram PRN at bedtime is prescribed to a client for rest. The scored tablets are labeled grain 1.5 per tablet. How many tablets should the nurse plan to administer? 0.5 tablet. 1 tablet. 1.5 tablets. 2 tablets. Correct answer(s): B
