The client is receiving vancomycin and the nurse plans to draw blood for a peak and trough to determine… the best determination of these levels? A. Midway through administration of the IV dose and 30 minutes before the next B. Two hours after completion of the IV dose and 30 minutes before the next C. Two hours after competition of the IV dose and one hour before the next D. Immediately after completion of the IV dose and 30 minutes before ...

The client is receiving vancomycin and the nurse plans to draw blood for a peak and trough to determine… the best determination of these levels? A. Midway through administration of the IV dose and 30 minutes before the next B. Two hours after completion of the IV dose and 30 minutes before the next C. Two hours after competition of the IV dose and one hour before the next D. Immediately after completion of the IV dose and 30 minutes before ...

Basic Clinical Lab Competencies for Respiratory Care: An Integrated Approach

5th Edition

ISBN:9781285244662

Author:White

Publisher:White

Chapter8: Arterial Blood Gas Sampling

Section: Chapter Questions

Problem 10SEPT

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A physician has ordered hypotonic parenteral therapy for a post-operativeclient over a 24-hour period. Based on this order, what is the priority nursing action? a. Verify the order with the physician and pharmacy and hang the fluid as ordered.b. Obtain a pump for the infusion. c. Place the client on intake and output measures.d. Begin intravenous hypotonic fluids.
The practical nurse (PN) learns in the change-of-shift report that the prothrombin time (PT) and International Normalized Ratio (INR) values are prolonged for a client who is receiving warfarin. The PN should review which additional laboratory test result for the dient? A Protein. B Potassium. C Hemoglobin. D White blood cell count.
A nurse is flushing a patient’s implanted port after adminis-tering medications. The nurse observes that the port flushes, but does not have a blood return. What would be the nurse’snext action based on these findings?a. Gently push down on the needle and flush it a second time.b. Stop flushing and remove the needle; notify the primarycare provider.c. Ask the patient to perform a Valsalva maneuver; changethe patient position.d. Close the clamp; wait 3 minutes, try flushing the portagain.
A 62-year-old client arrives at a community health fair where the nurse is offering blood pressure screenings. Upon assessment, the nurse notes that the client’s blood pressure is 160/96 mmHg. The client claims that their blood pressure is “usually much lower” and they recently started new medication for arthritis. What would the nurse advise the client to do? A. Go get a blood pressure check within the next 15 minutes B. Check blood pressure again in two (2) months C. See the healthcare provider immediately D. Visit the health care provider within one (1) week for a BP check
The nurse instructor is teaching student nurses about the factors that may affect a patient’s blood pressure. Which state-ments accurately describe these factors? Select all that apply. a. Blood pressure decreases with age.b. Blood pressure is usually lowest on arising in the morning.c. Women usually have lower blood pressure than men untilmenopause.d. Blood pressure decreases after eating food.e. Blood pressure tends to be lower in the prone or supineposition.f. Increased blood pressure is more prevalent in AfricanAmericans.
29) During a routine clinic visit, the nurse determines that a 5- year-old girls systolic blood pressure is greater than the 90th percentile. Which action should the nurse implement next? A. Take the blood pressure two more times during the visit and determine the average of the three readings. B. Conduct a head-to-toe assessment and omit repeated blood pressure during the examination. C. Refer child to the healthcare provider and schedule evaluation of blood pressure in two weeks. D. Measure the child's blood pressure three times during the visit and determine the highest of the readings. words 201 Acchool age child procent with now oncat tuna 1 dinhotos English (United States) Accessibility: Investigate MacBook Pro
A nurse is administering a blood transfusion for a patient following surgery. During the transfusion, the patient dis-plays signs of dyspnea, dry cough, and pulmonary edema. What would be the nurse’s priority actions related to thesesymptoms?a. Slow or stop the infusion; monitor vital signs, notify thephysician, place the patient in upright position with feetdependent.b. Stop the transfusion immediately and keep the vein openwith normal saline, notify the physician stat, administerantihistamine parenterally as needed.c. Stop the transfusion immediately and keep the veinopen with normal saline, notify the physician, andtreat symptoms.d. Stop the infusion immediately, obtain a culture of thepatient’s blood, monitor vital signs, notify the physician,administer antibiotics stat.
A client admitted with shortness of breath and palpitations currently take a antiarrhythmic dronedarone, which action should the nurse take to prevent? A. Measure orthostatic blood pressure B. Obtain a 12 lead ECG reading daily C. Assess the client’s apical pulse daily D. Provide continuous ECG monitoring
The patient is to receive an IVPB of vancomycin 0.5 g in 250 mL D5W to infuse in 2 hoursA. how many mL will the patient receive per hour?B. The nurse uses an IV tubing with drop factor of 15 gtt/mL. What is the flow rate?/
A nurse is assessing the vital signs of patients who presentedat the emergency department. Based on the knowledge ofage-related variations in normal vital signs, which patientswould the nurse document as having a normal vital sign?Select all that apply.a. A 4-month old infant whose temperature is 38.1°C(100.5°F)b. A 3-year old whose blood pressure is 118/80c. A 9-year old whose temperature is 39°C (102.2°F)d. An adolescent whose pulse rate is 70 bpme. An adult whose respiratory rate is 20 bpmf. A 72-year old whose pulse rate is 42 bpm
Calculate the I & O from 7 am-3 pm. A client has IV fluids D5 ½ NS with 20 mEq potassium chloride (KCI) infusing at 75 mL/hr at 7 am. An order is received to increase the IV fluid to 100 mL/hr at 10 am. The IV fluids are held for 1 hour while Ampicillin 1 g in 100 mL of 0.9% NS is infused from 12 pm to 1 pm. The client consumes the following: Breakfast: 1½ glasses of cranberry juice (glass = 6 oz) 2½ cups of tea (cup = 8 oz) Lunch: 3/4 can of gingerale (can = 12 oz) 2 bowl of broth (bowl = 6 oz) 4 oz ice cream The client voids four times during the shift: 375 mL, 250 mL, 400 mL, and 300 mL of urine. Intake Output mL mL
The nurse assesses a client’s legs. Which assessment finding indicates arterial insufficiency? a. Full veins present in dependent extremity. Ankle discoloration and pitting edema Decrease or absent palpable pulses. Pain with activity but not while resting.