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1. The nurse is preparing teaching plans for several patients. The nurse should recognize which of the following patients is at greatest risk for fluid and electrolyte imbalance?
A) A 60-year-old patient who is 8 hours post-renal arteriography
B) A 2-year-old patient who is receiving gastrostomy feedings
C) A 40-year-old patient who is 3 days post-operative with an ileostomy
D) A 20-year-old patient with a sigmoid colostomy
2. After administration of penicillin, a patient develops respiratory distress and severe bronchospasm. The nurse should:
A) Apply ice packs to the axilla
B) Assess the patient for orthostatic hypotension
C) Encourage the patient to take slow deep breaths
D) Contact the physician
3. When checking the capillary refill time of a patient's extremity, the color returns in 7
seconds. The nurse recognizes this finding as indicative of:
A) A normal response
B) Thrombus formation in the veins
C) Impaired arterial flow to the extremities
D) Lymphatic obstruction of venous return
4. A patient admitted to the hospital in hypertensive crisis is ordered to receive hydralazine (Apresoline) 20mg IV stat for blood pressure greater than 190/100 mmHg. The best response of the nurse to this order is to:
A) Call the physician because the order is not clear
B) Administer the dose and repeat as necessary
C) Give medication if patient's blood pressure is > 190/100 mmHg
D) Give the dose immediately and once
5. The patient is to receive 100 ml/hr of D5W through a micro drip. How many drops per minute should the patient receive?
A) 30 gtts/min
B) 25 gtts/min
C) 100 gtts/min
D) 200 gtts/min
Solutions:
| Question # 1 Answer: C | Question # 2 Answer: D | Question # 3 Answer: C | Question # 4 Answer: D | Question # 5 Answer: C |
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