Author: Anonymous

A client with a mechanical prosthetic valve is receiving oral anticoagulant therapy. The nurse is monitoring the diagnostic labs and finds an international normalized ratio (INR) of 3.0. Which course of action should the nurse take?

A client with a mechanical prosthetic valve is receiving oral anticoagulant therapy. The nurse is monitoring the diagnostic labs and finds an international normalized ratio (INR) of 3.0. Which course of action should the nurse take?

The nurse is obtaining a history from a client brought to the emergency department following a motor vehicle accident. The client states having a history of rheumatic heart disease as a child. Which long-standing changes of rheumatic heart disease are evaluated for?

The nurse is administering medications to a client who has an elevated serum ammonia level due to cirrhosis of the liver. Which medication will the nurse give to detoxify ammonia and to act as an osmotic agent?

The nurse is caring for a client following a colonoscopy in which the bowel was visualized to have a cobblestone appearance due to transmural ulcerations and fistulae that have formed among edematous tissue. These signs are characteristic of which disease process?

The nurse is caring for a client who was in a motor vehicle accident 3 months ago, in which he suffered a comminuted fracture of the tibia.  The client presented in the emergency department with a fever, drainage from his surgical incision and increase pain in his injured leg.  Which is the priority nursing intervention at this time?

The nurse is caring for a client following a colonoscopy in which the bowel was visualized to have a cobblestone appearance due to transmural ulcerations and fistulae that have formed among edematous tissue. These signs are characteristic of which disease process?

An adult is swinging a small child by the arms, when the child suddenly screams and grabs his left arm.  It is determined in the emergency department that the radial head is partially dislocated.  What is this partially dislocated radial head documented as?

Extra Credit (2 points). Ceftriaxone (Rocephin) 500 mg IM q8h is prescribed for a 24 hour period.  There is ceftriaxone available on the unit in 1 g vials.  The drug must be reconstituted with 2.1 mL of 1% lidocaine which yields a solution that is 350 mg/mL.  How many milliliters of solution should the nurse expect to draw up for a single dose? [dose] mL (1 point) Name one muscle which would be appropriate for this injection. [muscle] (1/2 point) What length of needle should be used with this injection site? [needle] inch(es) (1/2 point)

Extra Credit (2 points). Ceftriaxone (Rocephin) 500 mg IM q8h is prescribed for a 24 hour period.  There is ceftriaxone available on the unit in 1 g vials.  The drug must be reconstituted with 2.1 mL of 1% lidocaine which yields a solution that is 350 mg/mL.  How many milliliters of solution should the nurse expect to draw up for a single dose? [dose] mL (1 point) Name one muscle which would be appropriate for this injection. [muscle] (1/2 point) What length of needle should be used with this injection site? [needle] inch(es) (1/2 point)