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Questions 148

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Extract:


Question 1 of 5

The nurse has an order to give 500 mL of 0.45% NS over 12 hours. The IV set has a drop factor of 10. How many gtts/min should the client receive? Fill in the blank.

Correct Answer: 7

Rationale: Rate = 500 mL ÷ 12 hr = 41.67 mL/hr. Drops/min = (41.67 mL/hr × 10 gtts/mL) ÷ 60 min = 6.94 gtts/min, rounded to 7 gtts/min.

Question 2 of 5

Clients with sickle cell anemia are taught to avoid activities that cause hypoxia and hypoxemia. Which of the following activities would the nurse recommend?

Correct Answer: D

Rationale: A bus trip to a museum is a low-exertion activity at sea level, minimizing the risk of hypoxia compared to high-altitude or strenuous activities.

Question 3 of 5

What is the responsibility of the nurse in obtaining an informed consent for surgery?

Correct Answer: D

Rationale: The nurse's role is to witness the client's signature and ensure the consent form is completed, not to explain the procedure.

Question 4 of 5

Which of the following findings is associated with right-sided heart failure?

Correct Answer: B

Rationale: Nocturnal polyuria is a classic sign of right-sided heart failure due to fluid redistribution when lying down.

Question 5 of 5

The nurse is caring for a cognitively impaired client who begins to pull at the tape securing his IV site. To prevent the client from removing the IV, the nurse should:

Correct Answer: A

Rationale: Securing the IV with tape out of the client's vision minimizes tampering while avoiding restraints or inappropriate actions.

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