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Questions 149

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Extract:


Question 1 of 5

The physician orders 1.25 L of normal saline (NS) to infuse over 10 hours. The nurse should set the IV pump at what flow rate (mL/hr)?

Correct Answer: B

Rationale: Flow rate = volume ÷ time. 1.25 L = 1,250 mL. 1,250 ÷ 10 = 125 mL/hr.

Question 2 of 5

The nurse begins administration of blood to a client on a medical unit. The nurse knows that which of the following activities is inappropriate to delegate to the unlicensed assistive personnel (UAP)?

Correct Answer: C

Rationale: Explaining the reason for a transfusion requires clinical knowledge and is outside the UAP’s scope. Other tasks are appropriate for delegation.

Question 3 of 5

The nurse is caring for a client with a history of stroke who has dysphagia. Which of the following interventions should the nurse implement to prevent aspiration?

Correct Answer: C

Rationale: thickening liquids to a nectar-like consistency reduces the risk of aspiration in clients with dysphagia

Question 4 of 5

When performing Leopold maneuvers on a client at 32 weeks gestation, the nurse would expect to find:

Correct Answer: D

Rationale: At 32 weeks gestation, the fetus is active, and Leopold maneuvers should detect active fetal movement as the fetus is well-developed and mobile.

Question 5 of 5

The mother of a child with cystic fibrosis tells the nurse that her child makes 'snoring' sounds when breathing. The nurse is aware that many children with cystic fibrosis have:

Correct Answer: B

Rationale: Nasal polyps are common in cystic fibrosis due to chronic sinus inflammation, causing snoring-like breathing sounds.

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