Following mitral valve replacement surgery a client develops PVC's. The health care provider orders a bolus of Lidocaine followed by a continuous Lidocaine infusion at a rate of 2 mg/minute. The IV solution contains 2 grams of Lidocaine in 500 cc's of D5W. The infusion pump delivers 60 microdrops/cc. What rate would deliver 4 mg of Lidocaine/minute?

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Chapter 14 Organizing Patient Care Questions Questions

Question 1 of 5

Following mitral valve replacement surgery a client develops PVC's. The health care provider orders a bolus of Lidocaine followed by a continuous Lidocaine infusion at a rate of 2 mg/minute. The IV solution contains 2 grams of Lidocaine in 500 cc's of D5W. The infusion pump delivers 60 microdrops/cc. What rate would deliver 4 mg of Lidocaine/minute?

Correct Answer: A

Rationale: Calculation: 4 mg/min × 500 cc / 2000 mg × 60 gtts/cc = 60 microdrops/min.

Question 2 of 5

The nurse understands that a priority goal of involuntary hospitalization of the severely mentally ill client is

Correct Answer: C

Rationale: Safety is the primary goal of involuntary admission.

Question 3 of 5

A client has developed thrombophlebitis of the left leg. Which nursing intervention should be given the highest priority?

Correct Answer: A

Rationale: Elevation reduces swelling and promotes venous return, the primary intervention.

Question 4 of 5

A 16 month-old child has just been admitted to the hospital. As the nurse assigned to this child enters the hospital room for the first time, the toddler runs to the mother, clings to her and begins to cry. What would be the initial action by the nurse?

Correct Answer: B

Rationale: Clinging reflects normal separation anxiety at this age, reassuring the parent.

Question 5 of 5

A client is discharged following hospitalization for congestive heart failure. The nurse teaching the family suggests they encourage the client to rest frequently in which of the following positions?

Correct Answer: A

Rationale: High Fowler's promotes lung expansion and reduces cardiac workload in CHF.

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