Physiological Integrity

A nurse is preparing to perform a routine capillary blood glucose test for a client with diabetes mellitus. Arrange the following steps of the procedure in the correct chronological order to ensure accurate diagnostic results and minimize the risk of infection.

A client diagnosed with community-acquired pneumonia is scheduled to receive a $0.5\text{-gram}$ dose of oral amoxicillin. The unit medication supply contains a liquid suspension with a concentration of $250\text{ mg}/5\text{ mL}$. How many milliliters must the nurse administer to provide the required dose?

A nurse is assessing a client who is 4 hours postoperative following a total thyroidectomy. Which of the following assessment findings indicate a potential life-threatening complication and require immediate intervention? Select all that apply.

A nurse is creating a comprehensive basic care and comfort plan for an older adult client with advanced dementia who is bedbound, has a history of sacral pressure injuries, and is receiving continuous enteral tube feedings. Which of the following nursing interventions should be included in the client's plan of care? Select all that apply.

A client is admitted to the intensive care unit with diabetic ketoacidosis (DKA). At admission, the client's serum glucose was $720\text{ mg/dL}$ ($40.0\text{ mmol/L}$) and serum potassium was $5.2\text{ mEq/L}$ ($5.2\text{ mmol/L}$). The client was started on a continuous intravenous (IV) regular insulin infusion and fluid resuscitation with $0.9\%$ sodium chloride.

Four hours later, the client's serum glucose is $245\text{ mg/dL}$ ($13.6\text{ mmol/L}$) and serum potassium is $3.7\text{ mEq/L}$ ($3.7\text{ mmol/L}$). The anion gap remains elevated at $18\text{ mEq/L}$ (normal: $8-12\text{ mEq/L}$). Which of the following modifications to the client's parenteral therapy should the nurse anticipate next?

A nurse is caring for a client with acute decompensated heart failure who is prescribed a continuous intravenous infusion of dobutamine at $5\text{ mcg/kg/min}$. The client weighs $187\text{ lbs}$. The pharmacy provides dobutamine as $500\text{ mg}$ mixed in $250\text{ mL}$ of $5\%\text{ dextrose in water}$ (D5W). How many $\text{mL/hr}$ should the nurse set the infusion pump to deliver? (Record your answer to the nearest tenth.)

A nurse is preparing to access an implanted venous port (port-a-cath) for a client who is scheduled to receive intravenous chemotherapy. Arrange the following actions in the correct sequence to safely access the device. (All steps must be used).

Following a right-sided total hip arthroplasty using a posterior approach, a client arrives at the postoperative surgical unit. Which positioning intervention should the nurse implement to minimize the risk of joint dislocation?

A nurse is planning care for a client who has just returned to the medical-surgical unit following a lumbar puncture. Which of the following positions should the nurse maintain for this client immediately after the procedure?

A client arrives at the medical unit after undergoing a diagnostic lumbar puncture. Which positioning instruction is the most appropriate for the nurse to provide?

A client is receiving a continuous intravenous (IV) infusion of unfractionated heparin. The nurse must administer a scheduled dose of an IV push medication that is chemically incompatible with heparin. The client has a single peripheral IV access line. Arrange the following actions in the correct sequence to safely administer the medication.

A nurse is instructing a client on the proper procedure for a 24-hour urine collection for creatinine clearance. In what chronological order should the nurse instruct the client to perform the following steps? Arrange the steps in the correct sequence.

A 74-year-old client is admitted to the progressive care unit with a large acute pulmonary embolism and is receiving a continuous intravenous (IV) heparin infusion. The nurse is creating a plan of care to monitor for and reduce the risk of potential physiological complications. Which of the following actions should the nurse include in the plan of care? Select all that apply.

A nurse is preparing to administer an intravenous loading dose of phenytoin to an adult client who was recently admitted for status epilepticus. The client is currently stable but requires the medication to prevent recurrent seizure activity. The client has a continuous peripheral intravenous (IV) infusion of $5\% \text{ dextrose in water}$ ($D_5W$) running at $75\text{ mL/hr}$. Which of the following nursing actions is essential for the safe administration of this medication?

A nurse is preparing to administer a prescribed intravenous (IV) infusion of potassium chloride to a client who has a serum potassium level of 2.9 mEq/L and is experiencing premature ventricular contractions (PVCs). Which actions are safe and appropriate for the nurse to implement? Select all that apply.

A nurse is monitoring a client receiving a transfusion of packed red blood cells. Fifteen minutes after the infusion begins, the client suddenly develops severe lower back pain, chills, and dyspnea. Suspecting an acute hemolytic transfusion reaction, arrange the following nursing actions in the correct priority sequence from first to last.

A client in the cardiac intensive care unit requires a continuous intravenous infusion of dobutamine at $10\text{ \mu g/kg/min}$ for severe ventricular dysfunction. The client currently has only one functioning peripheral venous access site. After assessing new-onset bilateral crackles and an oxygen saturation of $88\%$, the healthcare provider prescribes an immediate $80\text{ mg}$ intravenous bolus of furosemide. Which of the following actions is the safest and most appropriate method to administer the prescribed diuretic?

An older adult client is brought to the emergency department after awaking with severe orthopnea and a frothy, pink-tinged cough. The client appears extremely agitated and has a respiratory rate of 34 breaths/minute. Arterial blood gas (ABG) values on room air are pH 7.26, PaCO2 62 mm Hg, PaO2 52 mm Hg, and HCO3 24 mEq/L. Which of the following actions should the nurse implement? (Select all that apply.)

A nurse is finalizing the plan of care for a client who is scheduled to undergo a bedside percutaneous liver biopsy. Identify the actions the nurse must implement to minimize the client's risk for procedure-related complications. (Select all that apply.)

A client admitted with a severe bacterial infection has a single peripheral intravenous (IV) catheter in the left forearm. A continuous infusion of Lactated Ringer's is currently running at $100\text{ mL/hr}$. The healthcare provider prescribes a stat dose of intravenous ceftriaxone $1\text{ g}$ mixed in $50\text{ mL}$ of $0.9\%$ sodium chloride, to be infused over $30\text{ minutes}$. Which of the following is the most appropriate action by the nurse?