What should the nurse do when planning goals for a family?

A) View the family as a group of individuals rather than a system.
B) Make the goals as vague as possible so that they are attainable.
C) Be flexible since families are continually changing.
D) Recognize that, although individuals go through developmental stages, families do not.

A maintenance IV is of 1000 mL D5W is ordered every 24 hours on an EID.
A)What is mL per hr to nearest 0.5 mL? ____________
B)Estimate:
C)DA equation:
D)Evaluation:
E)Is this considered a continuous or an intermittent infusion?

The nurse caring for a patient who has a patient-controlled analgesia (PCA) knows that it:

A) allows the family to participate in pain management for the patient.
B) prevents mistakes in medication administration.
C) can be used by all hospitalized patients.
D) provides a more constant level of medication.

The nurse is working for a postsurgical unit.He is caring for four postsurgical patients,all of whom have been in the hospital for 3 days or more.Which of the following patients should he be most concerned about regarding a health care-associated infection?

A) An asymptomatic elderly patient with bacteria in his urine
B) A middle-aged woman with a white blood cell count of 10,000/mm3
C) A young adult woman who is 1 day postoperative with redness at incision site
D) A middle-aged man with temperature of 101.3° F and complaints of malaise

Mrs.Kelly,a client with multiple sclerosis,is to receive a tub bath every second day.Beyond basic hygiene,what are additional purposes of a tub bath?

A) Bathing promotes warmth and provides aromatherapy.
B) Bathing promotes relaxation,comfort,and a sense of well-being.
C) Bathing provides an opportunity for skin assessment.
D) Bathing provides treatment for specific areas including pressure ulcers.

A community mental health nurse wants to establish a relationship with a very withdrawn patient diagnosed with schizophrenia. The patient lives at home with a supportive family. Select the nurse's best plan.

A) Visit daily for 4 days, then visit every other day for 1 week; stay with the patient for 20 minutes; accept silence; state when the nurse will return.
B) Arrange to spend 1 hour each day with the patient; focus on asking questions about what the patient is thinking or experiencing; avoid silences.
C) Visit twice daily; sit beside the patient with a hand on the patient's arm; leave if the patient does not respond within 10 minutes.
D) Visit every other day; remind the patient of the nurse's identity; encourage the patient to talk while the nurse works on reports.

A family member of a patient with delusions of persecution asks the nurse, "Are there any circumstances under which the treatment team is justified in violating a patient's right to confidentiality?" The nurse should reply that confidentiality may be breached

A) under no circumstances.
B) at the discretion of the psychiatrist.
C) when questions are asked by law enforcement.
D) if the patient threatens the life of another person.

Mrs.Winston,72 years old,is one day post-operative from an appendectomy.How would the RN position her for maximum aeration of her lungs?

A) Prone
B) Supine
C) Semi Fowlers
D) Left lateral

The nurse calculates an oral medication dose of 18 mL.
A)How many mL will be placed in the medicine cup?
B)How many mL will be added with a syringe?

Directions: Calculate the IV medication and infusion rates.Use a calculator for safe dose range calculations,multiplication,and long division as desired.Verify results using DE-style equations where requested.If the order is unsafe,do not proceed with the math.Label answers.
Diltiazem hydrochloride IV maintenance drip infusion has been ordered for a patient diagnosed with atrial flutter,who was treated on admission with a bolus IV dose to lower the ventricular pulse rate.
Order: Titrate the diltiazem HC1 at 5-15 mg per hr to maintain a ventricular pulse rate 90 beats per minute (bpm).Increase by increments of 5 mg per hr
Available: diltiazem hydrochloride 100 mg per 100 mL NS
A)With what IV dose in mg per hr will the nurse initiate the infusion?
B)Estimated initial flow rate on an EID:
C)DA equation for flow rate:
D)Evaluation: The patient's ventricular pulse rate is 100 bpm at the end of the first hour.
E)IV dose in mg per hr to be administered:
F)Estimated flow rate:
G)DA equation for flow rate:
H)Evaluation: