A nurse is developing nursing diagnoses for a patient. Beginning with the first step, place in order the steps the nurse will use.1. Observes the patient having dyspnea (shortness of breath) and a diagnosis of asthma2. Writes a diagnostic label of impaired gas exchange3. Organizes data into meaningful clusters4. Interprets information 5. Writes an etiology

The physician orders 1gm Ancef to be given every 12 hours. The pharmacy sends the Ancef as 1gm/100mL, and it is to infuse over 30 minutes. If the drop factor is 15gtt/mL, how would the nurse set the infusion rate in gtt/min?   Enter a numeric value only.

A client is in the emergency department reporting a brief episode during with he was dizzy, unable to speak, and felt numbness in his left leg. Currently the client’s neurologic examination is normal. About what drug would the nurse plan to teach the patient?

It is 0900 and the nurse hangs a 1 liter bag of NS to infuse at 125mL/hr. At what time would the nurse need to hang a new bag?  Enter a numeric value only.  Your answer must be in military time.

A client who has a head injury is transported to the emergency department. Which assessment does the emergency department nurse perform immediately?

The piggyback from pharmacy contains the patient’s dose of Zosyn in 50mL and is to infuse over 50 minutes. How would the nurse set the infusion pump in mL/hr? If rounding is required, round to the 10th place.  Enter a numeric value only.

The usual dose of Dilantin is 12 – 20mg/kg/day.  You have an order for 45mg Q 8hr for a child who weighs 26lbs.  Is this a safe dose?

The client has just been diagnosed with type 1 diabetes mellitus. When teaching the client and family how diet and exercise affect insulin requirements, the nurse should include which guideline?

The nurse on a medical-surgical unit is working with a student nurse. The student nurse proceeds to auscultate breath sounds. The student nurse will use the stethoscope correctly, as follows:

The nurse is providing care for a patient who presented to the clinic today for their annual comprehensive assessment. Which statement is the best for ending the history interview?