A 2-month-old male is brought to the ER because he had an episode of “turning blue”. His mother had him at 40 weeks’ gestation without any complications. This morning he was feeding from his bottle when he became diaphoretic and cyanotic for a few minutes. There have been several episodes of this while he has been feeding or crying int he past, but they have not lasted as long. She was scared today so brought him in for evaluation. His temperature is 98.4°F, blood pressure is 90/55 mm Hg, heart rate is 155, and respirations are 50. A physical exam reveals an agitated, tachypneic, and cyanotic baby. A cardiac exam demonstrates the presence of a 2/6 systolic crescendo-decrescendo murmur on the left sternal border. An echo shows the presence of a VSD as well as a pulmonary artery stenosis. The infant is placed in a knees to chest position and the cyanosis resolves. What is the likely diagnosis of this patient? 

The order reads, give Garamycin 3mg/kg/day intramuscular, in three equal doses Patient’s weight: 154lbs. How many milligrams will the nurse give with each dose?

Twenty minutes after administering pain medication to the patient, the nurses asks if the patient’s level of pain has decreased. The nurse documents the patient’s response as part of which phase of the nursing process?

A new registered nurse started working at a hospital that used the SOAP note format for documentation. Which of the following most accurately describes that documentation format?

The nurse is observing a certified nursing assistant (CNA) feed a patient, who is on aspiration precautions due to a stroke. Which of the following should cause the nurse to be concerned for the patient’s safety?

The older adult patient is prescribed a drug that is excreted through the urine. The nurse anticipates that which laboratory test will be prescribed to evaluate renal function before administration of the medication?

A patient refuses to take a medication. According to the Code of Ethics for Nurses, which action is the nurse’s priority?

Which of the following actions is considered a registered nurse-initiated intervention?

The physician orders Cefizox 0.6g IM every 6hrs for a patient with Klebsiella Pneumonia. The pharmacy dispenses the medication as Cefizox 2g powder. The reconstitution directions state to add 6mL of sterile water to have a concentration of 1.2g/mL. How many milliliters will the nurse administer with each dose?

Which situation best indicates to the nurse that the patient is ready to learn?