The physician orders heparin 40 000 U in 1 liter of D5W IV to infuse at 1000 U/hr. What is the flow rate in milliliters per hour?
A. 250 mls/hr
B. 25 mls/hr
C. 2.5 mls/hr
D. 0.25 mls/hr
The urinary catheter is kept securely in the bladder by:
A. Taping the urinary catheter to the leg
B. Securing catheter and collection bag connections
C. Inflating the balloon of the catheter
D. Anchoring the catheter bag to the bed
You have started work on a new ward. One of the patient's allocated to you has been on the ward for the last 7 months since she had a cerebrovascular accident (CVA). You notice that her nursing care plan says strict bed rest, but on assessment you can not see any reason why this patient can not sit out of bed for short periods. Your nursing action would be:
A. Check with the other nursing staff as to reasons behind the nursing care plan then update the plan based on your assessment
B. Follow the nursing care plan strictly as this would have been developed after a detailed and collaborative assessment
C. Seek physician's orders so that you have permission to move the patient
D. Try and move the patient without consulting with anyone to see how she manages
When preparing an eye medication, the nurse reads the order "OS". Medication is given into:
A. Both eyes
B. Left eye
C. Right eye
D. Infected eye
A patient with allergic rhinitis reports severe nasal congestion, sneezing, and watery eyes at various times of the year. To teach the patient to control these symptoms the nurse advises the patient to:
A. Avoid all over the counter intranasal sprays
B. Limit the use of nasal decongestant sprays to 10 days
C. Use oral decongestants at bedtime to prevent symptoms during the night
D. Keep a diary of when an allergic reaction occurs and what precipitates it
A nurse is not familiar with a particular solution ordered to irrigate a patient's wound. The appropriate action would be to:
A. Check if the solution is available on the ward, and if so, use it to clean the wound
B. Put a neat line through the order and re-write the solution more commonly used
C. Check with the Pharmacist about the uses of the solution ordered
D. Ask the patient what solution he would prefer to be used
While assessing an 84-year-old post-operative patient, the nurse observes that the patient suddenly becomes very anxious, appears cyanotic and has severe dyspnea. The nurse recognizes these symptoms to be consistent with:
A. Congestive heart failure
B. Pulmonary embolism
C. COPD exacerbation
D. Myocardial infarction
The nurse notes that there are no physician's orders regarding Fatima's post operative daily insulin dose. The most appropriate action by the nurse is to:
A. Withhold any insulin dose since none is ordered and the patient is NPO
B. Call the physician to clarify whether insulin should be given and at what dose
C. Give half the usual daily insulin dose since she will not be eating in the morning
D. Give the patient her usual daily insulin dose since the stress of surgery will increase her blood glucose
Which of the following interventions should the nurse implement if a patient complains of cramps while irrigating the colostomy?
A. Reduce the flow of solution
B. Have the patient sit up in bed
C. Remove the irrigation tube
D. Insert the tube further into the colon
In preparing the patient for electroencephalogram (EEG), the nurse should: A. Withhold breakfast
B. Give sleeping pills the night before
C. Shave the hair
D. Restrict intake of coffee
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