Nclex Success

A nurse from the maternity unit is floated to the critical care unit because of staff shortage. Which one of the following patients would be appropriate to assign to this nurse:
A) A client on Dopamine with vital signs monitored every five minutes
😎 A client who had an MI, but is free from pain and dysrhythmias
C) A client with a tracheotomy in some respiratory distress
D) A client with a pacemaker inserted this morning

Q. Clients with chronic obstructive bronchitis are given diuretic therapy. Which of the following reasons best explains why?
A. Reducing fluid volume reduces oxygen demand.
B. Reducing fluid volume improves clients’ mobility.
C. Restricting fluid volume reduces sputum production.
D. Reducing fluid volume improves respiratory function.

Q. The most common early sign of kidney disease is:
A. Sodium retention
B. Elevated BUN level
C. Development of metabolic
acidosis
D. Inability to dilute or
concentrate urine

Which nursing action(s) are appropriate for a nurse preparing to administer Phenytoin via a nasogastric (NG) tube? Select all that apply.

1) Hold tube feedings for at least one hour prior to administration.

2) Flush the nasogastric tube with 30mL tap water before and after administration.

3) Monitor blood pressure and heart rate every 15 minutes for two hours after administration.

4) Monitor liver function tests on a regular basis for patients taking Phenytoin.

5) Administer Phenytoin at the onset of new seizure activity.