Nurse Logic 2.0: Knowledge and Clinical Judgement (NR446)
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Nurse Logic 2.0: Knowledge and Clinical Judgement - Advanced Test (answered) Spring 2022
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Course
Nurse Logic 2.0: Knowledge and Clinical Judgement (NR446)
Institution
Chamberlain College Of Nursing
Nurse Logic 2.0: Knowledge and Clinical Judgement - Advanced Test
1) A nurse is caring for a client who has terminal pancreatic cancer. The client is competent and has requested no resuscitative measures be taken in the event of respiratory or cardiac arrest. Which of the following is necessary ...
nurselogic 20 knowledge and clinical judgement advanced test
nurse logic 20 knowledge and clinical judgement advanced test
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Chamberlain College Of Nursing
Nurse Logic 2.0: Knowledge and Clinical Judgement (NR446)
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Nurse Logic 2.0: Knowledge and Clinical
Judgement - Advanced Test
1) A nurse is caring for a client who has terminal pancreatic cancer. The client
is competent and has requested no resuscitative measures be taken in the
event of respiratory or cardiac arrest. Which of the following is necessary to
legally change the client's code status to do-not-resuscitate (DNR)?
- A written prescription from the provider
A DNR is typically instituted at the request of a client or family member and
should be a written order instead of a verbal prescription. Until a DNR prescription
exists. every attempts to revive the client should be made in the event of
respiratory or cardiac arrest. A written prescription from the provider is necessary
to legally change the client's code status to a DNR
2) A nurse is caring for a toddler who has acute otitis media and is prescribed
benzocaine (Americaine) ear drops for pain relief. Which of the following
actions by the nurse is appropriate when administering the ear drops?
- Warm refrigerated drops to room temperature prior to instillation.
Because of the anatomy of internal ear structures, it is important to remember that
the ear is sensitive to extremes in temp. Ear drops should be warmed to room temp
prior to instillation to reduce the risk of painful stimuli
3) A nurse is caring for a client who has a new colostomy. The client is being
discharged and plans to live with her daughter. Which of the following
responses by the nurse is appropriate when the daughter states that she
doesn't know how she is going to care for her mother's colostomy?
- "What part of your mother's care concerns you?"
4) A nurse is caring for a client who is diagnosed with bipolar disorder and is
taking lithium (Lithane). Which of the following serum lithium levels
indicates the client's dosage is appropriate for maintenance therapy?
- 0.75 mEq/L
, Lithium is a mood-stabilizing medication used in the treatment of bipolar I acute
and recurrent manic and depressive episodes. To achieve a therapeutic range, give
300 mg to 600 mg of lithium during the active phase. The therapeutic serum
lithium level is between 0.8 mEq/L and 1.4 mEq/L. Maintenance levels of 0.4 to
1.3 mEq/L are then achieved for clients who are prescribed lithium for long-term
therapy. Because small increments of dosage separate therapeutic, maintenance,
and toxic levels of lithium, knowledge of these levels is essential to ensure safe,
quality care. This serum lithium level indicates the client's dosage is appropriate
for maintenance therapy.
5) A nurse is caring for a client who is scheduled for a lumbar puncture. The
nurse should teach the client that which of the following is a post-procedure
complication? - Headache
A headache is a manifestation experienced by 15 to 30% of clients following a
lumbar puncture that results from cerebrospinal fluid leakage at the puncture site.
These headaches are managed primarily with analgesics, hydration, and bed rest
6) A nurse is reinforcing teaching about a new prescription for cromolyn
sodium (Intal) metered-dose inhaler (MDI) to a school-age child who has
asthma. Which of the following statements should indicate to the nurse that
the child needs further teaching?
- "I will use my cromolyn inhaler before using my albuterol inhaler."
When both cromolyn and albuterol are prescribed, albuterol should be inhaled first
to open the airways because it is a bronchodilator. After waiting a few minutes, the
cromolyn can then be inhaled and will reach further into the lungs because of the
dilatory effects of albuterol.
7) A nurse is planning to obtain blood pressure on four clients. On which of the
following clients should the nurse perform an electronic blood pressure
measurement? - A client who is recovering from a cardiac catheterization
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