Capella University

NR 446 Lucas (pronouns: he/him/his) is a 20-year-old who is having aortic valve replacemen NR 446 Lucas (pronouns: he/him/his) is a 20-year-old who is having aortic valve replacement surgery due to a congenital aortic valve defect. He is currently in preoperative holding and the nurse is verifying his orders. The surgeon says that Lucas will likely need two to four units of packed red blood cells (PRBCs). The surgeon is requesting that these be ready before surgery.Nursing Actions‹Lucas appe...

NR 446 Management of Total Parenteral Nutrition TherapyA nurse is caring for a client rece NR 446 Management of Total Parenteral Nutrition TherapyA nurse is caring for a client receiving total parenteral nutrition (TPN). Which nursing actions are appropriate in the management of TPN therapy? Select all that apply.‹  Obtain daily weight and lab values. Change the tubing and obtain a new bag every 24 hours. Monitor blood glucose every 4“6 hours. Use the TPN line for other intravenous (IV...

NR 446 Many medication errors can be linked to an inconsistency in adhering to the rights NR 446 Many medication errors can be linked to an inconsistency in adhering to the rights of medication administration. Which are the medication administration rights? Select all that apply.  Right healthcare providerRight documentationRight indicationRight medicationRight clientRight roomRight routeRight diagnosisRight doseRight timeThe rights of medication administration are a set of checks that he...

NR 446 Mari says her healthcare providers are discussing her discharge and say that she wi NR 446 Mari says her healthcare providers are discussing her discharge and say that she will need antibiotics at home. They are discussing putting a "special IV" in, according to her. She says that her friend who is experiencing chemotherapy has a port-a-cath or implanted port. In discussing this option with her, which statements are accurate? Select all that apply.  The client will have a surgical sc...

NR 446 Morphine is available in an 8 milligram/1 milliliter Vial and a 2 milligram/ 1 mill NR 446 Morphine is available in an 8 milligram/1 milliliter Vial and a 2 milligram/ 1 milliliter vial. Prescription:4 mg IV push morphine q3h PRN.  Calculate the milliliters of morphine to be drawn up using the lowest available dosing per vial. Round to the nearest whole number and record the number only. Morphine Dosage CalculationTo calculate the milliliters of morphine to be drawn up, we need to us...

NR 446 Neuro WNL Cardiovascular: WNL Respiratory:WNL Gastrointestinal:stools loose for las NR 446 Neuro WNL Cardiovascular: WNL Respiratory:WNL Gastrointestinal:stools loose for last week. Genitourinary: reported inability to sustain an erection,. Integumentary: Skin warm and dry, generalized red, macular rash noted on chest and upper back, extending into axilla. Pain: Presents with joint pain and generalized œachiness 3/10. General:  Appears fatigued, slow in movement, facial express...

NR 446 Neurocognitive: Lethargic but arousable. Speech is even and clear but weak and some NR 446 Neurocognitive: Lethargic but arousable. Speech is even and clear but weak and somewhat garbled. Speaking 2-3 word sentences. 3/5 strengths in all extremities. Right eye drooping.Respiratory: Lung sounds clear bilat, breathing labored, tachypnea. Intercostal and supraclavicular retractions. Nasal flaring. Tripoding.Cardiovascular: Sinus tachycardia. S1& S2 sounds present. Radial and pedal pulses +2...

NR 446 Neurological Assessment FindingsFor each assessment finding below, click to specify NR 446 Neurological Assessment FindingsFor each assessment finding below, click to specify if the finding is consistent with early signs of increased intracranial pressure (ICP), late signs of increased ICP, or not related to increased ICP.Bradycardia‹Widening pulse pressure‹Cheyne Stokes respirationsPupil changes‹Increased level of consciousness‹Restlessness‹vomitingNeurological Assessment Find...

NR 446 NIHSS score-16 (moderate/severe stroke)Before answering this question, review the c NR 446 NIHSS score-16 (moderate/severe stroke)Before answering this question, review the client™s health information in the EHR. Identify the prescriptions that should be questioned by the nurse. Select all that apply.Lisinopril 20 mg by mouth dailyHeart-healthy cardiac dietMetoprolol 50 mg by mouth twice dailyDaily serum INRIron sulfate 335 mg by mouth three times dailyProvide medications in liquid for...

NR 446 Nurse to NP S bar: situation-Mary, I was just in room 2 talking with David and his NR 446 Nurse to NP S bar: situation-Mary, I was just in room 2 talking with David and his mother. His mother was hoping to do some allergy testing today. Background-his mother gave him diphenhydramine this morning and routinely for the past two weeks. Assessment-his rash is pretty significant in several locations of his body. Recommendation-I think we need to wait to do the allergy testing period I wanna ...