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A nurse assisting a provider with a sterile procedure prepares to pour a sterile solution onto a piece of gauze. In which order should the nurse perform the steps of pouring the solution? (Move the steps into the box on the right, placing them in the order of performance. Use all the steps.)

Remove the bottle cap.

Place the bottle cap inside up on clean surface.

Pick up the bottle with the label facing his palm.

Pour 1 to 2 mL into a receptacle.

Pour the solution onto the gauze.

Answer and Explanation

The Correct Answer is C,A,D,E,B

To pour the sterile solution onto a piece of gauze, the nurse should perform the steps in the following order:

1. Pick up the bottle with the label facing his palm.

2. Remove the bottle cap.

3. Pour 1 to 2 mL into a receptacle.

4. Pour the solution onto the gauze.

5. Place the bottle cap inside up on a clean surface.

It is important to maintain sterility throughout the procedure to prevent contamination. By following this order, the nurse ensures that the solution is poured onto the gauze while minimizing the risk of contamination. Placing the bottle cap inside up on a clean surface after removing it helps maintain the sterility of the cap as well.

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Correct Answer is ["100"]

Explanation

To calculate the IV flow rate in drops per minute (gtt/min), you can use the following formula: Flow rate (gtt/min) = (Volume to be infused in mL) x (Drop factor) / (Time in minutes) In this case, the volume to be infused is 100 mL, the drop factor is 60 gtt/mL, and the time is 60 minutes.

Flow rate (gtt/min) = (100 mL) x (60 gtt/mL) / (60 min)

Canceling out the mL and min units, the formula becomes:

Flow rate (gtt/min) = 100 x 60 / 60

Flow rate (gtt/min) = 100

Therefore, the nurse should set the IV flow rate to deliver 100 gtt/min.

A. Confirm the client's identity by checking her wristband B. Provide for the client's privacy by dosing the curtains C. Asset the cent into the Sims position D. Insert the tip of the enema tubing into the client's rectum

Correct Answer is B,A,C,D

Explanation

The correct sequence of steps the nurse should take to administer the enema is:

1. Provide for the client's privacy by closing the curtains.

2. Confirm the client's identity by checking her wristband.

3. Assist the client into the Sims position.

4. Insert the tip of the enema tubing into the client's rectum.

Proper infection control measures, preparing the enema solution, monitoring the flow rate, and documenting the procedure are among other important considerations that should be taken into account.

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A nurse assisting a provider with a sterile procedure prepares to pour a sterile solution onto a piece of gauze. In which order should the nurse perform the steps of pouring the solution? (Move the steps into the box on the right, placing them in the order of performance. Use all the steps.)

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Naxlex Comprehensive Predictor Exams

A nurse is preparing to administer dextrose 5% in water IV to infuse at 100 mL/60 min. The drop factor on the manual IV tubing is 60 gtt/ml. The nurse should set the IV flow rate to deliver how many gtt/min? (Round to the nearest whole number.)

Correct Answer is ["100"]

Explanation

A nurse is caring for a client who reports constipation. The provider has prescribed an enema. Identify the sequence of steps the nurse should take to administer the enema. (Move the steps into the box on the right, placing them in the selected order of performance. Use all the steps)

Correct Answer is B,A,C,D

Explanation

A nurse is collecting data from a client who has been taking esomeprazole for several months. Which of the following client statements should the nurse identify as indicating effectiveness of the medication?

A nurse is preparing to administer a soapsuds enema to an adult client. Which of the following actions should the nurse take?

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A nurse is reinforcing teaching with a client who has a duodenal ulcer and a new prescription for cimetidine. Which of the following instructions should the nurse include?

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A nurse is checking the client's bowel sounds. At which time should the nurse auscultate the client's abdomen?

A charge nurse planning care for a group of clients is delegating tasks to an assistive personnel (AP). Which of the following tasks should the nurse delegate to the AP?