A nurse is preparing to teach patients. Which patient finding will cause the nurse to postpone a teaching session? (Select all that apply.)
The patient's pain is not controlled.
The patient is currently febrile with an oral temperature of 101.2 degrees F.
The patient is in the acceptance phase of dealing with their medical diagnosis.
The patient is mildly anxious about their condition.
The patient is asking numerous questions about their health status.
The patient is reporting being fatigued.
Correct Answer : A,B,F
A. The patient's pain is not controlled: Pain can significantly impair the patient's ability to focus and learn.
B. The patient is febrile with a temperature of 101.2°F: Fever can make the patient uncomfortable and distracted, hindering their ability to learn.
C. The patient in the acceptance phase is likely ready for learning, making this less of a concern.
D. Mild anxiety is common and can be addressed while teaching.
E. Asking numerous questions indicates interest and engagement, which is positive for learning.
F. The patient is reporting being fatigued: Fatigue can affect cognitive function and attention, making it difficult to absorb information.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. (PT/INR) is used to monitor warfarin, not heparin.
B. Vitamin K is not monitored for heparin.
C. Bleeding times are too nonspecific for therapeutic monitoring.
D. aPTT measures the effectiveness of heparin therapy and how well it is prolonging clotting time.
Correct Answer is ["50"]
Explanation
Infusion rate: 150 mL/hr
Drop factor of the tubing: 20 gtt/mL
First, we need to convert the infusion rate from mL/hr to mL/min:
Infusionrate(mL/min)=60minutes/hourInfusionrate(mL/hr)
Infusionrate(mL/min)=60minutes/hour150mL/hr=2.5mL/min
Now we can calculate the drops per minute using the drop factor:
Drops/minute=Infusionrate(mL/min)×Dropfactor(gtt/mL)
Drops/minute=2.5mL/min×20gtt/mL=50gtt/min
Therefore, the nurse should set the manual IV infusion to deliver 50 gtt/min.
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