A patient is admitted with acute liver failure and encephalopathy. Which dietary restrictions should be maintained for the patient?

A client with cancer pain is taking morphine for pain relief. Knowing constipation is a common side effect, what would the nurse recommend to the client?

Which nutritional interventions is a priority for the patient with renal disease who is receiving dialysis?

The nurse is assessing a client admitted to the ICU and receiving opioid analgesic intravenously. Which patient is MOST likely to be experiencing a life-threatening opioid side effect?

Provider Orders normal saline (NS) 0.9% 650 ml infuse over 6 hours. The drip factor is 10 gtt/mL. How many drops per minute (gtts/min) will be administered?

NOTE

• DO NOT write the unit/s of measurement
• YOUR ANSWER SHOULD BE IN WHOLE NUMBER

A patient is mechanically ventilated and is receiving enteral nutrition via a nasogastric tube. To help ensure feeding tolerance, the nurse checks residual volumes every 4 hours. During a residual check later in the shift, the nurse aspirates a total residual volume of 200 mL. What action should the nurse take next?

A 45-year-old recovering heroin abuser is status post lumbar fusion and is admitted to the intensive care unit for pain management isses related to a diagnosis of degenerative disk disease and associated peripheral neuropathy. The client who is currently prescribed oxycodone/paracetamol 5 mg/325 mg two tablets every 4 hours around the clock, gabapentin 300 mg four times per day methadone 10 mg twice daily. The client is awake alert, and oriented X4 with stable vitals is able to move lower extremities bilaterally, but reports decreased sensations in feet bilaterally and reporting incisional pain as a 10 of 10 on the Numeric Rating Scale (NRS)

Select the medication that can be appropriately prescribed and administered to help address the client's addiction maintenance, and postoperative pain.

The Provider orders an IV weight-based medication to be infused at 4 mcg/kg/min. The patient weighs 198 lbs. You are supplied with a bag of the IV medication that reads 250mg/250 ml. How many mL/hr will you administer?

NOTE

• DO NOT write the unit/s of measurement
• DO NOT round your answer

A patient is to receive 1000 mL of IV fluid over 4 hours. The drop factor is 15 gtt/mL. How many drops per minute should the IV be set to deliver?

NOTE

• DO NOT write the unit/s of measurement
• Enter ONLY the number
• DO NOT ROUND YOUR ANSWER

Provider's Order: Lactated Ringer's 2500 ml over 1 day

What is the hourly rate?

NOTE:

• DO NOT write the unit/s of measurement
• Enter your answer in whole number, example 133

A 17-year-old unconscious client has been admitted to the critical care unit in critical condition after a motor vehicle crash with proxy for health care decision-making assigned to the client's parents, who are divorced. When the client's hemoglobin drops to a critical level, the medical team approaches the parents regarding permission to initiate a blood transfusion, the client's mother, a practicing Jehovah's Witness, states that her child is also against such a medical intervention. The client's father does not share his ex-wife's belief that their child would refuse the lifesaving treatment and asks that the transfusion be given. What actions can be taken by the critical care nurse to assist in addressing this ethical dilemma that clearly involves the principles autonomy and beneficence? Select all that apply.

NOTE: Select 2 responses for this question