Patient data

The nurse completes documentation on the client who is 10 hours post initial digitalization dose and furosemide dose.

Click to highlight the findings that indicate the client is progressing as expected.

Nurses Notes

1700

The client is post digitalization and furosemide. Client is being held by his parent. Infant can feed on demand. Lungs are clear to auscultation, and no accessory muscle use is noted. Shows no signs of cyanosis. Is feeding for 15 minutes every three hours using a 28 cal/oz (28 cal/30 mL) formula. His urine is clear, and the specific gravity is low. The client continues to have a loud holosystolic murmur noted. Pulses are 1+ through all extremities. Parents are at the bedside and are verbalizing their understanding of current care needs.

An adult client experiencing pain associated with maxillofacial surgery receives a prescription for acetaminophen and codeine phosphate oral solution 25 mL PO every 6 hours PRN. The bottle is labeled: "Acetaminophen and Codeine Phosphate Oral Solution, USP: 120/12 mg per 5 mL." How many mg of codeine will the client receive with each dose? (Enter numeric value only. If rounding is required, round to the nearest tenth.)

An older adult client is admitted with the medical diagnosis of possible cerebral vascular accident (CVA). The client has facial paralysis and cannot move the left side of the body. When entering the room, the nurse finds the client's spouse tearful and trying unsuccessfully to give the client a drink of water. Which action should the nurse take?

A postpartal client who is bottle feeding develops breast engorgement. Which is the best recommendation for the nurse to provide this client?

Patient Data

The nurse is implementing new prescriptions.

Click to indicate if each nursing action is appropriate or not appropriate for the client at the current time. Each row must have one response option selected.

The nurse is preparing a 4-day-old client with a serum bilirubin level of 19 mg/dL (325 μmol/L) for discharge from the hospital. When teaching the parents about home phototherapy, which instruction should the nurse include in the discharge teaching plan?

Reference Range:

Total Bilirubin [0.1 to 10.5 mg/dL (17.1 to 180 μmol/L)]

The nurse identifies the presence of clear fluid on the surgical dressing of a client who just returned to the unit following lumbar spinal surgery. Which action should the nurse implement immediately?

A client receives a prescription for 250 mg of tetracycline PO every other day for acne. Which instruction should the nurse give regarding the best way to take the medication?

Patient Data

The healthcare provider (HCP) places prescriptions for further diagnostics.

Click to indicate if the listed symptoms are consistent with angina, myocardial infarction, or both. Each column must have at least one response option selected.

Patient data

For each medication, chose the most likely option for drug classification and treatment goal.

A client is admitted following a motor vehicle collision. When assessing the client's level of consciousness, the nurse notes that the client no longer responds to commands. The nurse initiates a painful stimulus and the client responds by pulling the arms inward with elbows and wrists flexed and extending the legs with the toes pointed downward. Which action should the nurse implement?