a)Vitamin B12b)Folic acidc)Calciumd)IronDOMAIN 1COMPETENCY = 1AGE GROUP: N/ABLOOMS = COMPREHENSIONNURSING PROCESS = PLANNINGKEY: BDIFFICULTY LEVEL: LOW196.A client who has Leukemia develops thrombocytopenia following chemotherapy. Basedon this specific finding, which of the following nursing interventions is the PRIORITY?a)Encourage the client to turn, cough, and deep breathe every 2 hr.b)Monitor the client’s temperature every 4 hr.c)Monitor the client’s platelet counts.d)Encourage the client to take frequent rest periods throughout the day.DOMAIN 1COMPETENCY = 10AGE GROUP: N/ABLOOMS = ANALYSISNURSING PROCESS = IMPLIMENTATION
KEY: CDIFFICULTY LEVEL: HIGH197.A nurse is caring for a client with the following electrolyte results: Na+ 133 mEq/L andK+ 3.4 mEq/L. Which of the following treatments likely caused these results?a)Three piped water enemasb)0.9% sodium chloride 50 mL/hrc)D5W with 20K+ 80 mL/hrd)Administration of glucocorticoidsDOMAIN 1COMPETENCY = 9AGE GROUP: N/ABLOOMS = APPLICATIONNURSING PROCESS = EVALUATIONKEY: ADIFFICULTY LEVEL: MEDIUM198.A nurse is caring for a client who has a potassium level of 5.4 mEq/L. The nurse shouldassess the client for ___________a)ECG changes.b)constipation.c)polyuria.d)hypotension.DOMAIN 1COMPETENCY = 9AGE GROUP: N/ABLOOMS = COMPREHENSIONNURSING PROCESS = ASSESSMENT/IMPLIMENTATIONKEY: ADIFFULTY LEVEL: LOWPotassium levels can affect the heart resulting in arrhythmias. An ECG would indicate thesefindings. Constipation and polyuria are signs of hypokalemia and hypotension is a sign ofhypokalemia.199.For which of the following electrolyte imbalances should the nurse monitor a client whohas a Nasogastric Tube (NGT) with suctioning?a)Hyperkalemiab)Hypernatremiac)Hypokalemia and hyponatremiad)Hypomagnesemia
DOMAIN 1COMPETENCY = 1AGE GROUP: N/ABLOOMS = COMPREHENSIONNURSING PROCESS = ASSESSMENTKEY: CDIFFICULTY LEVEL = LOW200.Which of the following conditions might result in hyperkalemia?a)Diabetic ketoacidosisb)Heart failurec)Diabetes insipidusd)ThyroidectomyDOMAIN 1COMPETENCY = 1AGE GROUP: N/ABLOOMS = COMPREHENSIONNURSING PROCESS = ASSESSMENTKEY: ADIFFICULTY LEVEL = LOW201.The doctor orders Dextrose 5% in water, 1000 ml to be infused over 8 hours. The IV setdelivers 15 drops per mls. The nurse should run the IV at a rate of ______________ perminute.a)15 dropsb)21 dropsc)32 dropsd)125 dropsDOMAIN 1COMPETENCY = 9/11AGE GROUP: N/ABLOOMS = APPLICATIONNP = IMPLEMENTATIONKEY: DDIFFICULTY LEVEL: MEDIUM202.Which of the following signs and symptom is not indicative of a Transient IschemicAttack (TIA)a)Incontinenceb)Dysphagia
c)Ptosisd)DysarthriaDOMAIN 1COMPETENCY = 9AGE GROUP: N/ABLOOMS – COMPREHENSIONNP – ASSESSMENTKEY: ADIFFICULTY LEVEL: LOW203.A patient with CVA has a prescription for 400 units of heparin per hr. IV. The Heparin isin a solution of 5000 units/100ml normal saline. The nurse should set the IV monitor athow many mls per hour?
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