Question

A nurse is preparing to administer 0.45% sodium chloride (NaCl) 2000 mL IV to infuse over 8 hr. The nurse should set the IV pump to deliver how many mL/hr? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

Answer 1

Correct Answers:

250

Rationale :

✍️To calculate the IV flow rate in mL/hr,

👉use the formula:

✳️Flow rate (mL/hr) = Total volume (mL) ÷ Time (hr)

▧ The total volume is 2000 mL.

▧ The infusion time is 8 hours.

Flow rate = 2000 mL / 8 hr

👍=250 mL/hr

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Answer 2

Correct Answers:

Alcohol

Rationale :

💧Alcohol increases uric acid levels by impairing renal excretion and promoting purine metabolism, which leads to urate crystal deposition in joints.

💧💧This exacerbates gout attacks, especially when intake is frequent.

💧Clients with gout are strongly advised to avoid alcohol—particularly beer and spirits—and to maintain adequate hydration and dietary modifications to prevent flare-ups.

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Answer 3

Correct Answers:

Hoarseness

Rationale :

🔹Hoarseness is the earliest symptom of laryngeal cancer, particularly in individuals with a history of chronic smoking, which damages vocal cord tissues.

🔹As the tumor affects the vocal cords, voice changes develop before other symptoms like dysphagia or weight loss occur.

🔹Early recognition of this change is vital for prompt diagnosis and improved prognosis.

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Answer 4

Correct Answers:

pH 7.25, HCOs- 19 mEq/L, PaC02 30 mm Hg

Rationale :

🩸This ABG profile indicates metabolic acidosis with partial respiratory compensation, commonly seen in clients with chronic kidney disease (CKD).

🩸 In CKD, the kidneys fail to excrete enough acidic waste, lowering the bicarbonate level (HCO₃⁻).

🩸 The lungs attempt compensation by increasing respiratory rate to "blow off" CO₂, resulting in decreased PaCO₂.

🩸The pH remains low because compensation is only partial.

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Answer 5

Correct Answers:

Pale pink

Rationale :

🔶After a transurethral resection of the prostate (TURP), it is normal for urine to be pale pink for several days due to mild bleeding from the surgical site.

🔶This is expected during the healing process.

🔶Urine that becomes bright red or contains clots would require prompt evaluation, as it may signal active bleeding.

🔶 Educating the client helps them distinguish between normal healing and complications.

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Answer 6

Correct Answers:

Increased urine output

Rationale :

💧Dobutamine is a beta-1 adrenergic agonist used in clients with heart failure to improve myocardial contractility.

💧One of the clearest indicators of its effectiveness is increased urine output, which reflects enhanced cardiac output and renal perfusion.

💧 A stronger, more efficient heart can better circulate blood, improving glomerular filtration rate (GFR) and leading to more urine production.

💧Other signs like increased heart rate may occur but aren’t primary indicators of improved perfusion.

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Answer 7

Correct Answers:

nosebleeds

Rationale :

🩸 Bevacizumab is a vascular endothelial growth factor (VEGF) inhibitor used to treat various cancers, including metastatic colorectal cancer.

🩸It interferes with blood vessel formation, increasing the risk of bleeding events.

🩸One of the notable adverse effects is epistaxis (nosebleeds), which should be reported promptly.

🩸This can be a sign of more serious bleeding tendencies and may require adjustment of therapy or supportive measures.

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Answer 8

Correct Answers:

Synthetic cast immobilizes bone fractures more effectively.

Rationale :

📚Synthetic casts, typically made of fiberglass, are lighter, more durable, and dry faster than traditional plaster casts.

📚They are more comfortable for clients, especially children or ambulatory adults.

📚 While both types offer adequate immobilization, the lighter weight and water resistance of synthetic casts make them preferable in many outpatient settings.

📚Plaster casts take longer to dry and are heavier, limiting client mobility during the healing phase.

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Answer 9

Correct Answers:

Use logrolling to reposition the client.

Rationale :

🔄 Clients with increased intracranial pressure (ICP) after a closed-head injury must be repositioned carefully to avoid sudden increases in pressure.

🔄 Log rolling maintains spinal alignment and prevents rapid ICP shifts.

🔄 Other interventions, like instructing the client to cough or placing them supine, could increase ICP.

🔄 Log rolling minimizes intracranial fluctuations and protects the cervical spine, especially if concurrent spinal injury is suspected.

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Answer 10

Correct Answers:

Perform neurovascular checks with vital signs.

Rationale :

🔹After cardiac catheterization via the femoral artery, there's a risk of vascular compromise or bleeding at the access site.

🔹Performing neurovascular checks, such as monitoring pulse, capillary refill, sensation, and skin color in the affected extremity, ensures early detection of circulatory issues.

🔹This is especially important as hematoma, thrombosis, or pseudoaneurysm can develop silently but quickly.

🔹It must be done alongside vital signs monitoring to detect systemic changes like hypotension or tachycardia.

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RN ATI Advanced Medsurg Final~924

No.

1 : A nurse is preparing to administer 0.45% sodium chloride (NaCl) 2000 mL IV to infuse over 8 hr. The nurse should set the IV pump to deliver how many mL/hr? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

2 :
A nurse is teaching a client who has gout about dietary recommendations. The nurse should teach the client that which of the following beverages can trigger an attack?

3 :
A nurse is assessing a client who has a long history of smoking and is suspected of having laryngeal cancer. The nurse should anticipate that the client will report that her earliest manifestation was

4 :
A nurse is reviewing the arterial blood gas values of a client who has chronic kidney disease. Which of the following sets of values should the nurse expect?

5 :
A nurse is caring for a client who has undergone a transurethral prostatectomy. Following catheter removal, the nurse should inform the client that he should expect which of the following variations in the color of his urine?

6 :
A nurse in the ICU is caring for a client who has heart failure and is receiving a dobutamine drip. The nurse should identify which of the following findings indicates that the medication is effective.

7 :
A nurse is teaching a client who is receiving treatment for metastatic colorectal cancer about the adverse effects of bevacizumab. The nurse should instruct the client to report which of the following findings as an adverse effect of the medication?

8 :
A nurse is teaching a newly licensed nurse about the difference between a plaster cast and a synthetic cast. Which of the following information should the nurse include in the teaching?

9 :
A nurse is caring for a client who has increased intracranial pressure (ICP) following a closed-head injury. Which of the following actions should the nurse take?

10 :
A nurse is planning care for a client following a cardiac catheterization accessed through his femoral artery. Which of the following actions should the nurse plan to take?

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RN ATI Advanced Medsurg Final~924

No.

1 : A nurse is preparing to administer 0.45% sodium chloride (NaCl) 2000 mL IV to infuse over 8 hr. The nurse should set the IV pump to deliver how many mL/hr? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

2 : A nurse is teaching a client who has gout about dietary recommendations. The nurse should teach the client that which of the following beverages can trigger an attack?

3 : A nurse is assessing a client who has a long history of smoking and is suspected of having laryngeal cancer. The nurse should anticipate that the client will report that her earliest manifestation was

4 : A nurse is reviewing the arterial blood gas values of a client who has chronic kidney disease. Which of the following sets of values should the nurse expect?

5 : A nurse is caring for a client who has undergone a transurethral prostatectomy. Following catheter removal, the nurse should inform the client that he should expect which of the following variations in the color of his urine?

6 : A nurse in the ICU is caring for a client who has heart failure and is receiving a dobutamine drip. The nurse should identify which of the following findings indicates that the medication is effective.

7 : A nurse is teaching a client who is receiving treatment for metastatic colorectal cancer about the adverse effects of bevacizumab. The nurse should instruct the client to report which of the following findings as an adverse effect of the medication?

8 : A nurse is teaching a newly licensed nurse about the difference between a plaster cast and a synthetic cast. Which of the following information should the nurse include in the teaching?

9 : A nurse is caring for a client who has increased intracranial pressure (ICP) following a closed-head injury. Which of the following actions should the nurse take?

10 : A nurse is planning care for a client following a cardiac catheterization accessed through his femoral artery. Which of the following actions should the nurse plan to take?

2 :
A nurse is teaching a client who has gout about dietary recommendations. The nurse should teach the client that which of the following beverages can trigger an attack?

3 :
A nurse is assessing a client who has a long history of smoking and is suspected of having laryngeal cancer. The nurse should anticipate that the client will report that her earliest manifestation was

4 :
A nurse is reviewing the arterial blood gas values of a client who has chronic kidney disease. Which of the following sets of values should the nurse expect?

5 :
A nurse is caring for a client who has undergone a transurethral prostatectomy. Following catheter removal, the nurse should inform the client that he should expect which of the following variations in the color of his urine?

6 :
A nurse in the ICU is caring for a client who has heart failure and is receiving a dobutamine drip. The nurse should identify which of the following findings indicates that the medication is effective.

7 :
A nurse is teaching a client who is receiving treatment for metastatic colorectal cancer about the adverse effects of bevacizumab. The nurse should instruct the client to report which of the following findings as an adverse effect of the medication?

8 :
A nurse is teaching a newly licensed nurse about the difference between a plaster cast and a synthetic cast. Which of the following information should the nurse include in the teaching?

9 :
A nurse is caring for a client who has increased intracranial pressure (ICP) following a closed-head injury. Which of the following actions should the nurse take?

10 :
A nurse is planning care for a client following a cardiac catheterization accessed through his femoral artery. Which of the following actions should the nurse plan to take?