Question

1. A home health nurse is assessing a client who has amyotrophic lateral sclerosis (ALS) and has had recent weight loss. Which of the following is the priority admission date for the nurse to obtain?

1. Changes in appetite
2. Prescribed medications
3. Swallowing ability
4. Daily fluid intake

2. A nurse is caring for a client who has a new prescription for piperacillin/tazobactam 3.75 g intermittent IV bolus Q6H to infuse over 30 min. Available is piperacillin/tazobactam 3.75 g in 50 mL 0.9% sodium chloride. The nurse should set the infusion pump to deliver how many mL/hr? (Round the answer to the nearest whole number.

_________________ mL/hr

3. A nurse is assessing a client who has acute angle-closure glaucoma. Which of the following findings should the nurse expect?

1. Increased light perception
2. Reddened cornea
3. Severe periocular pain
4. Gray cast to sclera

4. A nurse is caring for a client who has pneumonia and has gained 2 kg (9.3 lb) over the last 5 days. The client’s laboratory value this morning are the following: WBC 10,000/mm³, RBC 5.2 million/mm³, platelets 250, 000/mm³, BUN 32 mg/dL, and serum creatinine 2.1 mg/dL. The nurse should report these findings to which of the following members of the interdisciplinary team?

1. Dietitian
2. Infection control nurse
3. Nephrologist
4. Cardiologist

5. A nurse is caring for toddler who has retinoblastoma. Which of the following findings should the nurse except?

1. Hyphema
2. Opacity of the lens
3. Nystagmus
4. White eye reflex

Answer 1

1.ALS is a progressive disease having no cure. It generally leads to weakness in the muscles and the patient usually have inability to swallow. This can lead to weight loss in about 15 to 55 percent of patients. They generally avoid eating or drinking due to difficulty in swallowing beside having appetite. Medication doesn't cause any weight loss.

Ans:c.swallowing ability

2.Given

Order:Piperacillin/Tazobactum

Dose:3.75g

Route:IV

Time :30min (0.5 hour)

Frequency:4 times a day

Available:3.75 g in 50ml NS

Flow rate:Total volume(ml) ÷Time (hr)

=50÷0.5

=100

Ans:100ml/hr

3.In acute angle closure glaucoma the patient will have severe pain in eyes ,tears, headache, nausea, vomiting, halos,blurred vision ,vision loss

Decrease light perception

Redness in sclera

Grey cast is not present severe perioccular pain

4.An increased level of weight, creatine and BUN happens when there is a problem with the renal function.A nephrologist is needed here

Though weight gain can be managed by dietitian, they cannot diagnose the actual condition to start the care

WBC is normal so a infection control nurse not needed here

Blood values are normal so a cardiologist is also not needed

Ans:Nephrologist

5.One of the peculiar symptoms of retinoblastoma is the pupils look white .When light is passed it looks white or gives out a white eye reflex

The others symptoms are not much significant to ruke out retinoblastoma

Ans:white eye reflex

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