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NEW QUESTION 31
A 2-month-old infant is receiving IV fluids with a volume control set. The nurse uses this type of tubing because it:

  • A. Prevents entry of air into tubing
  • B. Prevents phlebitis
  • C. Prevents administration of other drugs
  • D. Prevents inadvertent administration of a large amount of fluids

Answer: D

Explanation:
Explanation
(A) A volume control set has a chamber that permits the administration of compatible drugs. (B) Air may enter a volume control set when tubing is not adequately purged. (C) A volume control set allows the nurse to control the amount of fluid administered over a set period. (D) Contamination of volume control set may cause phlebitis.

 

NEW QUESTION 32
On assessment, the nurse learns that a chronic paranoid schizophrenic has been taking "the blue pill" (haloperidol) in the morning and evening, and "the white pill" (benztropine) right before bedtime. The nurse might suggest to the client that she try:

  • A. Decreasing the haloperidol dosage for a few days
  • B. Taking her medication with food or milk
  • C. Doubling the daily dose of benztropine
  • D. Taking the benztropine in the morning

Answer: D

Explanation:
Section: Questions Set G
Explanation:
(A) Suggesting that a client increase a medication dosage is an inappropriate (and illegal) nursing action. This action requires a physician's order. (B) To suggest that a client decrease a medication dosage is an inappropriate (and illegal) nursing action. This action requires a physician's order. (C) This response is an appropriate independent nursing action. Because motorrestlessness can also be a side effect of cogentin, the nurse may suggest that the client try taking the drug early in the day rather than at bedtime. (D) Certain medications can cause gastric irritation and may be taken with food or milk to prevent this side effect.

 

NEW QUESTION 33
A 20-year-old female client delivers a stillborn infant. Following the delivery, an appropriate response by the labor nurse to the question, "Why did this happen to my baby?" is:

  • A. "You're young. You can have other children later."
  • B. "I can see you're upset. Would you like to see and hold your baby?"
  • C. "I know your other children will be a great comfort to you."
  • D. "It's God's will. It was probably for the best. There was something probably wrong with your baby."

Answer: B

Explanation:
Explanation/Reference:
Explanation:
(A) The mother and the father require support; the nurse should not minimize their grief in this situation. (B) Attachment to this infant occurs during the pregnancy for both the mother and father. Another child cannot replace this child. (C) Attachment to this infant occurs during the pregnancy for both the mother and father.
Siblings will not replace their feelings or minimize their loss of this infant. (D) Holding and viewing the infant decreases denial and may facilitate the grief process. The nurse should prepare family members for how the infant appears ("she is bruised") and provide support.

 

NEW QUESTION 34
......

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