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NEW QUESTION 48
The nurse teaches a patient recovering from a total hip replacement that it is important to avoid:

  • A. Sitting with the legs crossed
  • B. Putting a pillow between the legs while sleeping
  • C. Bearing weight exercises on the affected leg for 6 weeks
  • D. Abduction exercises of the affected leg

Answer: A

 

NEW QUESTION 49
The patient is to receive 100 ml/hr of D5W through a micro drip. How many drops per minute should the patient receive?

  • A. 100 gtts/min
  • B. 30 gtts/min
  • C. 25 gtts/min
  • D. 200 gtts/min

Answer: A

 

NEW QUESTION 50
A trauma patient with open wounds arrives in the emergency department. The nurse would know that a tetanus injection is needed if the patient has:

  • A. Not had a dose of tetanus toxoid in the past 10 years
  • B. Only received 3 doses of tetanus toxoid
  • C. Not had a dose of tetanus toxoid in the past 4 years
  • D. Received less than 3 doses of tetanus toxoid

Answer: A

 

NEW QUESTION 51
A patient is admitted to a hospital with acute renal failure. The patient wakes up complaining of abdominal pain. On assessment, the nurse observes edema to the patient’s ankles and distended neck veins. The patient is dyspneic with a blood pressure of 200/96 mmHg. The proper nursing diagnosis for this patient is:

  • A. Knowledge deficit related to proper medication regimen
  • B. Excess fluid volume related to decreased glomerular filtration rate
  • C. Acute pain related to renal edema
  • D. Deficient fluid volume related to disease process

Answer: B

 

NEW QUESTION 52
What two behaviors are important when documenting the depth of the patient’s depression?

  • A. Mood and impulse control
  • B. Orientation and appearance
  • C. Helplessness and hopelessness
  • D. Affect and thought processes

Answer: C

 

NEW QUESTION 53
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