Postoperative hip arthroplasty

Q1. A nurse is caring for a client who is postoperative hip arthroplasty and has a new prescription for enoxaparin 1 mg/kg/dose subcutaneous every 12 hr. The client weighs 95 lbs. How many mg should the nurse administer per dose? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

a.

43.2 mg

b.

430 mg

c.

43 g

d.

4.3 mg

Q2. A nurse is preparing to administer vancomycin 15 mg/kg/day divided equally every 12 hr. The client weighs 198 lb. How many mg should the nurse administer with each dose? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

a.

64 mg

b.

65.7 mg

c.

680 mg

d.

675 mg

Q3. .A nurse is preparing to administer amantadine 150 mg PO every 12 hr. Available is amantadine 50 mg/5 mL syrup. How many mL should the nurse administer per dose? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

a.

5 mL

b.

15 mL

c.

1.5 mL

d.

2 mL

Q4. A nurse is preparing to administer amoxicillin 30 mg/kg/day in 2 equally divided doses every 12 hr to a toddler who weighs 33 lb. Available is amoxicillin 200 mg/5 mL suspension. How many mL should the nurse administer. (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

a.

6.5 mL

b.

5.6 mL

c.

56 mL

d.

5.7 mL

Q5. A nurse is preparing to administer levothyroxine 0.175 mg PO once a day. The amount available is levothyroxine 88 mcg/tablet. How many tablets should the nurse administer per dose? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

a.

1 tablet

b.

2 tablets

c.

2.5 tablets

d.

3 tablets

Q6. A nurse is caring for an adolescent client who has pneumonia and a prescription for cefpodoxime 5 mg/kg PO every 12 hr for 5 days. The client weighs 88 lb.  The nurse will administer a safe effective dose of 200 mg.

 

Select one:

True

False

Q7. A hospitalized adolescent is to be started on a heparin protocol due to valvular disease. The patient weighs 70 pounds and is to get a heparin bolus, followed by a continuous heparin infusion. The nurse has calculated the patient’s weight in kg and has administered the IV bolus and is now preparing the heparin infusion.

The physician has ordered a continuous heparin infusion at a rate of 20 units/kg/hr.

The pharmacy sends heparin 25,000 units/500 mL.

The nurse will administer the dose by setting the IV pump at _______ mL/hr (Please round to the nearest 10th place if rounding is necessary)

 

a.

12.7 mL/h

b.

1 mL/h

c.

127 mL/h

d.

1,237 mL/h

Q8. The patient has an order for Lidocaine 2.5 mcg/kg/min. The patient weighs 162 pounds. The pharmacy supplies Lidocaine 1000 mg in 500 mL D5W. The medication will be delivered by an infusion pump. The nurse will set the infusion to run @ 5.5 mL/hr  (Rounded to the nearest 10th)

Select one:

True

False

Q9. A nurse is caring for a client is who has a deep vein thrombosis and is prescribed heparin by continuous IV infusion at 1,200 units/hr. Available is heparin 25,000 units in 500 mL D5W. The nurse should set the IV pump to deliver how many mL/hr? (Round the answer to the nearest tenth/whole number. Use a leading zero if it applies. Do not use a trailing zero.)

a.

42 mL/h

b.

32 mL/h

c.

24 mL/h

d.

23 mL/h

 

Clinical Reasoning:

Clinical Reasoning: Write out the steps in your decision making process. Please give at least 3Scenario

options with rationale and consequences for each option. Ultimately, identify the outcome of the
nurse’s actions.

An 80 year old resident is dying of cancer and is on palliative care. The resident has mouth ulcersand is refusing oral care. What is the best course of action?

Nursing option #1:

Rationale:

Consequences:

 

Nursing option #2:

Rationale:

Consequences:

 

Nursing option #3:

Rationale:

Consequences:

 

Document your chosen actions as the nurse:

Dosage

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The physician orders Ancef 400 mg IV q8h for a child weighing 12 kg. You have Ancef 330 mg/ml. The
recommended daily IV dosage for a child is 100 mg/kg/24 h in divided doses q 6-8 h. a. What is the safe daily
dosage for this child? b. Is the ordered dose safe? c. If yes, how many ml will the nurse administer?

Structure and function of knee joint

Which statement is true regarding structure and function of knee joint:

a. medial meniscus has attachments to the medial collateral ligament

b. the ACL restrains posterior translation of the tibia with respect to the femur

c. the lateral collateral ligament restricts excess valgus strain at knee joint

d. the collateral ligaments are maximally taut when knee is flexed

Food hazards

discuss food hazards and major causes of food contamination and foodborne illnesses

Deformational plagiocephaly

DeGrazia, M., Giambanco, D., Hamn, G., Ditzel, A., Tucker, L., & Gauvreau, K. (2015). Prevention of deformational plagiocephaly in hospitalized infants
using a new orthotic device. Journal of Obstetric, Gynecologic & NeonatalNursing, 44(1), 28-41.
Review the article, looking for evidence of any ethical or legal issues that arose inthe study and how the researchers dealt with them. Consider the following appraisal
questions in your critical review of this research article:1. In which ways are the subjects in this study vulnerable? Which protections should
be put in place to protect these subjects from harm?2. Identify the potential risks inherent in this study for the subjects. What should
specifically be included in the informed consent for this study?3. What evidence is provided by the authors that the study was reviewed by the IRB
and that appropriate informed consent was obtained?4. How do the authors minimize the risks to the subjects?
5. In your opinion, do the potential benefits of this treatment outweigh the potentialrisks to the infant? Why or why not?

Prevention or health promotion

Identify a common perceptual, neurological, or cognitive issue and discuss contributing factors. Outline steps for prevention or health promotion for the patient and family.

 

A stroke with dysphagia

The nurse is assisting with feeding a client following a stroke with dysphagia. What measures should the nurse take to ensure safe feeding?
Suggested Adult Med Surg Learning Activity:  Cerebrovascular Accident
​A new LPN has been assigned care of four clients. List one (1) nursing action that is not within the scope of the LPN.
List two (2) factors a nurse should use when prioritizing care.
​A client has had a stroke. What is the role of the speech-language pathologist?

Nursing Leadership

Based on the clip from YouTube. https://www.youtube.com/watch?v=O5yUev4ACHM 1. Introduction to Nursing Leadership: “What is the Role of a Charge Nurse?”

 

2. Explanation of identified leadership issues & or concerns, one organizational strategy that addresses the identified leadership issues and 2 non textbook scholarly references

 

Infectious disease

Please choose an infectious disease off 2030 Healthy people

 

 

Infectious Disease Objective # 2: goal/ target/ outcome . Objective . Write objective here. Choose an objective from the HealthyPeople 2020 website. . Goal . Write your goal statement here. This should relate to your chosen objective and be SMART (specific, measurable, achievable, realistic/ relevant, timely) . Target . What is your target population? BE SPECIFIC . Example: nursing students, elderly residents in a long-term care facility, children in a daycare, staff nurses in a nursing home, etc . Desired direction . This is also known as your expected outcome for your target population.