N105: Essentials of Nursing Care - Health Differences

Essentials of Nursing Study Guide

©2017 Achieve Test Prep Page 154 of 160 107. Willa Edwards is 2 hours post-op following a right ORIF. Her IV orders read, "give 1500 cc D5LR over the next 8 hours, 1000 cc D5 over the next 8 hours, and then decrease the rate to 30 cc/hour for the next 8 hours.” You will be using tubing that delivers 12 drops per cc. What will be the number of drops per minute for each eight-hour period? a. 1.187, 125, 30 b. 2.46, 31, 15 c. 50, 25, 15 d. 38, 25, 6 108. Brittany, a five-year-old, is suffering from a sleep pattern disturbance following a house fire in which she suffered minor burns. She is being discharged from the hospital today. Which statement best indicates that your discharge teaching has been effective: a. "We will make sure that Brittany gets plenty of regularexercise." b. "We will give Brittany a warm beverage with her bedtime snack everynight." c. "We will encourage Brittany to take naps whenever she needsone." d. "We will establish and closely adhere to bedtime rituals." 109. You are doing an admission interview with 75-year-old Mrs. Bates who has a mitral valve prolapse. She states, "I get so short of breath and my heart just races every time I try to do a little something. Even walking around my house makes me feel winded and weak." The most appropriate nursing diagnosis would be: a. Activity intolerance b. Ineffective individual coping c. Fatigue d. Mobility impairedphysical 110. Sweat glands are found in which layer of the skin? a. Epidermis b. Dermis c. Stratus granulosum d. Stratum corneum 111. After several years of having difficulty getting a good night's rest, Tom Stinson has been diagnosed with sleep apnea. Which symptom did he most likely exhibit? a. Frequent awakening during the night b. Fear of falling asleep c. Loud snoring d. Rapid, shallow respirations, followed by periods of apnea