A patient has returned to his room after femoral arteriography. All of the following are appropriate nursing interventions except:

Solution

Option D: A hemoglobin and hematocrit count would be ordered by the physician if bleeding were suspected.
Options A, B, and C: The other answers are appropriate nursing interventions for a patient who has undergone femoral arteriography.

A patient who develops hives after receiving an antibiotic is exhibiting drug:

Which of the following types of medications can be administered via gastrostomy tube?

Solution

Option D: Most tablets designed for oral use, except for extended-duration compounds can be administered via gastrostomy tube.
Options A, B, and C: Capsules, enteric-coated tablets, and most extended duration or sustained release products should not be dissolved for use in a gastrostomy tube. They are pharmaceutically manufactured in these forms for valid reasons, and altering them destroys their purpose. The nurse should seek an alternate physician’s order when an ordered medication is inappropriate for delivery by tube.

The best way of determining whether a patient has learned to instill ear medication properly is for the nurse to:

Solution

Option D: Return demonstration provides the most certain evidence for evaluating the effectiveness of patient teaching.

All of the following are common signs and symptoms of phlebitis except:

Solution

Option D: Phlebitis, the inflammation of a vein, can be caused by chemical irritants (I.V. solutions or medications), mechanical irritants (the needle or catheter used during venipuncture or cannulation), or a localized allergic reaction to the needle or catheter.
Options A, B, and C: Signs and symptoms of phlebitis include pain or discomfort, edema and heat at the I.V. insertion site, and a red streak going up the arm or leg from the I.V. insertion site.

Which of the following conditions may require fluid restriction?

Solution

Option C: In renal failure, the kidney loses their ability to effectively eliminate wastes and fluids. Because of this, limiting the patient’s intake of oral and I.V. fluids may be necessary.
Options A, B, and D: Fever, chronic obstructive pulmonary disease, and dehydration are conditions for which fluids should be encouraged.

Which of the following is a sign or symptom of a hemolytic reaction to blood transfusion?

Solution

Option A: Hemoglobinuria, the abnormal presence of hemoglobin in the urine, indicates a hemolytic reaction (incompatibility of the donor’s and recipient’s blood). In this reaction, antibodies in the recipient’s plasma combine rapidly with donor RBC’s; the cells are hemolyzed in either circulatory or reticuloendothelial system. Hemolysis occurs more rapidly in ABO incompatibilities than in Rh incompatibilities.
Options B and C: Chest pain and urticaria may be symptoms of impending anaphylaxis.
Option D: Distended neck veins are an indication of hypervolemia.

The physician orders an IV solution of dextrose 5% in water at 100ml/hour. What would the flow rate be if the drop factor is 15 gtt = 1 ml?

The physician orders gr 10 of aspirin for a patient. The equivalent dose in milligrams is:

Parenteral penicillin can be administered as an:

Solution

Option A: Parenteral penicillin can be administered I.M. or added to a solution and given I.V. It cannot be administered subcutaneously or intradermally.

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