nursing

Davis Edge Question of the Week #30

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Question:
The nurse is reviewing the urinalysis reports of a client. What does the nurse conclude from these findings?

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Question Options:
1.) The client has malaria.
2.) The client has proteinuria.
3.) The client has dehydration.
4.) The client has nephrolithiasis.

Correct Option/Answers: 1

Rationale:
Option 1: Urobilinogen levels greater than 1 mg/dL indicate malaria. Therefore, a urobilinogen value of 1.5 mg/dL indicates malaria in the client.
Option 2: Protein levels less than 20 mg/dL indicate normal findings; also, protein levels increase during proteinuria. Therefore, the client does not have proteinuria.
Option 3: The normal specific gravity of urine is in the range of 1.001–1.035. Increased urinary specific gravity indicates dehydration. As the client does not have increased urinary specific gravity, he or she does not have dehydration.
Option 4: Nephrolithiasis is characterized by hematuria. The normal red blood cell count in urine is less than 5/HPF. Therefore, a red blood cell count of 2/HPF does not indicate nephrolithiasis in the client.

Davis Edge Question of the Week #29

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Question:
The nurse is caring for clients with diabetes. After evaluating the nutritional status of the clients, which client does the nurse expect to be at risk of malnutrition?

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Question Options:
1.) Client 1
2.) Client 2
3.) Client 3
4.) Client 4

Correct Option/Answers: 2

Rationale:
Option 1: The BMI of client 1 is 24.6, which indicates that the client 1 is of normal weight.
Option 2: The body mass index (BMI) is calculated by the formula, BMI = Weight in kilograms/(Height in meters) The BMI of the client 2 is 17.75, which is less than the normal and indicates underweight. Low BMI indicates malnutrition.
Option 3: By considering the weight and height, the BMI of client 3 is 21.32. This indicates that client 3 is of normal weight.
Option 4: The BMI of client 4 is 24.74, which indicates that client 4 is of normal weight.

Davis Edge Question of the Week #28

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Question:
The nurse is reviewing the red blood cells lab reports of several children who completed their treatment regimens to improve their anemia. Which child‘s condition is most improved due to the treatment?

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Question Options:
1.) Child 1
2.) Child 2
3.) Child 3
4.) Child 4

Correct Option/Answers: 2

Rationale:
Option 1: Child 1 shows decreased levels of mean corpuscular volume, mean corpuscular hemoglobin, mean cell hemoglobin concentration, and reticulocyte count.
Option 2: The normal red cell lab values in children are:
Mean corpuscular volume: 79-95 µm3
Mean corpuscular hemoglobin: 25-3 pg/cell
Mean cell hemoglobin concentration: 31%-37% Hgb [g]/dl RBC
Reticulocyte count: 0.5%-1.5%
The red cell lab values of Child 2 are normal and indicate that the child has received effective treatment.
Option 3: The laboratory reports of Child 3 show decreased levels of mean corpuscular volume, mean corpuscular hemoglobin, mean cell hemoglobin concentration, and reticulocyte count.
Option 4: Child 4 has decreased levels of mean corpuscular volume, mean corpuscular hemoglobin, mean cell hemoglobin concentration, and reticulocyte count.

Davis Edge Question of the Week #26

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Question:
The registered nurse is evaluating a student nurse’s understanding of the components of the medication label. Which statement made by the student nurse indicates the need for further teaching?

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Question Options:
1.) “The generic name of the drug is ERY-TAB.”
2.) “The dosage form of the drug is delayed-release tablets.”
3.) “The drug dose per tablet is 333 mg.”
4.) “The tablet can be administered with or without meals.”

Correct Option/Answers: 1

Rationale:
Option 1: ERY-TAB is the trade name of the drug, whereas erythromycin is the generic name of the drug.
Option 2: The drug is available in the form of delayed-release tablets.
Option 3: Each tablet contains 333 mg of the drug.
Option 4: According to the special instructions on the medication label, the drug can be administered without regard to meals.

Davis Edge Question of the Week #25

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Question:
Which documentation style is appropriate according to International System of Units (SI) rules of notation?

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Question Options:
1.) A
2.) B
3.) C
4.) D

Correct Option/Answers: 4

Rationale:
Option 1: The unit symbol should be written in the singular form; therefore, it is inappropriate to document it as “8.5 mgs of medication.”
Option 2: The unit symbol should not be followed by a period unless it is the last word in a sentence; therefore, it is inappropriate to write as “5 mg. of medication.”
Option 3: There should be a space between the number and the unit symbol; therefore, “2mL IV injection” is inappropriate documentation.
Option 4: The documentation “5 mg of medication” recorded by student nurse D is correct notation according to the International System of Units (SI) rules of notation.