NURSING > QUESTIONS & ANSWERS > Knowledge and Clinical Judgment Advanced Test Questions, with Answer. Rationale provided. Graded A+ (All)

Knowledge and Clinical Judgment Advanced Test Questions, with Answer. Rationale provided. Graded A+

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A nurse is collecting data on a client who is diagnosed with schizophrenia and is taking clozapine. Which of the following findings indicates the client is experiencing an adverse effect of the medication? - Ans-WBC 2,800/mm3. you need nursing knowledge of clozapine to recall adverse SE. Clozapine is a second-gen antipsychotic used to relieve symptoms of schizophrenia and reduce suicidal behaviors in schizophrenic pts. Adverse SE include tachycardia, weight gain, sedation, and agranulocytosis (a decrease in neutrophils which can reduce the ability to fight infection). a WBC level of 2,800/mm3 or lower indicates pt is experiencing an adverse effect Pt weighs 132 lb and has been prescribed gentamicin 5mg/kg/day by IV in three equal doses. Available is 40mg/mL that is to be added to 50mL 0.9% sodium chloride. How many mL should the nurse add to the solution per dose? - Ans-2.5 mL/dose medication administration math skills a nurse is caring for a client who is experiencing night sweats and hemoptysis and is suspected to have active pulmonary tuberculosis. which of the following tests is used to confirm this diagnosis? - Ans-sputum culture for acid-fast bacillus kowledge of transmission and diagnostic criteria of tuberculosis is needed. x-rays will only show old lesions, not active TB. Mycobacterium tuberculosis is the bacteria that causes TB and is found in the sputum and secretions therefore the presence of acid fast bacillus in the sputum, secretions, or tissues of the client is the only method to confirm the diagnosis of active tuberculosis. a nurse is providing education to the parent of an infant who is newly diagnosed with biliary atresia. the nurse should teach the parent that which of the following is a clinical manifestation associated with the illness? - Ans-dark urine biliary atresia is a progressive disease that leads to destruction of the biliary tree which has to do with the bile duct and bilirubin. dark urine is a clinical sign of biliary atresia because of conjugated bilirubin escaping from the liver and being excreted in the urine a nurse is caring for a client who has terminal pancreatic cancer. the client is competent and has requested no resuscitative measures be taken in the event of respiratory or cardiac arrest. which of the following is necessary to legally change the client's code status to do-not-resuscitate (DNR)? - Ans-a written prescription from the provider

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