Knowledge and Clinical Judgment
Advanced Test Questions, with Answer.
Rationale provided.
A nurse is collecting data on a client who is diagnosed with schizophrenia and is taking clozapine. Which
of the following fin
...
Knowledge and Clinical Judgment
Advanced Test Questions, with Answer.
Rationale provided.
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? - AnsWBC 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? - Anssputum 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
this is specific legal knowledge regarding a DNR code status.
a nurse is caring for a client with bipolar disorder and is taking lithium. which serum level indicates the
client's dosage is appropriate for maintenance therapy? - Ans-0.75 mEq/L
need to know about therapeutic serum lithium level levels.
to achieve a therapeutic range, give 300-600mg of lithium during the active phase. the therapeutic
serum lithium level is between 0.8-1.4mEq/L. maintenance levels of 0.4-1.3mEq/L are the achieved for
clients prescribed lithium for long-term therapy.
a school nurse has requested the school board to remove a piece of playground equipment due to a
documented increase in injuries that can be linked back to it. the nurse's actions are an example of what
- Ans-advocacy
supporting or seeking a specific course of action for the benefit and on behalf of a person, group, or
community
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