NURSING
happiness2000
NEWCJSIMGarlandLehman64-years-old_Attemptreview.pdf
11/10/23, 12:12 AM Garland Lehman 64-years-old: Attempt review
https://learning.nursethink.com/mod/quiz/review.php?attempt=1623776&cmid=1187 1/9
Dashboard / Med Room / Garland Lehman 64-years-old
11/10/23, 12:12 AM Garland Lehman 64-years-old: Attempt review
https://learning.nursethink.com/mod/quiz/review.php?attempt=1623776&cmid=1187 2/9
Started on Thursday, 9 November 2023, 10:56 PM
State Finished
Completed on Thursday, 9 November 2023, 11:12 PM
Time taken 15 mins 23 secs
Grade 100.00 out of 100.00
Question Complete Mark 12.50 out of 12.50
Name: Garland Lehman Age: 64 years Provider: W. Purdesky MD
Code Status: Full Code Admit Wt: 202.2 lbs (91.9 kg) BMI: 26.0
Allergies: lidocaine
8/14 2330
General: Restless, pacing around room.
Gastrointestinal: BS present x 4 quadrants, hyperactive. Abdomen soft, non-distended, tender to the R groin and R flank. +nausea. Emesis x 5 at home.
Genitourinary: +hematuria with voiding.
Integumentary: Diaphoretic, pale.
Pain: Rates 9/10 sharp, stabbing R flank pain.
Before answering this question, review the client’s health information in the EHR. Calculate the amount of morphine in milliliters that will need to be wasted after using the highest available dosing per vial. Round to the nearest tenth and record the number only.
Answer: 0.5
1
Nursing Provider Other
NURSING ASSESSMENT & NOTES
Consider:
1. Research drug diversion and how it impacts nursing practice.
2 What should the nurse do if the narcotic counts are off in the medication dispensing machine when going to pull morphine?
11/10/23, 12:12 AM Garland Lehman 64-years-old: Attempt review
https://learning.nursethink.com/mod/quiz/review.php?attempt=1623776&cmid=1187 3/9
Question Complete Mark 12.50 out of 12.50
Name: Garland Lehman Age: 64 years Provider: W. Purdesky MD
Code Status: Full Code Admit Wt: 202.2 lbs (91.9 kg) BMI: 26.0
Allergies: lidocaine
8/14 2330
General: Restless, pacing around room.
Gastrointestinal: BS present x 4 quadrants, hyperactive. Abdomen soft, non-distended, tender to the R groin and R flank. +nausea. Emesis x 5 at home.
Genitourinary: +hematuria with voiding.
Integumentary: Diaphoretic, pale.
Pain: Rates 9/10 sharp, stabbing R flank pain.
Before answering this question, review the client’s health information in the EHR. Calculate the number of milliliters of ondansetron that will be drawn up for this client. Round to the nearest whole number and record the number only.
Answer: 2
Question Complete Mark 12 50 out of 12 50
2. What should the nurse do if the narcotic counts are off in the medication dispensing machine when going to pull morphine?
3. Have you ever heard of the term “nurse’s dose” of a controlled medication? What are the ethical concerns associated with this practice? Is it legal?
2
Nursing Provider Other
NURSING ASSESSMENT & NOTES
Consider:
1. What is the purpose of this medication?
2. What teaching should be provided to the client about the medication?
3. How will the nurse know that this medication has been effective?
3
11/10/23, 12:12 AM Garland Lehman 64-years-old: Attempt review
https://learning.nursethink.com/mod/quiz/review.php?attempt=1623776&cmid=1187 4/9
Question Complete Mark 12.50 out of 12.50
Name: Garland Lehman Age: 64 years Provider: W. Purdesky MD
Code Status: Full Code Admit Wt: 202.2 lbs (91.9 kg) BMI: 26.0
Allergies: lidocaine
8/14 2330
General: Restless, pacing around room.
Gastrointestinal: BS present x 4 quadrants, hyperactive. Abdomen soft, non-distended, tender to the R groin and R flank. +nausea. Emesis x 5 at home.
Genitourinary: +hematuria with voiding.
Integumentary: Diaphoretic, pale.
Pain: Rates 9/10 sharp, stabbing R flank pain.
Before answering this question, review the client’s health information in the EHR. Calculate the milliliters of morphine to be drawn up using the lowest available dosing per vial. Round to the nearest whole number and record the number only.
Answer: 2
Question Complete Mark 12.50 out of 12.50
Name: Garland Lehman Age: 64 years Provider: W. Purdesky MD
C d St t F ll C d Ad it Wt 202 2 lb (91 9 k ) BMI 26 0
3
Nursing Provider Other
NURSING ASSESSMENT & NOTES
Consider:
1. Research the common side effects associated with this medication.
2. What are the anticipated outcomes with administering this medication?
3. How will the nurse know that this medication has been effective?
4
11/10/23, 12:12 AM Garland Lehman 64-years-old: Attempt review
https://learning.nursethink.com/mod/quiz/review.php?attempt=1623776&cmid=1187 5/9
Code Status: Full Code Admit Wt: 202.2 lbs (91.9 kg) BMI: 26.0
Allergies: lidocaine
8/14 2330
General: Restless, pacing around room.
Gastrointestinal: BS present x 4 quadrants, hyperactive. Abdomen soft, non-distended, tender to the R groin and R flank. +nausea. Emesis x 5 at home.
Genitourinary: +hematuria with voiding.
Integumentary: Diaphoretic, pale.
Pain: Rates 9/10 sharp, stabbing R flank pain.
8/15 0002
Nursing Note: Client reporting continued pain of 8/10 sharp stabbing pain. States, “it let up for a little bit, but it came right back.” Continued vomiting of bilious emesis. Dr. Purdesky made aware of condition after protocoling ketorolac, morphine, and ondansetron.
Before answering this question, review the client’s health information in the EHR. Calculate the drops per minute for the continuous normal saline infusing when using 10 gtt/mL tubing. Round to the nearest whole number and record the number only.
Answer: 25
Question Complete Mark 12.50 out of 12.50
Name: Garland Lehman Age: 64 years Provider: W. Purdesky MD
Code Status: Full Code Admit Wt: 202.2 lbs (91.9 kg) BMI: 26.0
Allergies: lidocaine
8/14 2330
General: Restless, pacing around room.
Gastrointestinal: BS present x 4 quadrants, hyperactive. Abdomen soft, non-distended, tender to the R groin and R flank. +nausea. Emesis x 5 at home.
Nursing Provider Other
NURSING ASSESSMENT & NOTES
Consider:
1. What is the difference between microdrop and macrodrop tubing?
2. Research the specialized types of tubing used for different IV medications. What did you find? Share with classmate.
3. Review the steps for changing out bags of IV fluid without changing the IV tubing.
5
Nursing Provider Other
NURSING ASSESSMENT & NOTES
11/10/23, 12:12 AM Garland Lehman 64-years-old: Attempt review
https://learning.nursethink.com/mod/quiz/review.php?attempt=1623776&cmid=1187 6/9
and R flank. nausea. Emesis x 5 at home.
Genitourinary: +hematuria with voiding.
Integumentary: Diaphoretic, pale.
Pain: Rates 9/10 sharp, stabbing R flank pain.
8/15 0002
Nursing Note: Client reporting continued pain of 8/10 sharp stabbing pain. States, “it let up for a little bit, but it came right back.” Continued vomiting of bilious emesis. Dr. Purdesky made aware of condition after protocoling ketorolac, morphine, and ondansetron.
Before answering this question, review the client’s health information in the EHR. Calculate the amount of fentanyl the nurse will draw up for administration in milliliters. Round to the nearest hundredth and record the number only.
Answer: 0.25
Question Complete Mark 12.50 out of 12.50
Name: Garland Lehman Age: 64 years Provider: W. Purdesky MD
Code Status: Full Code Admit Wt: 202.2 lbs (91.9 kg) BMI: 26.0
Allergies: lidocaine
8/14 2330
General: Restless, pacing around room.
Gastrointestinal: BS present x 4 quadrants, hyperactive. Abdomen soft, non-distended, tender to the R groin and R flank. +nausea. Emesis x 5 at home.
Genitourinary: +hematuria with voiding.
Integumentary: Diaphoretic, pale.
Consider:
1. What type of medication is fentanyl?
2. What safety considerations should the nurse be aware of when administering this medication?
3. How will the nurse know that this medication is effective?
6
Nursing Provider Other
NURSING ASSESSMENT & NOTES
11/10/23, 12:12 AM Garland Lehman 64-years-old: Attempt review
https://learning.nursethink.com/mod/quiz/review.php?attempt=1623776&cmid=1187 7/9
Pain: Rates 9/10 sharp, stabbing R flank pain.
8/15 0002
Nursing Note: Client reporting continued pain of 8/10 sharp stabbing pain. States, “it let up for a little bit, but it came right back.” Continued vomiting of bilious emesis. Dr. Purdesky made aware of condition after protocoling ketorolac, morphine, and ondansetron.
Before answering this question, review the client’s health information in the EHR. Calculate the drops per minute for the metoclopramide infusion when using 15 gtt/mL tubing. Round to the nearest whole number and record the number only.
Answer: 75
Question Complete Mark 12.50 out of 12.50
Name: Garland Lehman Age: 64 years Provider: W. Purdesky MD
Code Status: Full Code Admit Wt: 202.2 lbs (91.9 kg) BMI: 26.0
Allergies: lidocaine
8/14 2330
General: Restless, pacing around room.
Gastrointestinal: BS present x 4 quadrants, hyperactive. Abdomen soft, non-distended, tender to the R groin and R flank. +nausea. Emesis x 5 at home.
Genitourinary: +hematuria with voiding.
Integumentary: Diaphoretic, pale.
Pain: Rates 9/10 sharp, stabbing R flank pain.
8/15 0002
Nursing Note: Client reporting continued pain of 8/10 sharp stabbing pain. States, “it let up for a little bit, but it came right back.” Continued vomiting of bilious emesis. Dr. Purdesky made aware of condition after protocoling ketorolac, morphine, and ondansetron.
8/15 Nursing Note: Client administered metoclopramide and fentanyl. Immediately reports itching and hives at IV
Consider:
1. What are common side effects of taking metoclopramide?
2. What lab values should be monitored if the client will be taking this medication in oral form?
3. Research tardive dyskinesia as it relates to this medication. How should the nurse respond if this occurs in a client receiving metoclopramide?
7
Nursing Provider Lab & Diagnostics Other
NURSING ASSESSMENT & NOTES
11/10/23, 12:12 AM Garland Lehman 64-years-old: Attempt review
https://learning.nursethink.com/mod/quiz/review.php?attempt=1623776&cmid=1187 8/9
0025 site. Dr. Purdesky aware and prescribes diphenhydramine.
Before answering this question, review the client’s health information in the EHR. Calculate the total number of milligrams the client will receive of cephalexin in a 24-hour period. Round to the nearest whole number and record the number only.
Answer: 1000
Question Complete Mark 12.50 out of 12.50
Name: Garland Lehman Age: 64 years Provider: W. Purdesky MD
Code Status: Full Code Admit Wt: 202.2 lbs (91.9 kg) BMI: 26.0
Allergies: lidocaine
8/14 2330
General: Restless, pacing around room.
Gastrointestinal: BS present x 4 quadrants, hyperactive. Abdomen soft, non-distended, tender to the R groin and R flank. +nausea. Emesis x 5 at home.
Genitourinary: +hematuria with voiding.
Integumentary: Diaphoretic, pale.
Pain: Rates 9/10 sharp, stabbing R flank pain.
8/15 0002
Nursing Note: Client reporting continued pain of 8/10 sharp stabbing pain. States, “it let up for a little bit, but it came right back.” Continued vomiting of bilious emesis. Dr. Purdesky made aware of condition after protocoling ketorolac, morphine, and ondansetron.
8/15 0025
Nursing Note: Client administered metoclopramide and fentanyl. Immediately reports itching and hives at IV site. Dr. Purdesky aware and prescribes diphenhydramine.
Before answering this question, review the client’s health information in the EHR. How many capsules of cephalexin will the client take in a 24-hour period? Round to the nearest whole number and record the number only.
Consider:
1. What is the difference between a first-generation cephalosporin and a second or third generation?
2. What instructions should be given if the client misses a dose?
3. How should the nurse respond if a client reports that they used some leftover antibiotics from a previous infection?
8
Nursing Provider Lab & Diagnostics Other
NURSING ASSESSMENT & NOTES
11/10/23, 12:12 AM Garland Lehman 64-years-old: Attempt review
https://learning.nursethink.com/mod/quiz/review.php?attempt=1623776&cmid=1187 9/9
Answer: 4
Consider:
1. What are some complications of taking cephalexin?
2. What lab values should be monitored on a client taking cephalexin?
3. How will the nurse know that this client is improving?
Jump to...
