NURS 301 300 NCLEX Challenge 3

NURS 301 300 NCLEX Challenge 3

1.    A nurse is preparing to administer clindamycin 300 mg by intermittent IV bolus over 30 min to a client who has staphylococci infection. Available is clindamycin premixed in 50 mL 0.90% sodium chloride (NaCl). The nurse should set the IV pump to deliver how many mL/hr? (Round the answer to the nearest whole number).

100 mL/hr

2.    A nurse is preparing to administer 0.9% sodium chloride (NSS) 3000 mL IV to infuse over 24 hr. The drop factor on the manual IV tubing is 10 gtt/mL. The nurse should set the manual IV infusion to deliver how many gtt/min? (Round the answer to the nearest whole number).

21 gtt/min

3.    A nurse in the emergency department is caring for a client who collapsed after playing football on a hot day. After reviewing the admission laboratory findings, the nurse recognizes that these findings are consistent with which of the following conditions?

Sodium 152

Potassium 3.6

Chloride 105

Glucose 102

BUN 18

Creatinine 0.7

Dehydration

4.    A nurse is calculating a client’s intake and output for an 8-hr shift. The client’s intake included 1,000 mL 0.9% sodium chloride IV, one 6-oz cup of coffee, 6 oz of water, one 180-mL bowl of soup; 3 oz of flavored gelatin, and 3 oz of ice cream. How many mL should the nurse document as the client’s total intake for the shift? (Round the answer to the nearest whole number).

1,720 mL

5.    A nurse is caring for a client whose arterial blood gas results show a pH of 7.3 and a PaCO₂ of 50 mm Hg. The nurse should identify that the client is experiencing which of the following acid-base imbalances?

Respiratory acidosis

6.    A nurse is planning care for a client who has dehydration and is receiving a continuous IV infusion of 0.9% sodium chloride. Which of the following interventions should the nurse include in the plan of care?

Check the client’s IV infusion every 8 hr.

7.    A nurse is teaching a client who will undergo a bronchoscopy procedure. The provider will use a rigid scope and general anesthesia. The nurse should explain that the client’s neck will be in which of the following positions?

A hyperextended position