Author Question: A client has rung his call bell and states that he is experiencing nausea. The client has an ... (Read 61 times)

Jkov05 · **on:** Jul 22, 2018

A client has rung his call bell and states that he is experiencing nausea. The client has an antiemetic ordered on a PRN (as-needed) basis and the drug is kept on hand on the unit in ampules.

However, the nurse must combine the drug with an appropriate amount of normal saline in order to administer it by secondary infusion over 30 minutes. How much normal saline is the nurse likely to require? A) 10 to 25 ml
B) 25 to 50 ml
C) 50 to 100 ml
D) 100 to 250 ml

Question 2

A nurse is providing care for a client who is unconscious following a traumatic brain injury suffered in a motor vehicle accident. The nurse provides thorough oral care to the client on a regular basis.

When providing this care, the nurse should take specific action to reduce the client's risk of what nursing diagnosis? A) Risk for Impaired Skin Integrity
B) Risk for Infection
C) Risk for Imbalanced Fluid Volume
D) Risk for Aspiration

hanadaa · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

C
Feedback:
A secondary infusion is the administration of a parenteral drug that has been diluted in a small volume of IV solution, usually 50 to 100 ml, over 30 to 60 minutes.

Answer to Question 2

D
Feedback:
Unconscious clients are at a heightened risk for aspiration. Consequently, the nurse must ensure that liquids do not enter the client's airway during oral hygiene. Oral hygiene does not constitute a specific risk for infection, fluid imbalance, or impaired skin integrity.