A laboring woman in Stage 1, Active phase has requested a narcotic pain medication. The provider ordered:    Stadol (butorphanol) 2mg with Phenergan (promethazine) 25 mg IVP (IV push). Pharmacy provides:       Stadol (butorphanol) 1 mg/1ml vial and Phenergan (promethazine) 25 mg/1ml vial. How many ml’s will the nurse draw up total to administer to the client? _______

The client is considering having maternal serum alphafetoprotein (MSAFP) screening or a Quad screen performed. She asks the nurse how a test of her blood could indicate a neural tube defect. The nurse’s best reply would be:

A significant difference between diabetic ketoacidosis (DKA) and hyperglycemic hyperosmolar nonketotic syndrome (HHNS) is:

The nurse is instructing a client with diabetes mellitus regarding hypoglycemia.  Which statement by the client indicates the need for further teaching?

The physician has ordered 1,000 mL of D5 0.45% normal saline solution to infuse in 8 hours. With a drop factor of 20 gtts/mL. How many drops per minute will the nurse infuse the solution? _______

NPH insulin (Humulin N) is ordered to be given at bedtime (2200). The client would most likely exhibit a hypoglycemia reaction at what time of the day?

What are the primary reasons for bathing a patient and changing the bed linens?

An older adult patient is ordered to receive digoxin (Lanoxin). The patient has decreased renal function. Which condition could indicate digoxin toxicity?

You have an order for Morphine sulfate 5 mg and Stadol 2 mg IM q4h. The labels read:Morphine 10 mg per mLStadol 1 mg per ml The drugs are compatible, and may be mixed in one syringe. What is the total volume to be administered? _______ ml of morphine _______ ml of stadol _______ ml total volume

Which patient outcome indicates positive progress towards resolving the nursing diagnosis of Acute confusion?