The nurse assumes care for a client with HTN, heart failure and diabetes mellitus who is admitted for dehydration has the following vital signs: Temp=99.7, Pulse=110, Respirations=22, Blood Pressure=100/60 and blood glucose=224. The primary care provider orders a 500 mL bolus of 0.9% Normal Saline IV to be infused over 4 hours. Calculate the flow rate. _______

A client comes to the clinic for her first prenatal visit and reports that July 10th was the first day of her last menstrual period. Using Nagele’s rule, the nurse determines the estimated date of birth to be:

The nurse recognizes that this fetal monitoring strip demonstrates a deceleration pattern. Identify the deceleration shown on this fetal monitor strip.

A 2nd day postpartum client has a temperature of 101.4 F. Prescribed is Ibuprofen (Motrin) oral suspension 75 mg by mouth every 6 hours for temperature elevation. Ibuprofen (Motrin) oral suspension is supplied in a concentration of 50 mg per 1.25ml. How many mL per dose should the client receive? _______

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?