Tag: Nursing

In many healthcare organizations, whose primary duty is to help protect a physician from liability?
Physician assistant
Risk management manager
Registered nurse
Another physician

A severe and life-threatening allergic reaction that requires immediate medical attention is a(n)medication interactionparadoxical reactiontoxic reactionanaphylactic reaction

A client is ordered to have heparin administered subcutaneously BID. What is the best site for this medication? A. Posterior upper armB.AbdomenC.ButtocksD.Anterior upper leg

A patient is to receive 250 mL of a ceftriaxone IV solution over a period of 6hours. The infusion set used delivers 20 drops/mL. What is the flow rate in drops perminute?

For which clinical indicator would the nurse assess in a client with cirrhosis of the liver who has an increased risk for hepatic coma?
Icterus
Urticaria
Uremic frost
Hemangioma

A client is to be transferred from the bed to a chair and assisted to walk. The best footwear for him is:
A) Socks
B) Soft slippers
C) Open toed shoes
D) Firm soled shoes

A seize of 852 capsules containing benzodiasepines is taken to the laboratory for analysis. Describe a brief statistical sampling scheme for benzodiazepines in capsule form
Suggested statistical sampling scheme
Define population and objective.
Population size: N = 852 capsules.
Objective: presence/absence screening and, if present, quantitative content uniformity/assay.
Determine sample size.
For a quantitative estimate of prevalence or mean content with a desired confidence level, use the standard sample-size formula with finite-population correction:
n0 = (Z^2 * p * (1 – p)) / E^2
n = n0 / (1 + (n0 – 1) / N)
Example (conservative p = 0.5, 95% confidence Z = 1.96, margin E = 0.05): n0 ≈ 384, n ≈ 265 for N = 852.
For rapid presence/absence screening a much smaller sample (e.g., 20–30 capsules) can be used; for formal content-uniformity testing follow applicable pharmacopeial or regulatory sampling sizes (often larger and specified by method).
Choose a selection method.
Simple random sampling: assign each capsule a unique number 1…852 and select n numbers using a random number generator without replacement.
Alternatively, systematic sampling: compute k = floor(N / n), pick a random start between 1 and k, then select every k-th capsule. This is acceptable if capsules are not ordered by composition.
Lab handling and analysis plan.
Record chain of custody and label each sampled capsule uniquely.
For each selected capsule record weight and visual inspection, then open and prepare aliquots for:
Screening (e.g., immunoassay or presumptive test) and
Confirmatory quantitative analysis (e.g., GC-MS/LC-MS) using validated methods and calibration standards.
Include quality controls: blanks, procedural controls, reference standards, and replicate analyses (e.g., 5–10% duplicates) to assess precision and contamination.
Interpretation and reporting.
If screening detects benzodiazepines, confirmatory testing should be performed on the positive samples and, if necessary, on additional units.
Report concentration statistics (mean, standard deviation, range) and compliance with relevant specification or legal thresholds. For prevalence estimates include confidence intervals calculated from the sampling design.

Calculate the ANC for a patient with the following laboratory values. WBC is 3800 34% 15% 9.6 hematocrit of 29.4 and platelet count of 98,000.

A nurse is teaching the parent of an infant. The nurse should instruct the parent to introduce the infant to solid foods at what age?
2 months
8 months
6 months
4 months

A nurse is caring for a client who is on bedrest and was just turned to the left side. Which action will the nurse take next to decrease the risk of impaired skin integrity.