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The nurse in an outpatient clinic is assessing a patient scheduled for a vasectomy that requires a local anesthetic agent. Which statement from the patient is most important to communicate to the anesthesia care provider?

A woman presents to the OB clinic for her 8-week prenatal checkup.  She has denied any bleeding or cramping and she has not been feeling nauseated anymore. Upon ultrasound, it is discovered there is no heartbeat for the fetus. There has been no passage of the products of conception. The cervix is closed. The nurse begins to set up a time in the OR for a D&C procedure. The anticipated plan of care for this woman would be based on a probable diagnosis of which type of abortion?

Which nursing intervention is a priority for a patient who has had an open cholecystectomy?

A patient continues to report post-surgical incision pain at a level of 7 out of 10 after ambulation. The next dose of pain medicine is not due for another 20 minutes. After assessing the wound to verify that there are no complications with the wound what should the critically thinking nurse do?

Which of the following patients is at greatest risk for post-operative respiratory complications?

Carlos is a  4-year-old child that presents to the clinic for his kindergarten vaccines. His parents have never missed a well-child exam, and he has not fallen behind in vaccinations. Two months ago, he was hospitalized for Kawasaki Syndrome for one week and received hydration, aspirin, IV  fluids, and IV immune globulin Which immunizations would the nurse anticipate administering to Carlos?

A child weighing 9.4 kilos is prescribed Levofloxacin at 10 mg/kg/dose every 24 hours.   Calculate the following dose: Ordered: Levofloxacin 94 mg every 24 hours Available: Levofloxacin 94 mg in a 100ml bag of normal saline.  The order states to infuse the medication over 60 minutes. What should you set the IV pump rate at in ml/hr?

Your patient is a G3P1, 30.5 weeks gestational age coming into triage for contractions. She is contracting every 5 mins that palpate moderate and she is breathing through the contractions. After cervical exam, she is found to be 2/50/-2. She is admitted to labor and delivery for preterm labor.  Which medications are not appropriate for this patient? (Select all that apply.) 

Which additional pieces of information are needed to safely administer IVPB medications when compared to oral medications? (Select all that apply.)

A young woman recently engaged to be married asks the nurse when genetic counseling is advisable. The couple does not plan to have children for several years. What would be the nurse’s recommendation?