19. A 6-year-old child with a congenital heart disorder is admitted with congestive heart failure . Digoxin 0.12 mg is ordered for the child. The bottle contains 0.05 mg of digoxin in 1 mL of solution. Which of the following amounts should the nurse administer to the child? A. 1.2 ml C. 4.2 ml B. 2.4 ml D. 3.5 ml 20. Which of the following position is used while administering enema for a patient? A. Lithotomy position B. High fowlers position C. Sim's position D. Lateral position 21. Which of the following terms denotes absence or failure to produce urine? A. Anuria C. Retention B. Oliguria D. Dysuria 22. Which of the following is not a common feature to all types of cancer? A. Abnormal cellular growth B. Capacity to invade other tissues C. Capacity to spread to distant organs D. Regulated growth of cells 23. Nurse Meti is caring for a COPD patient at HFSUH in the male medical ward . She teaches him about coughing and breathing exercise. The importance of doing this exercise is: A. To enhance the expelling of mucous B. To monitor respiratory rate C. To identify the sign of respiratory distress D. For safe mouth care 24. For respiratory disorder patients with a nursing diagnosis, of'ineffective airway clearance related to high mucus production which of the following is the correct nursing intervention? A. Facilitate drainage of oral secretion B.Administer ordered antibiotics C. Administer antipain D. Rise bed rails

Question

19. A 6-year-old child with a congenital heart disorder is admitted with congestive heart failure . Digoxin 0.12 mg is ordered for the child. The bottle contains 0.05 mg of digoxin in 1 mL of solution. Which of the following amounts should the nurse administer to the child? A. 1.2 ml C. 4.2 ml B. 2.4 ml D. 3.5 ml 20. Which of the following position is used while administering enema for a patient? A. Lithotomy position B. High fowlers position C. Sim's position D. Lateral position 21. Which of the following terms denotes absence or failure to produce urine? A. Anuria C. Retention B. Oliguria D. Dysuria 22. Which of the following is not a common feature to all types of cancer? A. Abnormal cellular growth B. Capacity to invade other tissues C. Capacity to spread to distant organs D. Regulated growth of cells 23. Nurse Meti is caring for a COPD patient at HFSUH in the male medical ward . She teaches him about coughing and breathing exercise. The importance of doing this exercise is: A. To enhance the expelling of mucous B. To monitor respiratory rate C. To identify the sign of respiratory distress D. For safe mouth care 24. For respiratory disorder patients with a nursing diagnosis, of'ineffective airway clearance related to high mucus production which of the following is the correct nursing intervention? A. Facilitate drainage of oral secretion B.Administer ordered antibiotics C. Administer antipain D. Rise bed rails

Answer 1

19. The correct answer is A. 1.2 ml. To calculate the amount of digoxin to administer, we need to determine the volume of solution that contains the ordered dose. The bottle contains 0.05 mg of digoxin in 1 mL of solution. To administer 0.12 mg of digoxin, we need to calculate the volume that contains this dose. Using the formula:Volume = Dose / ConcentrationVolume = 0.12 mg / 0.05 mg/mLVolume = 2.4 mLTherefore, the nurse should administer 2.4 mL of the solution to the child.20. The correct answer is D. Lateral position. The lateral position is commonly used while administering an enema to a patient. In this position, the patient lies on their side with the lower arm behind the back and the upper thigh flexed. This position allows for easy access to the rectal area and facilitates the administration of the enema.21. The correct answer is A. Anuria. Anuria denotes the absence or failure to produce urine. It is a condition where the kidneys produce less than 100 mL of urine in 24 hours. Oliguria refers to the production of a small amount of urine, while retention refers to the inability to empty the bladder completely. Dysuria refers to painful or difficult urination.22. The correct answer is D. Regulated growth of cells. Cancer is characterized by abnormal cellular growth, the capacity to invade other tissues, and the capacity to spread to distant organs. Regulated growth of cells is not a common feature of all types of cancer, as cancer cells typically exhibit uncontrolled and abnormal growth.23. The correct answer is A. To enhance the expelling of mucous. Coughing and breathing exercises are important for patients with COPD (chronic obstructive pulmonary disease) as they help to clear mucus from the airways. These exercises can help to improve lung function and prevent complications such as pneumonia. Monitoring respiratory rate, identifying signs of respiratory distress, and safe mouth care are also important aspects of caring for a COPD patient, but the primary purpose of coughing and breathing exercises is to enhance the expelling of mucus.24. The correct answer is A. Facilitate drainage of oral secretion. For patients with respiratory disorders and a nursing diagnosis of ineffective airway clearance related to high mucus production, facilitating the drainage of oral secretions is an appropriate nursing intervention. This can be achieved through techniques such as deep breathing exercises, postural drainage, and suctioning. Administering ordered antibiotics, administering antipain, and raising bed rails may be appropriate interventions for other nursing diagnoses or conditions, but they are not directly related to the management of ineffective airway clearance due to high mucus production.

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