Page 2587 - Saunders Comprehensive Review For NCLEX-RN

quadrants
4. Very high-pitched, loud rushes auscultated especially in 1 or 2
quadrants
945. The primary health care provider prescribes erythromycin suspension
800 mg by mouth. After reconstitution, how many milliliters should the
nurse pour into the medicine cup to deliver the prescribed dose? Refer to
figure. Fill in the blank.
Answer: _____ mL

(Brown, Mulholland, 2012.)

Answers

871. Answer: 3

Rationale: Whenever an abused client remains in the abusive environment,
priority must be placed on ascertaining whether the client is in any immediate
danger. If so, emergency action must be taken to remove the client from the abusing
situation. Options 1, 2, and 4 may be appropriate interventions but are not the
priority.
Test-Taking Strategy: Note the strategic word, priority. Use Maslow’s Hierarchy
of Needs theory, remembering that if a physiological need is not present, safety is
the priority. This will direct you to the correct option, the only one that directly
addresses client safety.
Level of Cognitive Ability: Applying
Client Needs: Safe and Effective Care Environment
Integrated Process: Nursing Process—Planning
Content Area: Mental Health
Health Problem: Mental Health: Abusive behaviors
Priority Concepts: Interpersonal Violence; Safety
Reference: Varcarolis (2017), p. 343.

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