Page 2612 - Saunders Comprehensive Review For NCLEX-RN

MedicAlert bracelet, preventing debris from entering the stoma, avoiding exposure
to people with infections, and avoiding swimming and using care when showering.
Additional interventions include wearing a stoma guard or high-collared clothing to
protect the stoma, increasing the humidity in the home, and increasing fluid intake
to 3000 mL/day to keep the secretions thin.
Test-Taking Strategy: Focus on the subject, client instructions regarding stoma
care. Recalling that most interventions focus on protection of the stoma and the
prevention of infection will assist in identifying the client instructions for home care.
Level of Cognitive Ability: Analyzing
Client Needs: Physiological Integrity
Integrated Process: Teaching and Learning
Content Area: Adult Health: Oncology
Health Problem: Adult Health: Cancer: Laryngeal and lung
Priority Concepts: Client Education; Gas Exchange
Reference: Lewis et al. (2017), p. 495.

929. Answer: 21

Rationale: Use the intravenous flow rate formula.
Formula:

Test-Taking Strategy: Focus on the subject, a medication calculation. Use the
formula for calculating intravenous flow rates when answering the question. Verify
the answer using a calculator, and be sure to round the answer to the nearest whole
number.
Level of Cognitive Ability: Applying
Client Needs: Physiological Integrity
Integrated Process: Nursing Process—Implementation
Content Area: Skills: Dosage Calculations
Health Problems: N/A
Priority Concepts: Clinical Judgment; Safety
Reference: Potter et al. (2017), pp. 978-979.

930. Answer: 2

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