Page 2619 - Saunders Comprehensive Review For NCLEX-RN

associated with nausea and vomiting. A swishing or buzzing sound represents
turbulent blood flow associated with a bruit. Bruits are not normal sounds. Bowel
sounds are very high-pitched and loud (hyper-resonance) when the intestines are
under tension, such as in intestinal obstruction. Therefore, options 2, 3, and 4 are
incorrect.
Test-Taking Strategy: Note the subject, techniques for abdominal assessment.
Normally, bowel sounds are audible in all four quadrants, so options 2 and 4 can be
eliminated. From the remaining options, focus on the data in the question and note
that the client has nausea and vomiting; this will direct you to the correct option.
Level of Cognitive Ability: Analyzing
Client Needs: Physiological Integrity
Integrated Process: Nursing Process—Assessment
Content Area: Health Assessment/Physical Exam: Abdomen
Health Problem: Adult Health: Gastrointestinal: Upper GI disorders
Priority Concepts: Elimination; Health Promotion
Reference: Jarvis (2016), pp. 548–549, 572.

945. Answer: 20

Rationale: Use the medication calculation formula.
Formula:

Test-Taking Strategy: Note the subject, medication calculations. Review the label
for the correct reconstitution, which states 200 mg in 5 mL. Calculate the prescribed
number of milligrams per milliliter. Use a calculator to verify the answer and make
sure that the answer makes sense.
Level of Cognitive Ability: Applying
Client Needs: Physiological Integrity
Integrated Process: Nursing Process—Implementation
Content Area: Skills: Dosage Calculations
Health Problem: N/A
Priority Concepts: Clinical Judgment; Safety
Reference: Potter et al. (2017), pp. 978-979.

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