The physician prescribes phenytoin (Dilantin) for a client with seizure disorders. Phenytoin can only be mixed with which of the following solutions?

• A.Ringer's lactate
• B.D5 in water
• C.D5 with Ringer's lactate
• D.Normal saline

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At her first prenatal visit, a 21-year-old woman who is gravida 2, para 0, ab 1, is currently at 32 weeks' gestation and has a history of drug abuse, smoking, and occasional ethyl alcohol use. Fetal ultrasound tests indicate poor fetal growth. The most likely reason for the infant's intrauterine growth retardation is:

• A.The client's young age
• B.The client's previous abortion
• C.The client's history of drug, ethyl alcohol, and tobacco use
• D.The client's late prenatal care

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An 8-week-old infant has been diagnosed with gastroesophageal reflux. The nurse is teaching the infant's mother to care for the infant at home. Which one of the following statements by the nurse is appropriate regarding the infant's home care?

• A."Lay the infant flat on her left side after feeding."
• B."Feed the infant every 4 hours with half-strength formula."
• C."Antacids need to be given an hour before feeding."
• D."Play activities should be carried out before instead of after feedings."

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A client reports to the nurse that the voices are practically nonstop and that he needs to leave the hospital immediately to find his girlfriend and kill her. The best verbal response to the client by the nurse at this time is:

• A."I understand that the voices are real to you, but I want you to know I don't hear them. They are a symptom of your illness."
• B."Just don't pay attention to the voices. They'll go away after some medication."
• C."You can't leave here. This unit is locked and the doctor has not ordered your discharge."
• D."We will have to put you in seclusion and restraints for a while. You could hurt someone with thoughts like that."

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Endotracheal tube cuff pressure should never exceed:

• A.10 mm Hg
• B.20 mm Hg
• C.45 mm Hg
• D.60 mm Hg

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