What should the nurse do?
The nurse has telephone messages from four patients who requested information and assistance. Which one should the refer to a social worker or community agency first? 1. "I think I have Asthma, I cough everytime I am around a dog" 2. Is there a place I can dispose of my unused morphine pills" 3. I ran out of money and am cutting my insulin dose in half 4. I want to lose 20 lbs without getting sick this time"
What is number 3 "I ran out of money and am cutting my insulin dose in half"
Patient hyperventilating from anxiety and abdominal pain - which assessment findings contribute to respiratory alkalosis name 3 signs and symptoms
`What are Cramping in feet, tingling of fingertips, and numbness around the mouth
A patient presents to the emergency department with reports of vomiting and diarrhea for the past 48 hours. The HCP orders Isotonic intravenous IV therapy. Which IV solution will the nurse prepare?
What is 0.9% Sodium chloride (NS)
A nurse has just received a bag of packed RBCs for a patient, what is the longest time the nurse can let the blood infuse?
What is 4 hours
The nurse observes that the patient's calcium is elevated, when checking the phosphate level, what does the nurse expect to see?
What is a decrease in phosphate.
The patient has severe hyperthyroidism and will have surgery tomorrow. What assessment is most important for the nurse to perform in order to detect development of the highest risk acid-base imbalance.
What is level of consciousness
What are a low ph, a high PaCO2 and a High HCO3.
The HCP has ordered a hypotonic IV solution to administered. Which IV bag will the prepare
What is 0.45% sodium chloride (1/2 NS)
A nurse is administering a diuretic to a patient and is teaching about foods to increase in the diet, which food choices by the patient will best indicate successful teaching?
What is potatoes and fresh fruit
A patient is experiencing dehydration. While planning care, the nurse considers that the majority of the patient's total water volume exists in which department?
What is Intracellular
The nurse is assessing a patient and notes crackles in the lung bases and neck vein distention, which action will the nurse take first? 1. offer calcium rich foods
2. raise the head of the bed, 3. Increase Fluids, 4. Administer diuretics
What is Raise the head of the bed.
1. white of eyes are yellow 2. Urine output very small today 3. Skin is sweaty under 3 blankets 4. Skin and the mouth are very chapped.
What is Urine output is very small today
A nurse is caring for a patient diagnosed with Cancer who presents with anorexia, BP 100/60, and a high WBC count, which primary purpose for starting TPN (total parenteral nutrition) will the nurse add to the plan of care?
What is replace fluids, electrolytes, and nutrients
The nurse's laboratory blood results will expect to observe which cation in the most abundance?
What is sodium
A nurse is caring for a patient with hyperkalemia. Which body system assessment is the priority?
What is Cardiac
The nurse is teaching about the process of passively moving water from an area of lower particle concentration to an area of higher particle concentration. Which process is the nurse describing?
What is Osmosis
A 2 year old child has ingested a quantity of a medication that causes respiratory depression. For which acid-base imbalance will the nurse most closely monitor in this child
What is Respiratory Acidosis
A patient is experiencing dehydration. While planning care, the nurse considers that the majority of the the patient's total water volume exists in which compartment?
What is the Intracellular department
A patient receiving Chemotherapy has gained 5 lbs in 2 days. Which assessment question by the nurse is most appropriate?
What is how many times a day do you urinate
Which assessment finding should cause a nurse to further assess for Extracellular Fluid volume deficit?
1. Pitting Edema, 2. Moist Mucus Membranes, 3. Postural Hypotension, 4. Supple skin turgor
What is Postural Hypotension
A nurse is caring for a patient who is receiving peripheral IV therapy when the nurse flushes the patient's line and the patient reports pain. Upon assessment the nurse notices a red streak that warm to touch. What is the nurse's initial action?
What is d/c the IV.
A patient is experiencing respiratory acidosis, what organ system is responsible for compensating for this
What is the renal system.
The nurse is caring for a patient with hyperkalemia. Which body system assessment is the priorty?
What is Cardiac
A nurse preparing to start a blood transfusion will use which type of tubing?
What is one with a filter to ensure that clots do not enter the patient
The with which diagnosis should have the highest priority for teaching regarding foods that are high in magnesium oliguric renal disease, adrenal insufficiency, severe hemorrhage, or diabetes insipidus
What is oliguric renal disease