The nurse working in the ed is caring for a client admitted with a suspected spinal cord injury. It would require follow up with the nurse if the PCP prescribed which medication
A. Dextran
B. Mannitol
C atropine
D dopamine
The nurse is caring for a client who is receiving a blood transfusion. The transfusion started 30 minutes ago at a rate of 100 mL/hr. The client begins to complain of low back pain and headache and is increasingly restless. What is the first nursing action?
a. Stop the transfusion, disconnect the blood tubing, and begin a primary infusion of normal saline solution
b. Slow the infusion and evaluate the vital signs and the client’s history of tranfusion reactions
c. Slow the infusion of blood and begin infusion of normal saline solution from the Y connector.
d. Recheck the unit of blood for correct identification numbers and crossmatch information
The nurse administering albuterol (Proventil) via a metered-dose inhaler (MDI) to a client who has a history of coronary artery disease is now in congestive heart failure. What side effects will be particularly important to observe for when the client takes the medication?
a. Tremors and central nervous system stimulation
b. Tachycardia and chest discomfort
c. Development of oral candidiasis
d. An increase in blood pressure
What is the desired action of dopamine (Intropin) when administered in the treatment of shock?
a. It increases myocardial contractility
b. It is associated with fewer severe allergic reactions
c. It causes rapid vasodilation of the vascular bed
d. It supports renal perfusion by dilation of the renal arteries
The nurse is caring for a client with chronic hep B. What will the teaching plan for this client include? A. use a condom for sexual intercourse B. Report any clay- colored stools. C. Eat a high protein diet D. Perform daily urine bilirubin checks
A patient with septic shock has a urine output of 20 mL/hr for the past 3 hours. The pulse rate is 120 and the central venous and pulmonary artery wedge pressure are 4. Which of these orders by the health care provider will the nurse question? a. Give furosemide (Lasix) 40 mg IV b. increase normal saline infusion to 150 mL/hr c. Administer hydrocortisone (SoluCortef) 100 mg IV d. Prepare to give drotrecogin alpha (Xigris) 24 mcg/kg/hr
A nurse is teaching a client about the use of an incentive spirometer. Which of the following instructions should the nurse include in the teaching?
A. Place hands on the upper abdomen during inhalation.
B. Position the mouthpiece 2.5 cm (1 in) from the mouth
C. Exhale slowly through pursed lips
D. Hold breaths about 3 to 5 seconds before exhaling
A nurse is setting up a sterile field before performing a dressing change on a client who is postoperative. Which of the following actions should the nurse plan to take to maintain the sterile field? (Select all that apply)
A. Grasp 2.5 cm (1 in) of the outer edge to open the surgical wrap
B. Open the first flap of the sterile package toward the nurse’s body
C. Place a surgical pack with a sterile drape on the work surface
D. Select a work surface at the nurse’s waist level E. Apply sterile gloves before opening the pack
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