The nursing measure that can best enhance large volumes of fluid replacement in hypovolemic shock is
a. insertion of a large-diameter peripheral intravenous catheter.
b. positioning the patient in the Trendelenburg position.
c. forcing at least 240 mL of fluid each hour.
d. administering intravenous lines under pressure.
A
Measures to facilitate the administration of volume replacement include insertion of large-bore peripheral intravenous catheters; rapid administration of prescribed fluids; and positioning the patient with the legs elevated, trunk flat, and head and shoulders above the chest.
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A nurse manager wants to cut costs and eliminate expensive latex-free gloves. Which response by the chief nursing officer (CNO) is best?
a. Allowing the change because it will save substantial money b. Allowing the change because the manager is in charge of the unit's budget c. Not allowing the change because latex allergy is fairly common d. Not allowing the change until the next vendor bidding cycle occurs
A community health nurse who will be working with a homeless population is planning care. Which of the following would the nurse need to do first?
A) Develop trust with the population B) Clarify personal values and beliefs C) Focus on the issue of homelessness D) Visit the local shelter where the clients are
A pregnant client is in a motor vehicle crash and needs surgery to repair a fractured lower leg. What special precautions will this client need during and after the surgery? Select all that apply
1. Prepare for intubation. 2. Insert a nasogastric tube. 3. Maintain on strict bed rest. 4. Insert an indwelling urinary catheter. 5. Apply sequential compression devices (SCDs).
Which of the following is evaluated as a legally appropriate notation?
a. "Dr. Green made an error in the amount of medication to administer." b. "Client verbalized sharp, stabbing pain along the left side of chest." c. "Nurse Williams spoke with the client about the surgery." d. "Client upset about the physiotherapy."