A 78-kg patient with septic shock has a urine output of 30 mL/hr for the past 3 hours. The pulse rate is 120/minute and the central venous pressure and pulmonary artery wedge pressure are low
Which order by the health care provider will the nurse question?
a. Give PRN furosemide (Lasix) 40 mg IV.
b. Increase normal saline infusion to 250 mL/hr.
c. Administer hydrocortisone (Solu-Cortef) 100 mg IV.
d. Titrate norepinephrine (Levophed) to keep systolic BP >90 mm Hg.
ANS: A
Furosemide will lower the filling pressures and renal perfusion further for the patient with septic shock. The other orders are appropriate.
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A nurse is teaching a client with diabetes mellitus who asks, "Why is it necessary to maintain my blood glucose levels no lower than about 60 mg/dL?" How should the nurse respond?
a. "Glucose is the only fuel used by the body to produce the energy that it needs." b. "Your brain needs a constant supply of glucose because it cannot store it." c. "Without a minimum level of glucose, your body does not make red blood cells." d. "Glucose in the blood prevents the formation of lactic acid and prevents acidosis."
A regular interval interrupted by an early beat, late beat, or missed beat indicates an abnormal rhythm or:
a. dysrhythmia. b. tachycardia. c. bradycardia. d. a pulse deficit.
The nurse is assessing a patient on antibiotic therapy who requests more information about the typical causes of H. pylori infection. It would be appropriate for the nurse to instruct the patient that:
A) Most affected patients acquired the infection during international travel. B) Infection typically occurs due to ingestion of contaminated food and water. C) A genetic factor predisposing individuals to H. pylori infection is having type A blood. D) Person-to-person transmission of the H. pylori organism does not occur.
Learning organizations adapt to change through their ability to be open, dynamic, and responsive to changes in the environment. Which of the following learning disciplines are true of these types of organizations (select all that apply)?
a. Learning is conducted in individual parts rather than in groups. b. Viewing the organization as an interre-lated system is known as systems thinking. c. Individuals utilize mental models to un-derstand how their vision affects their de-cisions and actions. d. Shared vision is conducted within a group to determine plans to get to the preferred future. e. Personal mastery encourages individuals to create results as they see fit.