The athlete is a wrestler and has been trying to "drop weight" prior to a wrestling match. The athlete has been admitted through the emergency department with swollen fingers and a headache
Which of the following additional findings would be expected by the nurse? 1. Sodium 127 mEq/ L 2. Potassium 5.5 mEq/ L 3. Respiratory rate is 10 per minute 4. Temperature 97. 2 degrees Fahrenheit
1 Rationale: These findings are consistent with hyponatremia due to dehydration. The normal range of sodium is 135–145 mEq/ L. When clients are dehydrated, their potassium level would be decreased and their respiratory rate would increase. Their temperature would increase due to their inability to cool themselves through sweating and evaporation.
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The nurse should clean the nares of patients who have a nasogastric tube or are receiving oxygen by nasal cannula at least every:
a. 2 hours. b. 6 hours. c. 8 hours. d. 10 hours.
The client has frequent drug reactions to, and side effects from, his medications. He is 72 years old and lives alone. What should he be assessed for?
a. Clarity of mind b. Suicidal wishes c. Concurrent substance use d. Using someone else's medications
The nurse who respects the patient's right to refuse treatment is following which bioethical principle?
a. Justice b. Beneficence c. Autonomy d. Fidelity
A nursing supervisor is concerned when complaints against the staff in the emergency department start coming in
As the supervisor observes the staff on duty, which actions by the staff are concerning factors that could lead to client–nurse violence? (Select all that apply.) A) Nursing attitudes B) Aggressive approach of the staff C) Low staff-to-client ratio D) Excessive use of side rails E) Long client wait times