The nurse is reviewing laboratory results on a patient who had a large burn 48 hours ago. Which result requires priority action by the nurse?
a. Hematocrit 53%
b. Serum sodium 147 mEq/L
c. Serum potassium 6.1 mEq/L
d. Blood urea nitrogen 37 mg/dL
ANS: C
Hyperkalemia can lead to fatal dysrhythmias and indicates that the patient requires cardiac monitoring and immediate treatment to lower the potassium level. The other laboratory values are also abnormal and require changes in treatment, but they are not as immediately life threatening as the elevated potassium level.
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Aortic regurgitation occurs after S2 during ____ because there is turbulent flow that refluxes into the left ventricle after the aortic valve closes
A. Early diastole B. Late diastole C. Early systole D. Mid-systole
When planning intrapartum care for a client with heart disease, the nurse should include:
a. taking vital signs according to standard protocols. b. continuously monitoring cardiac rhythm with telemetry. c. massaging the uterus to hasten birth of the placenta. d. maintaining the infusion of intravenous fluids to avoid dehydration.
Many alternative and complementary therapies share which of the following concepts?
1. The use of herbs is a cornerstone of good health. 2. Patients are capable of decision making and should be a part of the health care team. 3. Touch should be used to relieve pain and reduce anxiety. 4. Patients should place the responsibility for their health and healing in the hands of alternative healers.
The nurse has completed nutritional teaching with the patient who has a high low density lipoprotein (LDL) level. The nurse recognizes that teaching has been effective when the patient makes which menu choice?
1. Beef tenderloin with gravy and noodles, fruit salad with apples and grapefruit, slice of rye bread, and apple pie 2. Grilled chicken salad with strawberries and pecans, baked macaroni and cheese, and low-fat brownie 3. Grilled chicken with rice and broccoli, tossed salad with walnuts and sliced apples, slice of whole-wheat bread, and low-fat chocolate pudding 4. Low-fat hamburger with whole-wheat bun, tossed salad with walnuts and olive oil, and raisin-oatmeal cookie