The nurse notes that the handgrip of the client with hypokalemia has diminished since the previous assessment 1 hour ago. What is the nurse's first best action?
A. Assess the client's rate, rhythm, and depth of respiration.
B. Measure the client's pulse and blood pressure.
C. Document the findings as the only action.
D. Call the emergency team.
A
Progressive skeletal muscle weakness is associated with increasing severity of the hypokalemia. The most life-threatening complication of hypokalemia is respiratory insufficiency.
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At 4:45 p.m., a nurse assesses a client with diabetes mellitus who is recovering from an abdominal hysterectomy 2 days ago. The nurse notes that the client is confused and diaphoretic. The nurse reviews the assessment data provided in the chart below:
Capillary Blood Glucose Testing (AC/HS) Dietary Intake At 0630: 95 At 1130: 70 At 1630: 47 Breakfast: 10% eaten - client states she is not hungry Lunch: 5% eaten - client is nauseous; vomits once After reviewing the client's assessment data, which action is appropriate at this time? a. Assess the client's oxygen saturation level and administer oxygen. b. Reorient the client and apply a cool washcloth to the client's forehead. c. Administer dextrose 50% intravenously and reassess the client. d. Provide a glass of orange juice and encourage the client to eat dinner.
38.9 ° c = _____ ° f
a. 99.5 b. 101.8 c. 102 d. 103
A woman in the 34th week of pregnancy says to the nurse, "I still feel like having intercourse with my husband." The woman's pregnancy has been uneventful. The nurse responds based on the understanding that:
A) It is safe to have intercourse at this time B) Intercourse at this time is likely to cause rupture of membranes C) There are other ways that the couple can satisfy their needs D) Intercourse at this time is likely to result in premature labor
Some clients being chronically treated with which of the following drugs may develop hemolytic reactions?
a. mefloquine HCl (Lariam) c. primaquine b. chloroquine (Aralen) d. quinine