F.F.'s pain is treated in the ED with IV morphine. It is late afternoon before he is admitted to
your unit, and he is scheduled for lithotripsy in the morning. What specific priorities do you
identify for F.F.?
What will be an ideal response?
• Pain control for right flank pain, tenderness, and reduction of the N/V.
• Control his glucose level. The stress of his illness might alter his metabolism of glucose. Although
he has not eaten much, his glucose is elevated (260 mg/dL), and he needs rapid-acting or shortacting insulin coverage to control his glucose.
• Facilitate sleep and rest because F.F. looks exhausted and stated that he did not sleep well last
night.
• Monitor his hematocrit and hemoglobin; he is losing blood in his urine.
• Monitor fluid status. F.F.'s BUN and creatinine are elevated, which indicates underlying renal
damage.
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Schools of nursing based on Florence Nightingale's model of classroom and clinical experience began to appear in the United States after the American Civil War. What influence did war have on nursing education?
1. no true influence 2. increased demand for trained nurses 3. increased paternalism 4. increased nursing shortages in the hospitals
During the progressive stage of shock, lactic acidosis occurs, resulting in
a. arterial pooling in the periphery. b. constriction of the microcirculation. c. increased capillary permeability. d. movement of fluid into the capillaries.
What choice of words or phrases would be inappropriate to use with a child?
a. "Rolling bed" for "stretcher" b. "Special medicine" for "dye" c. "Make sleepy" for "deaden" d. "Catheter" for "intravenous"
A patient complains of feeling like he is unable to empty his bladder. A nurse performs a bladder scan to
1. Determine bladder capacity. 2. Look for blockages. 3. Measure residual urine. 4. Check for blockage by the prostate or paraurethral gland.