What priority nursing assessments should be made early in the refeeding process for a patient with anorexia nervosa? Select all that apply
a. Vital signs
b. Skin integrity
c. Peripheral edema
d. Lung and heart sounds
e. Level of consciousness
A, C, D, E
If refeeding results in too rapid weight gain the cardiovascular system might be compromised, giving rise to symptoms such as pulse irregularities, peripheral edema, abnormal heart sounds, and moist lung sounds. Alterations in oxygenation and cardiac perfusion would produce changes in the level of consciousness. Changes in skin integrity would not be a priority.
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A hospital patient's medication administration record specifies a dose of NPH insulin to be administered subcutaneously at 8 AM. The nurse has checked the patient's blood glucose level prior to administering the drug and it is 55 mg/dl
How should the nurse respond to this assessment finding? A) Administer the scheduled dose of insulin and encourage the patient to eat breakfast promptly. B) Withhold the insulin and facilitate a dose of intravenous glucagon. C) Hold the dose of insulin and consult with the patient's primary care provider. D) Administer half of the ordered dose before breakfast and half of the dose after breakfast.
The manager is watchful of compassion fatigue among the nursing staff of the emergency department. What is the best indicator to the manager that this disorder is occurring?
1. Nurses complain of being too tired to work. 2. Clients complain that nurses are not compassionate. 3. Physicians complain that the nurses are not taking good care of clients. 4. Symptoms much like severe burnout occur in the staff.
The onset of seizures in the patient with DI indicates
a. increased potassium levels. b. hyperosmolality. c. severe dehydration. d. toxic ammonia levels.
The nurse is reviewing instructions for vaginal antifungal drugs with a patient. Which statement by the nurse is an appropriate instruction regarding these drugs?
a. "The medication can be stopped when your symptoms are relieved." b. "Discontinue this medication if menstruation begins." c. "Daily douching is part of the treatment for vaginal fungal infections." d. "Abstain from sexual intercourse until the treatment has been completed and the infection has resolved."