The nursing care plan for a client with hypovolemia should include:

1. placing the client in a supine position.
2. increasing protein in the client's diet.
3. auscultating for adventitious lung sounds.
4. increasing fluid intake to 2000 mLper day.


ANS: 4

Nursing

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A woman is admitted to the high-risk OB unit with the diagnosis of preterm labor. Orders include bedrest with continuous fetal monitoring, administration of magnesium sulfate (Sulfamag) and betamethasone (Celestone), and laboratory work

In reviewing the patient's record, the nurse notes a history of hypertension that is well controlled with nifedipine (Procardia) and diet-controlled diabetes mellitus type 2. Which action by the nurse is best? A. Assist the woman to choose appropriate food items from the menu. B. Call the physician to question the orders and document the conversation. C. Order a pressure-relieving mattress overlay and perform a skin assessment. D. Prepare to give the magnesium sulfate and betamethasone as ordered.

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The nurse is planning a home care visit. What should the nurse keep in mind when making this visit?

1. The time of the visit should be mutually agreed upon with the client and nurse. 2. Take direction from the client for interventions. 3. Obtain written consent from family members to make visits. 4. Respect boundaries and maintain confidentiality.

Nursing

What is a direct care nurse? Provide two examples of the roles of direct care nurses

What will be an ideal response?

Nursing

Ordered: 10,000 units of Heparin in 500 mL D5W infusing at 20 mL/h. The hourly heparin dose is ________.

Fill in the blank(s) with the appropriate word(s).

Nursing