Which nursing interventions are appropriate for a 38-year-old patient admitted with a diagnosis of Dehydration who has a temperature of 101.5°F (38.6°C)? Select all that apply
a. Provide oral and/or IV fluids.
b. Take vital signs every 2 hours.
c. Contact the provider for respirations of 18 breaths/min.
d. Keep the patient on a "nothing by mouth" (NPO) diet until defervescence occurs.
e. Apply a cooling blanket every 2 hours.
ANS: A, B
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A nurse is caring for a patient who is at 28 weeks' gestation and is receiving terbutaline (Brethine) to control preterm labor. Which of the following assessment parameters should the nurse prioritize?
A) Maternal body temperature B) Fetal heart rate (FHR) C) Correct fetal position D) Fetal blood pressure
A client diagnosed with AD exhibits progressive memory loss, diminished cognitive functioning, and verbal aggression upon experiencing frustration. Which nursing intervention is most appropriate?
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A client whose LMP started on April 15 will have an EDC of _________________________
Fill in the blank(s) with correct word
You are preparing a client for epidural placement by a nurse anesthetist in the LDR. Which interventions should be included in the plan of care? (Select all that apply.)
a. Administer a bolus of 500 to 1000 mL of D5 normal saline prior to catheter placement. b. Have ephedrine available at bedside during catheter placement. c. Monitor blood pressure of client frequently during catheter insertion and for the first 15 minutes of epidural administration. d. Insert a Foley catheter prior to epidural catheter placement. e. Monitor the client for hypertension in response to epidural insertion.