The nurse on a team maintaining an organ donor before organ harvest makes the following assessment findings. Which finding must be addressed first?
a. Blood pressure of mm Hg
b. Pulse of 120 beats/min
c. Respirations of 16/min
d. Urine output of 60 ml/hr
D
The "Rule of 100s" outlines that for organ viability the donor should be maintained at blood pressure systolic 100 mm Hg, heart rate 100 beats/minute, urine output 100 ml/hour, and a PaO2 of 100 mm Hg. The other findings do not require action.
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Common somatic symptoms during acute grief include
a. colitis c. persistent abdominal pain b. chest pressure d. choking with short-ness of breath
The nurse is prescreening a surgical patient in the preadmission testing unit. The medication history indicates that the patient is currently taking an anticoagulant. Which action should the nurse take when consulting with the health care provider?
a. Ask for a radiological examination of the chest. b. Ask for an international normalized ratio (INR). c. Ask for a blood urea nitrogen (BUN). d. Ask for a serum sodium (Na).
A nurse is educating a client in the critical care unit. The nurse notes that the client's production of sugar from noncarbohydrate stores is also known as which of the following?
A) Gluconeogenesis B) Glycogenolysis C) Lipolysis D) Ketosis