The nurse should carefully monitor which laboratory result in patients receiving parenteral nutrition formulas with high amino acid content?
1. Sodium
2. Bicarbonate
3. Calcium
4. Blood urea nitrogen
Correct Answer: 4
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After assessing an older adult client with a burn wound, the nurse documents the findings as follows:
Vital Signs Laboratory Results Wound Assessment Heart rate: 110 beats/min Blood pressure: 112/68 mm Hg Respiratory rate: 20 breaths/min Oxygen saturation: 94% Pain: 3/10 Red blood cell count: 5,000,000/mm3 White blood cell count: 10,000/mm3 Platelet count: 200,000/mm3 Left chest burn wound, 3 cm × 2.5 cm × 0.5 cm, wound bed pale, surrounding tissues with edema present Based on the documented data, which action should the nurse take next? a. Assess the client's skin for signs of adequate perfusion. b. Calculate intake and output ratio for the last 24 hours. c. Prepare to obtain blood and wound cultures. d. Place the client in an isolation room.
A 75-year-old male client is brought to the clinic by his son. The son states, "Ever since Mom died, Dad hasn't been the same. At first he just seemed sad, but now he seems to get mixed up about everything
" The nurse is aware that based on the client's history, the source of confusion is most likely: a. Dementia b. Depression from the loss of his wife c. Hypoxia of the brain d. Delirium from medications
The nurse is preparing to administer a topical anesthetic to a 10-year-old girl with a chin laceration. The nurse would expect to apply which of the following as ordered in preparation for sutures?
A) TAC (tetracaine, epinephrine, cocaine) B) Iontophoretic lidocaine C) EMLA D) Vapocoolant spray
The models of nursing care delivery have been many and varied throughout the history of nursing. Which of the following best describes the idea of the continuity of care?
A) Money focused B) Client focused C) Primary nursing D) Functional nursing