The nurse is caring for a patient 24 hours after fluid resuscitation for burns over 50% of the body. Which assessment data obtained by the nurse indicates complications from the fluid resuscitation?
A) Absent peripheral pulses
B) Crackles in lung fields
C) Sinus bradycardia
D) 1+ pitting edema of the feet
B
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A client experiencing symptoms of anxiety would benefit from which therapy?
a. Chelation b. Phototherapy c. Therapeutic touch d. Magnetic therapy
The nurse in the emergency department caring for a client with an anterior dislocation of the knee should have as a priority the assessment of
a. capillary refill of the toes. b. degree of misalignment in the limb. c. degree of pain in the joint. d. mobility in the affected limb.
A nurse has successfully inserted the Vacutainer needle into the patient's right median cubital vein. Next, the nurse will correctly
1. Draw the appropriate amount of blood. 2. Release the tourniquet to reduce pressure on the vein. 3. Transfer the collected blood into the appropriate evacuated tube. 4. Gently push the Vacutainer tube onto the sheathed end of the needle.
A child with moderate hemophilia A who weighs 20 kg is admitted to the hospital after a knee injury with bleeding into the joint. The nurse will expect the provider to order which medication?
a. Advate 400 units IV over 10 minutes b. Benefix 800 units slow IV push c. Desmopressin 6 mcg IV over 15 to 30 minutes d. Tranexamic acid (Cyklokapron) 200 mg IV