Which clinical manifestation indicates that the burned client is moving into the fluid remobi-lization phase of recovery?
A. Increased urine output, decreased urine specific gravity
B. Increased peripheral edema, decreased blood pressure
C. Decreased peripheral pulses, slow capillary refill
D. Decreased serum sodium level, increased hematocrit
A
The "fluid remobilization" phase improves renal blood flow, increasing diuresis and restoring fluid and electrolyte levels. The increased water content of the urine reduces its specific gravity.
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You are to connect a patient to a cardiac monitor. Which of the following actions should you take to ensure an accurate electrocardiogram tracing?
1) Select electrode placement sites over bony prominences. 2) Apply the electrodes immediately after cleansing the skin, before the alcohol evaporates. 3) Before applying the electrodes, rub the placement sites with gauze until the skin reddens. 4) Ensure that the gel on the back of the electrodes is dry.
The nurse on a pediatric unit is writing guidelines for age-specific preparation of children for procedures based on developmental characteristics. What guideline is accurate?
a. Inform toddlers about an upcoming procedure 2 hours before the procedure is to be performed. b. Inform school-age children about an upcoming procedure immediately before the procedure is scheduled to occur. c. Discourage parent presence during procedures on infants and toddlers. d. Use simple diagrams of anatomy and physiology to explain a procedure to a school-age child.
You respond to a patient who has been having trouble with his indwelling urinary catheter. Vital signs? are: pulse,? 110; respiration? rate, 22; ETCO2?, ?28; temperature, 101.2degreesF. You? suspect:
The nurse is providing routine follow-up care for a young adult with asthma who has been on a 3-month course of maintenance therapy. Which of the following activities would best help the nurse to determine if the patient's treatment plan was effective?
a. Examine daily tracking records of the peak expiratory flow rate. b. Evaluate the patient's use of an incentive spirometer. c. Determine the patient's pulse oximeter reading. d. Obtain an arterial blood gas (ABG) analysis.