Identify a first priority problem:
A. The patient complains of acute pain
B. The patient appears confused and disoriented.
C. The patient has not peed in 8 hours.
D. The patients potassium levels are abnormal.
Answer: D. The patients potassium levels are abnormal.
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Which are (is) risk factors for vascular dementia (VaD) after a stroke?
a. Smoking b. Male sex c. Hypertension d. Advancing age e. Hyperlipidemia f. African American
The nurse is administering an intramuscular injection. After inserting the needle, the nurse pulls back on the plunger and sees blood enter the syringe. Which action by the nurse is the most appropriate?
1. Angle the needle slightly and draw back again. If no blood is obtained, inject the medication. 2. Pull back slightly on the needle and inject the medication. 3. Remove the needle from the site and insert the needle into a new site. 4. Remove the needle, discard the syringe, and prepare new medication for administration.
A client tells the nurse she is supplementing her selective serotonin reuptake inhibitor with St John's wort. The priority action the nurse should take is to
a. inquire as to what degree the depression has lifted. b. advise the client of the danger of selective serotonin syndrome. c. suggest that adding valerian to the treatment regimen may produce even better results. d. remind the client of the possibility of insomnia if the drugs are taken late in the day.
The physician has ordered 500 mL NS to run over 6 hours with a drop factor of 20 gtt/mL. What is the correct IV flow rate to set on the infusion pump?
A) 27 gtt/min B) 28 gtt/min C) 83 mL/hr D) 84 mL/hr