An older patient who takes digoxin for an irregular heart rhythm has been experiencing nausea and vomiting and has not eaten in 2 days. The patient now is exhibiting weakness, bradycardia, and visual disturbances
What laboratory tests would the nurse monitor for this patient? 1. Hemoglobin
2. Urine analysis
3. Calcium levels
4. Serum electrolytes
4
Rationale: The hemoglobin is a test for red cell counts.
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A critically ill oncology patient is experiencing severe hypercalcemia. Medical management would include
A) administering high doses of phosphorous. B) withholding the oncological agents. C) administering aggressive hydration. D) transfusing the patient with packed cells.
What is meant by the nurse's being "present" with a patient? Select all that apply
a. Being open to patient's beliefs and concerns b. Setting the agenda and leading discussions c. Allowing the patient to tell stories about his illness d. Using active listening skills
A 42-year-old client has a rectal temperature reading of 39.2°C (102.6°F). Her blood pressure has decreased from 124/76 to 118/70 since taken 4 hours earlier. Her pulse rate has increased from 68 to 78. The nurse's initial best action is to:
a. Document the vital signs and continue with her assessment b. Contact the provider immediately due to the alarming changes in the vital signs c. Obtain a pulmonary artery temperature reading before initiating any type of treatment d. Ask the NAP to obtain another set of vital signs in 4 hours
A client has returned to the unit after having an EGD (esophagogastroduodenoscopy) to evaluate a gastric ulcer. What safety measure should be instituted for this client?
A. The client should be placed in lithotomy position to prevent aspiration. B. The client should be supine for 8 hours after the examination. C. The client should be kept NPO until the gag reflex returns. D. The client should be given midazolam (Versed) to reverse the sedation.