When managing a client with severe hyperkalemia, the nurse should anticipate an order to administer:
1. furosemide (Lasix).
2. sodium bicarbonate.
3. sodium polystyrene sulfonate (Kayexalate) enema.
4. 50% sodium chloride.
ANS: 3
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Which nursing action is the most appropriate when applying a face mask to a child for oxygen therapy?
a. The oxygen flow rate should be less than 6 L/min. b. Make sure the mask fits properly. c. Keep the child warm. d. Remove the mask for 5 minutes every hour.
A client with acute disk herniation began using ice for analgesia along with medication therapy. The nurse explains that the client will be switched to heat therapy after
a. 24 hours. b. 48 hours. c. 72 hours. d. 96 hours.
The nurse is admitting a 35-year-old client with alcoholism to the hospital. In planning nursing care, what long-term nutritional goals might the nurse set?
A) To alleviate symptoms of disease B) To alleviate side effects of treatments C) To improve eating habits to reduce the risk of chronic disease D) To replenish fluid losses
A 19-year-old female admitted with anorexia nervosa is 5 ft 6 in (163 cm) tall and weighs 88 pounds (41 kg). Laboratory tests reveal hypokalemia and iron-deficiency anemia. Which nursing diagnosis has the highest priority?
a. Risk for activity intolerance related to anemia b. Risk for electrolyte imbalance related to eating patterns c. Ineffective health maintenance related to body image obsession d. Imbalanced nutrition: less than body requirements related to anorexia