A patient is prescribed IV fluid to replace electrolytes and expand plasma volume. Which type of fluid will the nurse provide to the patient?
a. Isotonic solution
b. Dextrose solution
c. Hypotonic solution
d. Hypertonic solution
ANS: D
D. Hypertonic fluids pull fluid from the interstitial space into venous circulation, expanding plasma volume. Lactated Ringer's solution is a hypertonic solution that also replaces electrolytes. A. Isotonic solutions are not generally given to replace electrolytes. B. C. Hypotonic and Dextrose solutions will shrink plasma volume.
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An adult patient with diagnoses of liver cirrhosis and hepatitis C is exhibiting signs and symptoms of hypovolemic shock. How will the patient's compromised hepatic function affect the possible use of epinephrine?
A) The patient will require a higher-than-normal dose. B) The patient's hepatic function is not a priority consideration. C) The patient should not receive epinephrine by a parenteral route. D) The patient should receive a small fraction of the normal dose.
The nurse on an adolescent psychiatric unit assesses a newly admitted 14-year-old. Which findings should the nurse document as aspects of the developmental history? Select all that apply
a. Severe acne b. Apgar score 10 c. Allergic to penicillin d. Reports frequent nightmares e. Had sexual intercourse one time with a childhood friend
The licensed practical nurse is co-assigned with a registered nurse in the care of a client admitted to the cardiac unit with chest pain
The licensed practical nurse is assessing the accuracy of the cardiac monitor, which notes a heart rate of 34 beats/minute. The client appears anxious and states not feeling well. The licensed practical nurse confirms the monitor reading. When consulting with the registered nurse, which of the following is anticipated? A) The registered nurse stating to administer Lanoxin (digoxin) B) The registered nurse administering atropine sulfate intravenously C) The registered nurse stating to hold all medication until the pulse rate returns to 60 beats/minute D) The registered nurse stating to administer all medications accept those which are cardiotonics
The early morning care includes:
A) offering the bedpan or urinal or assisting the patient client to the bathroom. B) helping with vacuuming C) foot care and toe nail clipping D) washing the patient's clothes