Which client is the best candidate to receive hypodermoclysis for IV therapy?
a. Client requiring 4000 mL normal saline in 24 hours
b. Client with an extensive burn injury
c. Client with allergy to hyaluronidase
d. Client receiving pain management
D
Subcutaneous therapy (hypodermoclysis) involves the slow infusion of isotonic fluids into the client's subcutaneous tissue. Most often, it is used in hospices for pain management. It should not be used if fluid replacement needs exceed 3000 mL/day. To be used, the client must have sufficient areas of intact skin. Hyaluronidase is frequently used to help absorb the fluid during therapy.
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In addition to providing coaching, a nurse mentor may provide counseling to the mentee. For counseling to be successful, the mentor must:
a. Provide a quiet environment away from the unit. b. Keep the focus on technical and manage-ment responsibilities. c. Assure confidentiality. d. Present assignments that stretch the intel-lectual and technical ability of the mentee.
To help prevent respiratory acidosis in a young person with asthma, the nurse would encourage:
a. deep-breathing exercises every 2 hours. b. drinking 8 ounces of fluid every 4 hours. c. ambulating for 15 minutes twice a day. d. sleeping with the head of the bed elevated 45 degrees.
The nurse is teaching a client with severe allergies how to prevent bug bites. Which statement by the client indicates that additional teaching is needed?
a. "I will avoid wearing perfume when I go outside." b. "I will put the picnic food out when we are ready to eat." c. "I will keep my car windows up at all times." d. "I will wear sandals whenever I go out-side."
An adult client assaults another client and is placed in restraints. Which statement from the client while in restraints should alert a nurse that further assessment is necessary?
A. "I hate all of you!"B. "My fingers are tingly."C. "You wait until I tell my lawyer."D. "I have a sinus headache."