A nurse is managing the fluid status of a client being treated for a burn. Which of following is an indicator of adequate fluid resuscitation?
1. Blood pressure 95/60 mmHg
2. Pulse 115 bpm
3. Patient confusion
4. Urine output 30 mL/hr
4
Fluid should be titrated to ensure a urine output of 30 to 50 mL/hr. The other assessment values are not indicators of adequate fluid hydration.
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A client is admitted to the hospital with fractures of the left hand and right elbow. Which of the following assessments contains the data that best represent a nursing assessment?
1. X-rays show nonunion fracture of the left hand and comminuted fracture of the right elbow. 2. White blood count differential shifts to left. 3. Neurological testing reveals partial to total nerve involvement to left first digit. 4. Client is unable to perform self-feeding and hygiene measures with two broken upper extremities.
A client is prescribed a monoamine oxidase inhibitor for the treatment of his Parkinson's disease. The nurse anticipates that this drug is:
a. amantadine. c. benztropine mesylate. b. selegiline. d. bromocriptine mesylate.
When assessing the peritoneal cavity in a female client, at which area would the nurse palpate?
A) Above the uterus on the anterior surface of the rectum B) In front of the uterus and cervix above the rectal sphincter C) On the anterior rectal surface behind the cervix and uterus D) At the anterior rectal surface toward the umbilicus
The nurse is caring for a patient recovering from cardioversion. For what should the nurse monitor in this patient? (Select all that apply.)
a. Skin burns b. Blood pressure c. Sensory disturbances d. Respiratory problems e. Rhythm disturbances f. Changes in ST segment