Twelve hours after the client was initially burned, bowel sounds are absent in all four abdominal quadrants. What is the nurse's best action?
A. Reposition the client onto the right side.
B. Document the finding as the only action.
C. Notify the emergency team.
D. Increase the IV flow rate.
B
Decreased or absent peristalsis is an expected response during the emergent phase of burn injury as a result of neural and hormonal compensation to the stress of injury. No currently accepted intervention changes this response, and it is not the highest priority of care at this time.
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A nurse should notify the physician immediately if a client taking a cholinergic drug develops which of the following?
A) Hypoglycemia B) Excessive salivation C) Severe abdominal cramping D) Muscle rigidity E) Muscle spasms
Based on the physiology of an infant's renal system, what does the nurse need to know about administering drugs to infants?
a. Drugs are excreted more rapidly in infants. b. Renal function reaches maturity at 1 month, so normal dosages can be administered to infants older than 1 month. c. Dosages must be reduced until age 1 year. d. Dosages must be increased until age 1 year.
When applying for a new position, the nurse knows to include what information in the cover letter?
a. Previous work history b. Education c. Date of availability d. Salary expected
Community partnership is necessary because lay members often have a vested interest in the success of efforts to improve the health of their community. Most changes should
1. Involve the community residents only 2. Use nurses as their source of information and leadership 3. Rely on the power of local officials 4. Include a variety of disciplines