A child has returned to the PICU following a brain tumor resection. which nursing assessment takes priority?
a. ICP
b. skin integrity
c. pain and discomfort
d. mobility
a. ICP
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A patient with alcoholism and chronic liver failure is admitted to the medical unit. He is confused and has an elevated serum ammonia level. What laxative will the nurse administer to lower the serum ammonia level?
A) Docusate sodium (Colace) B) Polyethylene glycol–electrolyte solution (NuLYTELY) C) Lactulose (Cephulac) D) Sorbitol
When discussing injury prevention with the parents of a toddler, which statement indicates teaching has been successful? "The leading cause of death in children is:
1. "Congenital anomalies." 2. "Infectious disease." 3. "Unintentional injury." 4. "Cancer."
A nurse cares for a client with hepatopulmonary syndrome who is experiencing dyspnea with oxygen saturations at 92%. The client states, "I do not want to wear the oxygen because it causes my nose to bleed. Get out of my room and leave me alone!"
Which action should the nurse take? a. Instruct the client to sit in as upright a position as possible. b. Add humidity to the oxygen and encourage the client to wear it. c. Document the client's refusal, and call the health care provider. d. Contact the provider to request an extra dose of the client's diuretic.
Which is the same ratio as 2:100?
a. 1:50 b. 5:300 c. 1:20 d. 4:25