A client is receiving fluid resuscitation after a burn. Which finding indicates that fluid resuscita-tion is adequate for this client?
a. Hematocrit = 60%
b. Heart rate = 130 beats/min
c. Increased peripheral edema
d. Urine output = 50 mL/hr
D
The fluid remobilization phase improves renal blood flow, increases diuresis, and restores blood pressure and heart rate, as well as laboratory values, to more normal levels.
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When assessing a newborn's reflexes, the nurse strokes the newborn's cheek and the newborn turns toward the side that was stroked and begins sucking. The nurse documents which reflex as being positive?
A) Palmar grasp reflex B) Tonic neck reflex C) Moro reflex D) Rooting reflex
A 27-year-old male arrives at the emergency department reporting a sudden severe-onset headache. Diagnostic studies confirm he is experiencing an intracerebral hemorrhage The nurse recognizes which risk factor for this condition in the patient's history?
1. The patient reports having a sprained ankle last week, for which he took ibuprofen. 2. The patient reports smoking a pack of cigarettes a day since he was 16 years old. 3. The patient is 27 years old. 4. The patient is male.
A 16-year-old trauma victim arrives in the emergency department with a life-threatening condition and requires emergency surgery. The nurse knows that
a. a parent/guardian must give consent. b. the client can give consent if she provides proof of emancipation. c. the client must first be evaluated for competency before obtaining consent. d. surgery can be performed without consent.
The client is having a seizure that lasts for 1 minute and 30 seconds. Convert this to seconds
1. 60 seconds 2. 90 seconds 3. 120 seconds 4. 150 seconds