Which nursing interventions are indicated when measuring pulmonary artery wedge pressure (PAWP)?
1. Use a volume of no more than 1.25 mL to inflate the balloon.
2. Pull back on the syringe to deflate the balloon.
3. Leave the balloon slightly inflated to maintain integrity.
4. Maintain balloon inflation for 3 to 5 minutes to obtain a stable reading.
5. If there is any resistance during inflation do not continue.
1, 5
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A nurse teaches a client to use a room humidifier after a laryngectomy. Which statement should the nurse include in this client's teaching?
a. "Add peppermint oil to the humidifier to relax the airway." b. "Make sure you clean the humidifier to prevent infection." c. "Keep the humidifier filled with water at all times." d. "Use the humidifier when you sleep, even during daytime naps."
A patient with a history of diabetes mellitus has had a procedure using radiocontrast dye
The patient's laboratory results include high urine sodium, urine with muddy-brown granular casts and tubular epithelial cells, and increased blood urea nitrogen (BUN) and serum creatinine. Renal ultrasonography is normal. Urine volume is normal. Which treatment does the nurse anticipate? A) Increased fluids B) Renal stent placement C) Irrigation of urinary catheter D) Diuretic therapy
When writing expected outcomes, the nurse should adhere to accepted criteria, which include:
a. nurse will assess vital signs every day. b. resident will observe safety guidelines while smoking. c. resident will take part in one activity daily for the next 90 days. d. nurse will monitor O2 saturation to maintain > 90%.
The nurse is reviewing the laboratory test results of a child diagnosed with disseminated intravascular coagulation (DIC). Which of the following would the nurse interpret as indicative of this disorder?
A) Shortened prothrombin time B) Increased fibrinogen level C) Positive fibrin split products D) Increased platelets