A patient with acute hepatic dysfunction is experiencing a gastrointestinal bleed. Which of the following should the nurse be prepared to administer to assist this patient?
1. mannitol
2. albumin
3. antibiotics
4. vitamin K and fresh frozen plasma or platelets
4
Rationale: Treatment for an acute gastrointestinal bleed due to acute hepatic dysfunction includes the administration of vitamin K and fresh frozen plasma or platelets. Mannitol would be administered for increased cerebral edema. Albumin is indicated to treat hepatorenal syndrome. Antibiotics would be indicated to treat bacterial peritonitis.
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A child diagnosed with depression is given the nursing diagnosis of situational low self-esteem. Which statement by the child indicates that a short-term goal has been met?
A. "I have to sleep a lot when I feel sad, sometimes until noon!" B. "I wish I didn't make so many mistakes in my homework." C. "My mom makes me special cookies when I am feeling sad." D. "When I was feeling bad, I remembered my great science project."
The nurse suspects that a patient has a substance dependency. What observations did the nurse use to come to this conclusion?
Select all that apply. 1. presence of tolerance 2. substance taken longer than intended 3. spends more time in private using the substance 4. desire to control substance use 5. discontinues use while experiencing intrapersonal problems
Client teaching related to systemic lupus erythematosus (SLE) would include which of these aspects?
a. Eat in a sitting position or with the head of the bed elevated. b. Report joint pain to health care provider immediately. c. Increase medication when symptoms increase in severity. d. Direct sun exposure may increase symptoms and is contraindicated.
What are the primary sources of bacterial infections that lead to hematogenous bone infection?
a. Sinus b. Ear c. Dental d. Cutaneous e. Throat