A patient is admitted to the hospital with hyperemesis gravidarum. The patient is malnourished and severely dehydrated. The care plan should be altered to include which interventions?
a. Hyperalimentation
b. IV fluids and electrolyte replacement
c. Hormone replacement therapy
d. Vitamin supplements
ANS: B
Medical treatment is aimed at meeting fluid and electrolyte replacement.
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A nurse completes the Pediatric Fall Risk Assessment on a patient who scores a 9. Which intervention by the nurse is most important to include on the care plan?
A. Allow independent ambulation around the unit. B. Maintain forced bedrest with restraints if necessary. C. Provide assistance with transfers and ambulation. D. Use two individuals at all times for mobility.
A patient, age 23, has a comminuted fracture of T6-T7 . She has a spinal cord injury resulting in paraplegia. She manifests signs and symptoms of autonomic dysreflexia, which is frequently triggered by
a. bladder distention. b. nausea. c. food allergies. d. electrolyte imbalance.
The nurse is obtaining a history on a client stating nocturia. When evaluating the client's evening behaviors, which may be the cause of the problem?
A) The client takes 8 oz of water after dinner with her evening medications. B) The client urinates for the evening while getting ready for bed. C) The client takes a furosemide (Lasix) with the evening medications. D) The client uses the Credé's maneuver when urinating at bedtime.
While assessing auscultated spoken sounds, the ausculated sound is heard as "a-a-a" when he is asked to repeat "e-e-e." This is indicative of:
A. Asthma B. Tumor C. Pneumonia D. Pleural effusion