Once the protective wrap is removed from a bag of IV fluid, the fluid must be used:
A. within 48 hours.
B. within 24 hours.
C. within 36 hours.
D. immediately.
Answer: B. within 24 hours.
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The medical nurse is creating the care plan of an adult patient requiring mechanical ventilation. What nursing action is most appropriate?
A) Keep the patient in a low Fowler's position. B) Perform tracheostomy care at least once per day. C) Maintain continuous bedrest. D) Monitor cuff pressure every 8 hours.
The nurse is caring for the postoperative patient who has had spinal anesthesia. The nurse would place highest priority on reporting which of these assessments?
1. Complaints of a headache 2. Pulse rate of 78 beats per minute 3. Voided 300 mL 4. Blood pressure of 126/78
A 40-year-old postoperative patient has a hemoglobin level of 8 g/dL and an SaO2 of 95%. Considering all aspects, what conclusion would the nurse make about this patient's condition?
1. The patient is stable and at no special risk. 2. Oxygenation is adequate for a postoperative patient. 3. This patient has a potential risk of hypoxia. 4. The patient's SaO2 is higher than expected for the patient's age.
You are conducting a preparticipation physical examination for a 10-year-old girl with Down syndrome who will be playing basketball. She has slight torticollis and mild ankle clonus. Which additional diagnostic test would be required for her?
a. Cervical spine radiography b. Visual acuity c. Mini-Mental State Examination d. Nerve conduction studies