Your client is receiving an isotonic IV solution. What solution is it?
1. 0.9% sodium chloride
2. D5W
3. 0.45% sodium chloride
4. D10W
ANS: 1
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The nurse knows that patients who are in shock have special nutritional needs; these special nutritional needs are directly related to the:
A) Use of albumin as a food source by the body because of the need for increased caloric intake B) Loss of fluids due to stress ulcers and decreased stomach acids due to increased parasympathetic activity C) Release of catecholamines that creates an increase in metabolic rate and caloric requirements D) Increase in gastrointestinal function during shock and the resulting diarrhea.
The physician has ordered 250 mg of Dobutrex (dobutamine) in 500 mL of D5W. It is to infuse at 3 mcg/kg/min per infusion pump. The patient weighs 80 kg. What is the correct IV rate in mL/hr? Round off to the closest whole number
A) 26 B) 27 C) 28 D) 29
The nurse monitors the client with which condition most carefully for metabolic alkalosis?
a. A critical illness receiving total parenteral nutrition b. Type 1 diabetes on once-daily insulin therapy c. Metastatic breast cancer on continuous IV morphine d. Asthma using an adrenergic agonist inhaler
A newly pregnant patient tells the nurse that she has irregular periods and is unsure of when she got pregnant. Scheduling an ultrasound is a standing prescription for the patient's health care provider
When is the best time for the nurse to schedule the patient's ultrasound? a. Immediately b. In 2 weeks c. In 4 weeks d. In 6 weeks