A patient has acute tubular necrosis. The following blood work was noted: complete blood count shows a white blood cell count of 11,000 mm3, a hemoglobin of 8 g/dL, and a hematocrit of 30%. His chemistry panel shows serum potassium, 4
5 mg/dL; serum sodium, 135 mg/dL; serum calcium, 8.5 mg/dL; BUN, 20 mg/dL; and creatinine, 1.5 mg/dL. What laboratory value(s) need(s) to be treated most immediately and why? a. Administration of 5% dextrose in water and insulin because the patient is hyperkalemic and needs this level reduced
b. Administration of Epogen to treat anemia
c. Administration of a broad-spectrum antibiotic to treat the elevated blood cell count
d. Administration of a calcium supplement for low calcium
B
A patient showing signs of anemia per his hematocrit and hemoglobin must be treated. Epogen is used because it helps stimulate erythrocyte production by the bone marrow.
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Convert 2 teaspoons to an equivalent amount in milliliters
1. 10 milliliters 2. 30 milliliters 3. 7.5 milliliters 4. 20 milliliters
The nurse manager needs to be aware of the role that national and local economics play in staffing. When do nursing shortages occur?
1 . Historically when the economy is on an upswing 2 . Historically when the economy recedes 3 . Currently when the economy is on an upswing 4 . Currently when the economy recedes A) 1, 2, 3 B) 1, 2, 4 C) 1, 3, 4 D) 2, 3, 4
A new mother states that her infant must be cold because the baby's hands and feet are blue. The nurse explains that this is a common and temporary condition called
a. Acrocyanosis b. Erythema neonatorum c. Harlequin color d. Vernix caseosa
A patient with thoracic injuries sustained in a multivehicle crash is demonstrating an alteration in perfusion. What should the nurse do to help this patient?
Select all that apply. 1. Auscultate lung sounds. 2. Measure blood pressure. 3. Measure central venous pressure. 4. Reduce rate of intravenous fluids. 5. Assess for jugular vein distention.