The nurse prepares to administer mannitol intravenously. The solution has formed crystals in the vial. Which action is the most appropriate?
a. Use an in-line filter to remove the crystals.
b. Warm the solution to redissolve the crystals and then cool to body temperature for administration.
c. Mix the crystals with normal saline to dilute them, and administer as prescribed.
d. Discard the solution because of contamination and reorder from the pharmacy.
b
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The nurse teaches the teenager and parents that the signs of diabetic ketoacidosis (DKA) include which of the following? (Select all that apply.)
1. Tachycardia 2. Abdominal pain 3. Fruity breath odor 4. Change in mental status 5. Rapid, shallow respirations
The spouse of a client being treated for depression tells the nurse that she does not believe the client is responding to the medication. Which of the following responses should the nurse make to the spouse?
1. "Stop the medication immediately.". 2. "Stay on the medication for 6 months to see if there is a response.". 3. "A trial and error period is the best way to determine which medication is the most effective.". 4. "Learn to live with the depression.".
A staff nurse enters the room in which you're giving care to a patient in traction. She calls you aside and states, "I've watched you all morning. You don't seem to know how to do anything right. Look at you now!
You're bathing the patient and it's almost time for lunch." An assertive approach would be to say a. "You're right. I am still bathing the patient. She was in pain earlier. I waited until her narcotic made her more comfortable." b. "I'm sorry you think I give poor care. I'm still pretty new, and I'm trying hard to learn." c. "I've watched you, too. You've criticized every student. Is this some game you play?" d. "I hope you won't report this to my instructor."
While teaching the expectant mother about personal hygiene during pregnancy, maternity nurses should be aware that:
a. Tub bathing is permitted even in late pregnancy unless membranes have ruptured. b. The perineum should be wiped from back to front. c. Bubble bath and bath oils are permissible because they add an extra soothing and cleansing action to the bath. d. Expectant mothers should use specially treated soap to cleanse the nipples.