You administer furosemide (Lasix) 80 mg IVP
Identify three parameters you would use to monitor the effectiveness of this medication.
• Increased urine output
• Daily weight, looking for weight loss
• Intake and output (I&O)
• Decreased dependent edema
• Decreased shortness of breath, diminished crackles in the bases of the lungs, decreased work of
breathing, and decreased O2 demands
• Decreased jugular venous distention (JVD)
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In situations where clients are quiet and uncommunicative, which of the following interventions should be implemented by the nurse?
A) Probe the client and emphasize communication. B) Do not wait for reticent clients to share their feelings. C) Avoid assuming that the client has no problems. D) Allow clients to express their emotions without fear.
The nurse is caring for a patient who has dementia and has been getting up out of bed at night. What action by the nurse will be most therapeutic?
a. The nurse places all of the side rails in the up position. b. The nurse raises the bed to a tall position to reduce the patient's ability to get out of bed. c. The nurse obtains orders from the physi-cian to apply restraints at night. d. The nurse places the mattress on the floor.
The nurse has identified the goals of "intact skin integrity" and "intact stoma integrity" for a patient with a colostomy
Which evaluation parameters are best suited for these goals? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. The stoma is pink and moist. 2. No excoriation is noted on skin surrounding the stoma. 3. The patient shows understanding of importance of preventing fecal leakage. 4. The patient demonstrates ability to apply the collecting appliance properly. 5. The stomal area is free of pain.
The nurse has been studying the history of the nursing uniform and identifies which reason as the reason for the nursing cap disappearing from the student nurse uniform? (Select all that apply.)
a. Unique nursing cap designs were difficult to produce b. Increase number of males in nursing pro-fession c. Shorter haircuts worn by women d. Increased risk of infection by resident mi-croorganisms on the nursing cap e. Nursing cap got in the way as more so-phisticated equipment was used by stu-dents f. Nursing cap was no longer needed for pinning ceremonies