A nurse is caring for a client receiving acetazolamide (Diamox). Which assessment finding will require immediate nursing intervention?
a. A decrease in bicarbonate level
b. An increase in urinary output
c. A decrease in arterial pH
d. An increase in PaO2
Answer: c. A decrease in arterial pH
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When performing an initial pulmonary artery occlusion pressure (PAOP), what are the best nursing actions? (Select all that apply.)
a. Inflate the balloon for no more than 8 to 10 seconds while noting the waveform change. b. Inflate the balloon with air, recording the volume necessary to obtain a reading. c. Maintain the balloon in the inflated position for 8 hours following insertion. d. Zero reference and level the air-fluid interface of the transducer at the level of the phlebostatic axis.
The nurse is administering an amphotericin B infusion. Which actions by the nurse are appropriate? (Select all that apply.)
a. Administering the medication by rapid IV infusion b. Discontinuing the drug immediately if the patient develops tingling and numbness in the extremities c. If adverse effects occur, reducing the IV rate gradually until they subside d. Using an infusion pump for IV therapy e. Monitoring the IV site for signs of phlebitis and infiltration f. Administering premedication for fever and nausea g. Knowing that the intravenous solution for amphotericin B will be cloudy h. Knowing that muscle twitching may indicate hypokalemia
On the scale from 1 to 10, with 1 being no prejudice and 10 being extreme prejudice, the placement of hate on the continuum would be at number _____
Fill in the blank with the correct words.
Choose the action by the nurse that takes highest priority in the treatment of a child with sickle cell anemia
a. Maintain hydration at two times the nor-mal intake. b. Assist child in range of motion exercises to increase joint mobility. c. Medicate frequently with analgesics to reduce pain. d. Initiate and maintain reverse isolation.