The nurse has been administering 0.9% normal saline intravenous fluids as part of early goal-directed therapy protocols in a patient with severe sepsis
To evaluate the effectiveness of fluid therapy, which physiological parameters would be most important for the nurse to assess? a. Breath sounds and capillary refill
b. Blood pressure and oral temperature
c. Oral temperature and capillary refill
d. Right atrial pressure and urine output
D
Early goal-directed therapy includes administration of IV fluids to keep central venous pressure at 8 mm Hg or greater. Combined with urine output, fluid therapy effectiveness can be adequately assessed. Evaluation of breath sounds assists with determining fluid overload in a patient but does not evaluate the effectiveness of fluid therapy. Capillary refill provides a quick assessment of the patient's overall cardiovascular status, but this assessment is not reliable in a patient who is hypothermic or has peripheral circulatory problems. Evaluation of oral temperature does not assess the effectiveness of fluid therapy in patients in shock. Evaluation of oral temperature does not assess the effectiveness of fluid therapy in patients in shock. Capillary refill provides a quick assessment of the patient's overall cardiovascular status, but this assessment is not reliable in a patient who is hypothermic or has peripheral circulatory problems.
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A mental health nurse is reviewing the post-test responses for a staff educational session that the nurse provided on the chronological development of psychiatric medications
Which of the following responses would indicate the participants understood the information correctly? Standard Text: Select all that apply. 1. The newer antidepressants, the SSRI group, have fewer side effects than the older antidepressants. 2. The effectiveness of antidepressants has led to research resulting in a better understanding of brain biochemistry. 3. The discovery of chlorpromazine (Thorazine) dramatically changed psychiatric treatment. 4. Few new psychiatric medications are needed due to the large number of safe and effective current medications. 5. Each new type of psychiatric medication was developed due to a focus on a specific psychiatric illness and not due to chance.
The adult dose of a drug is 125 mg. The dose for a child whose BSA is 0.16 m2 is _______________
a. 11.8 mg b. 20 mg c. 2.8 mg d. 3.4 mg
The nurse prepares to assess a client's medication history. Why should the nurse ask about the use of common supplements?
a. Clients may not consider sports bars to be a dietary supplement b. Clients may misinterpret the question and consider only supplements sued for weight loss c. Clients may not consider products used for a specific condition to be a dietary supplement d. Many clients do not consider herbs, botanicals, vitamins, or minerals as dietary supplements
A patient with a BMI of 29 says, "I cut out all my sweet snacks last week, and I still can't lose any weight." How should the nurse respond to this patient?
1. "Let's calculate how many calories you are not eating each day." 2. "I recommend that you go see a dietician." 3. "I'll make a note in your file that you no longer eating sweet snacks." 4. "You didn't gain the weight overnight."