The nurse, caring for a patient diagnosed with hypovolemic shock due to hemorrhage, would question which of the following orders?
1. oxygen administration
2. isotonic intravenous fluids
3. whole blood infusion
4. reverse Trendelenburg position
4
Rationale: The patient diagnosed with hypovolemic shock due to hemorrhage will not be placed in reverse Trendelenburg position but possibly in Trendelenburg because this facilitates return of circulating volume from the periphery, which leads to better perfusion of the vital organs and brain. The use of the Trendelenburg position is controversial however is still used at times. Oxygen administration is indicated because the patient's oxygen carrying capacity is reduced because of loss of red blood cells; rapid infusion of isotonic intravenous fluids and infusion of whole blood are needed to restore depleted blood volume.
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A family with a loud, disobedient child has been working with a nurse. Which action observed by the nurse indicates that goals for the diagnosis of impaired parenting have been met?
A. The father delivers consequence to the child calmly. B. The father only asks the child twice not to do something. C. The mother doesn't cry when disciplining her child. D. The mother states that the child is still testing the limits.
A client is receiving lactulose (Heptalac). Which laboratory value leads the nurse to intervene?
a. Serum potassium, 2.6 mEq/L b. Serum sodium, 132 mEq/L c. Serum glucose, 108 mg/dL d. Blood urea nitrogen, 16 mg/dL
The first nurse to establish an independent nurse practice was
a. Margaret Sanger b. Mary Breckinridge c. Lillian Wald d. M. Lucille Kinlein
Nocturia is:
A. an advanced and fixed foreskin too tight to retract over the glans. B. awakening in the night with a need to urinate. C. a circumscribed collection of serous fluid in the tunica vaginalis surrounding the testes. D. a prolonged, painful erection of the penis without sexual desire.