A 49-year-old man has been admitted with hypotension and dehydration after 3 days of nausea and vomiting. Which order from the health care provider will the nurse implement first?
a. Insert a nasogastric (NG) tube.
b. Infuse normal saline at 250 mL/hr.
c. Administer IV ondansetron (Zofran).
d. Provide oral care with moistened swabs.
b. Infuse normal saline at 250 mL/hr.
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Suspending a 3-month-old infant in a prone position while supporting the chest with your hand will normally result in extension of the head, trunk, and hips, which is referred to as which of the following reflexes?
a. Galant c. Moro b. Landau d. placing
A patient is brought to the renal unit from the PACU status post resection of a renal tumor. What would be a priority nursing action in the care of this patient?
A) Increase oral intake B) Management of postoperative pain C) Decrease urine output D) Increase mobility
A nurse works with another nurse who has been coming to work with red eyes and flushed face and is increasingly irritable. Which action by the nurse is most appropriate?
a. Ask another co-worker what he/she thinks about the situation. b. Document questionable incidents and relay them to the manager. c. Leave the co-worker alone as it is obvious he/she has personal problems. d. Work alongside the colleague so there are no mistakes.
Prevention of plantar flexion (footdrop) through the application of high-topped shoes is a primary intervention for which of the following mobility-impaired clients?
1. A 54-year-old diagnosed with osteoarthritis in all lower extremity joints 2. A 25-year-old with a fractured pelvis as a result of a motorcycle accident 3. A 78-year-old who has experienced left-sided paralysis resulting from a cerebral vascular accident (CVA) 4. A 15-year-old who has been comatose for 2 years as a result of a head injury sus-tained from a fall off a roof