The nurse has a client who received large amounts of IV fluids during and following surgery, yet the client's urinary output is low and the client is agitated. The nurse realizes the IV fluid that most likely has caused this problem is
a. D5W.
b. 0.45% NS.
c. 0.9% NS.
d. 3% saline.
A
"Water intoxication" can occur in clients who receive large amounts of D5W or other hypotonic IV solution. D5W becomes hypotonic as soon as it is infused because the dextrose is used imme-diately. The water in the vascular space moves by osmosis to areas of higher sodium concentra-tion, resulting in vascular depletion and cellular swelling. The most sensitive cells to this condi-tion are the neurologic cells.
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When teaching a client who speaks English as a second language, the appropriate nursing action is to:
1. Have a family member translate the information. 2. Find another nurse who speaks a little of the client's language. 3. Contact the facility's designated translator. 4. Use pictures and gestures to teach the client.
A department manager's budget concerned with the income and expenses associated with day-to-day activities of a unit is called a(n) _____ budget
a. operational c. construction b. capital d. balanced
A patient is taking sertraline (Zoloft). Because of the danger of toxicity, the nurse advises the patient to avoid which food?
1. Milk 2. Peanuts 3. Grapefruit 4. Orange juice
An older African American patient is diagnosed with a mental health problem that has been untreated for many years
What does the nurse realize as reasons for this patient's problem not being adequately treated? Standard Text: Select all that apply. 1. Ageism 2. Poverty 3. Cultural bias 4. Discrimination 5. Respecting medical personnel