A critically ill patient has developed acute renal failure and needs dialysis. Under what circumstance would the nurse question the use of continuous renal replacement therapy (CRRT)?
A) Patient requires large amounts of hourly intravenous fluids
B) Metabolic imbalances can be corrected with 3 hours of dialysis per day
C) High risk of hemodynamic instability with dialysis
D) Unlikely to tolerate rapid fluid shifts without destabilizing
B
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The nurse is preparing to administer a vaccine to a newborn. Before administering the vaccine, the nurse should
A) warm the vaccine to well above room temperature. B) vigorously massage the chosen injection site. C) check the infant's temperature. D) divide the dose for administration to three injection sites.
The nurse is reviewing charts for quality improvement. A client experienced a complication during labor. The nurse is uncertain if the labor nurse took the appropriate action during the situation
What is the best method for the quality improvement nurse to determine what the appropriate action by the nurse should have been? 1. Call the nurse manager of the Labor and Delivery unit and ask what the nurse should have done. 2. Ask the departmental chair of the obstetrical physicians what the best nursing action should have been. 3. Examine other charts to find cases of the same complication, and determine how it was handled in those situations. 4. Look in the policy and procedure book, and examine the practice guidelines published by a professional nursing organization.
Critical pathways, used in the case management approach, consist of
a. rating scales for outcomes. b. lists of good and bad outcomes. c. maps that show the outcome of predetermined patient goals over a period of time. d. recommended activities for achieving patient care goals.
The psychosocial theory that focuses on the relationship between consistent activity, coping ability, and life satisfaction is the:
1. Activity theory 2. Continuity theory 3. Disengagement theory 4. Humanistic theory