The rationale for giving the patient additional fluids after a cardiac catheterization is that
a. fluids help keep the femoral vein from clotting at the puncture site.
b. the patient had a nothing-by-mouth order before the procedure.
c. the radiopaque contrast acts as an osmotic diuretic.
d. fluids increase cardiac output.
C
Fluid is given for rehydration because the radiopaque contrast acts as an osmotic diuretic. Fluid is also used to prevent contrast-induced nephropathy or damage to the kidney from the contrast dye used to visualize the heart structures.
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The nurse caring for a 74-year-old man who has just returned to the medical-surgical unit following surgery for a total knee replacement received report from the PACU
Part of the report had been passed on from the pre-operative assessment where the patient stated that he has "been confused in the past when he takes pain medications." What does the nurse realize that the elderly may do? A) The elderly may require lower doses of medication and are easily confused with new medications. B) The elderly may have altered absorption and metabolism, which prohibits the use of opiates. C) The elderly may be confused following surgery, and that is related to normal aging and unrelated to the medication. D) The elderly may require a higher initial dose of pain medication followed by a tapered dose.
The nurse, concerned about a client being exposed to ongoing violence at home, realizes that the best treatment for family violence is:
a. active listening. b. providing safe havens in the community. c. prevention. d. providing good medical care.
The nurse is caring for a client with social anxiety disorder. Which distinguishing features does the nurse understand to be associated with this condition? Select all that apply.
A) Increased distress in inescapable situations B) Avoidance of known stressors C) Excessive worry about events that are difficult to control D) Fear of being exposed to scrutiny E) Accompanying heart palpitations and chest pain
When the nurse administers the morning dose of a medication during the evening, which of the rights of medication administration has she failed to follow?
A) Client B) Medication C) Dose D) Time