A client is receiving fluid replacement for treatment of shock and the nurse assesses a central venous pressure (CVP) of 15 cm water. The nurse anticipates which of the following interven-tions?
a. Administration of vasoconstrictors
b. Administration of vasodilators
c. Decreasing fluid infusion
d. Increasing fluid infusion
C
Infusion of blood or other fluids usually continues only as long as the CVP is low; that is, below 4 cm H2O or 2 mm Hg. When the CVP is higher than normal (e.g., greater than 15 cm H2O or 11 mm Hg), benefit cannot be expected from the continued infusion of fluids or blood beyond maintenance amounts.
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The nurse is changing a patient's stump dressing. How would the nurse document this dressing technique?
1. Figure-of-eight bandage 2. Binder wrapping 3. Splinting 4. Bivalving
The most general multivariate technique is:
A) Multiple regression B) Canonical correlation C) Discriminate analysis D) Factor analysis
A patient is to receive 125 mL of intravenous fluid per hour and the drop factor is 10 gtt per mL. The nurse counts the 15-second drip rate to be 8 gtt per minute. What is the nurse's best action?
a. Nothing, the IV flow rate is correct. b. Turn the rate down to 5 gtt/15 seconds. c. Turn the rate up to 11 gtt/15 seconds. d. Turn the rate up to 15 gtt/15 seconds.
Which of the following actions should the nurse perform when analyzing collected assessment data?
a. Categorizing the data and identifying the implications b. Creating graphs, charts, and maps to display the data c. Determining the aggregates at high risk for specific problems d. Identifying target populations by demographic characteristics