The nurse obtains all of the following assessment data about a patient with deficient fluid volume caused by a massive burn injury. Which of the following assessment data will be of greatest concern:

a) The BP is 90/40 mm/Hg
c) Oral fluid intake is 100 mL for the last 8 hours
d) There is prolonged skin tenting over the sternum


Ans: a) The BP is 90/40 mm/Hg

Nursing

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Radiology results come back on a 44-year-old male cancer patient with a significant pleural effusion. He is breathing at a rate of 60 breaths per minute and has already had thoracentesis in the past to remove fluid

Current intervention should include which of the following? A) IV antibiotics B) IV antiviral agents C) Additional thoracentesis to reduce the fluid again. D) Bag/mask ventilation

Nursing

A patient, age 36, is scheduled for a unilateral orchiectomy for treatment of testicular cancer. He is withdrawn and does not initiate interaction with the nurse. What is the most appropriate nursing action at this time?

a. Carefully explain the postoperative activity restrictions. b. Show him a diagram of what the orchiectomy will accomplish. c. Assure him that he will have adequate future sexual functioning. d. Assess his concerns related to his diagnosis and treatment.

Nursing

Identification of cancer risks is part of every nurse's assessment skills. Some of the most common of these signs and symptoms include:

1. appearance of recent skin area changes that look markedly unlike surrounding tissues. 2. exposure to street repairs by smoothing newly laid concrete. 3. coughs and colds that respond quickly to ampicillin and tea with honey. 4. frequently forgetting monthly breast self-examination.

Nursing

The prenatal supplement that reduces the incidence of neural tube defects is _________________________

Fill in the blank(s) with correct word

Nursing