An initiative for early identification of critical illness myopathy (CIM) has been undertaken by the nurses in the intensive care unit. These nurses would be most watchful of this complication in which patients?
1. Patients who have type 1 diabetes mellitus
2. Patients with documented presence of renal calculi
3. Patients admitted with the diagnosis of status asthmaticus
4. Patients sedated with neuromuscular blocking agents
5. Patients who have received high-dose corticosteroid therapy
3, 4, 5
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The client presents to Labor and Delivery stating that her water broke two hours ago. Indicators of normal labor include: (Select all that apply.)
1. Fetal heart rate of 130 with average variability. 2. Blood pressure of 130/80. 3. Maternal pulse of 160. 4. Protein of +1 in urine. 5. Odorless, clear fluid on underwear.
A client presents with complaints of fatigue and the nurse notes dry, brittle hair. The nurse would anticipate which of the following laboratory tests?
a. Bilirubin, AST, ALT b. Serum cortisol and ACTH c. Serum glucose, hemoglobin A1c d. Tests of thyroid function
A nurse is directed to bandage a client who has been admitted with a bleeding injury to the leg. Which should a nurse keep in mind before applying a bandage to the client?
A) The bandage must be sterile. B) The bandage must be tight fitting. C) The bandage must be nonadherent. D) The bandage must not be stretchy.
MC The primary purpose of client education is to
A. Collect client data. B. Determine readiness to learn. C. Assess degree of compliance. D. Increase client's knowledge affecting health status.