A client is brought to the emergency department with full-thickness burns to 27% of the body. The nurse knows to prepare intravenous (IV) fluid administration from which solution group?
A) Isotonic
B) Hypertonic
C) Lower osmolarity solution
D) Higher osmolarity solution
C
Feedback:
Lower osmolarity solutions are hypotonic solutions and will shift fluid from the blood vessels to the cells (where damage has occurred). Isotonic solutions will assist in preventing hypovolemia but will not rescue the damaged cells and prevent further dehydration. Higher osmolarity solutions are hypertonic and will pull fluid from the cells to the blood vessels.
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The nurse is planning a health promotion program for senior citizens in the community. Information that the nurse should include in this program would be:
a. car accident prevention. c. self-image. b. regular physical activity. d. workâlife balance
The health care team has just given the family of a terminally ill patient an update on the patient's status. Thirty minutes later the patient's sibling says, "The family does not understand the last update the physician gave us."
Which nursing actions are indicated? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. Repeat the information the physician provided. 2. Have the physician paged to talk to the family again. 3. Explain the information in a different way. 4. Offer to call the physician's answering service to leave a message for the family. 5. Have the unit supervisor talk with the family.
The nurse understands that the nonbenzodiazepam medications are limited to use in clients:
a. on short-term therapy. b. who can no longer be treated with benzodiazepams. c. who are 18 years old or older. d. with chronic insomnia.
Which of the following statements is most accurate concerning nursing presence? Nursing presence:
1. Is focused on the individual family member with an illness. 2. Begins with a nurse sharing advice with family members. 3. Is being with and being there for individuals and families. 4. Determines the most significant family member with whom to communicate.