The charge nurse of a transplant unit is reviewing the clinical course of several transplant patients being cared for in the unit. Which patient assessed by the charge nurse requires immediate action?
a. Renal transplant recipient, 1 day post op with a 3/10 pain level
b. Lung transplant recipient, 1 day post op with a productive cough
c. Heart transplant recipient, 1 day post op with a cardiac output of 4 L/min
d. Liver transplant recipient, 12 hours post op with a serum glucose of 58 mg/dL
D
Hypoglycemia may indicate a poorly functioning liver and requires immediate action. Postoperative pain level of 3/10 in a renal transplant patient, a lung transplant patient with a productive cough, and a heart transplant recipient with a cardiac output of 4 L/min are normal or expected findings requiring no immediate action.
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____________________ is often seen in instrumental behaviors of caring, whereas ____________________ is an expressive caring behavior
Fill in the blank with the appropriate word.
Which statement about nursing diagnosis is true? Nursing diagnosis
a. remains constant until a cure is effected b. focuses on the response to actual or potential health problems or life processes c. focuses on disease process d. focuses on cure
The first step in developing a nursing diagnosis is
a. cluster the data c. identify the problem or condition b. validate the data d. collect data
A nurse monitoring the intake and output of fluids for a patient with severe diarrhea knows that normally how many mL of body fluids is lost via the gastrointestinal tract?
A) 300 mL B) 1,000 mL C) 1,300 mL D) 2,600 mL