When caring for a client who is obese, which of the following are risk factors for increased complications? (Select all that apply.)
a. immobility d. increased dietary needs
b. skin breakdown e. difficulty breathing
c. hypocoagulopathy f. safety
A, B, E, F
The client who is obese can present challenges to the health care provider. The increase in soft tissue is a risk factor for immobility, skin breakdown, difficulty breathing, and safety issues. The client who is obese is at risk for hypercoagulopathy, resulting in deep vein thrombosis and pulmonary embolism after surgery. Extra tissue also increases the risk for pneumonia because of immobility and difficulty taking breaths.
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How much time should you schedule for a typical complete health and physical assessment?
a. 15–30 minutes c. 1–2 hours b. 30–90 minutes d. 2–3 hours
The nurse has taught the parents of a child with celiac disease about allowed foods. The nurse should explain that which of the following would be an allowed meal?
1. Pizza with milk 2. Spaghetti and meat sauce with juice 3. Hot dog on a bun with a shake 4. Fruit plate with Gatorade
The nurse is caring for a patient who is receiving isotonic intravenous (IV) fluids at an infusion rate of 125 mL/hour
The nurse performs an assessment and notes a heart rate of 102 beats per minute, a blood pressure of 160/85 mm Hg, and crackles auscultated in both lungs. Which action will the nurse take? a. Decrease the IV fluid rate and notify the provider. b. Increase the IV fluid rate and notify the provider. c. Request an order for a colloidal IV solution. d. Request an order for a hypertonic IV solution.
A nurse is administering gentamicin (Garamycin) intravenously to a client. The drug is due to be administered at 2100. The nurse should anticipate that the peak level will be drawn at which time?
a. 2030 b. 2100 c. 2145 d. 2330