A patient is being treated for hypovolemic shock. Which of the following assessments is most important in the patient with hypovolemic shock?
A) Monitor intake and weight
B) Assess lung and bowel sounds
C) Assess temperature and peripheral pulses
D) Assess blood pressure and pulse
D
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A home care nurse prepares to administer intravenous medication to a client. The nurse assesses the site and reviews the client's chart prior to administering the medication:
Client: Thomas Jackson DOB: 5/3/1936 Gender: Male January 23 (Today): Right upper extremity PICC is intact, patent, and has a good blood return. Site clean and free from manifestations of infiltration, irritation, and infection. -Sue Franks, RN January 20: Purulent drainage from sacral wound. Wound cleansed and dressing changed. Dr. Smith notified and updated on client status. New orders received for intravenous antibiotics. -Sue Franks, RN January 13: Client alert and oriented. Sacral wound dressing changed. -Sue Franks, RN January 6: Right upper extremity PICC inserted. No complications. Discharged with home health care. -Dr. Smith Based on the information provided, which action should the nurse take? a. Notify the health care provider. b. Administer the prescribed medication. c. Discontinue the PICC. d. Switch the medication to the oral route.
IV forms of bisphosphonates are used for all the following except:
1. Severe gastric irritation with oral forms 2. Known cancer mets into the bone 3. Persons with advancing renal dysfunction 4. Progression of bone loss on oral formulations
A nurse is giving a presentation to the rest of the team regarding the elements of the Joint Commission's pain management standards. Which of the following does not necessarily belong among those elements?
a. Respect for patient values and beliefs b. Pain assessment for all patients c. Reassessment after an allotted time frame to monitor the effectiveness of painmanagement treatments d. Patient rights to pain management.
The primary safety issue related to the presence of a taste deficit in a young child is there will most likely be:
1. Little incentive to hydrate 2. No social connection to food 3. Limited food experimentation 4. Little discretion for ill-tasting substances