The health care provider prescribes these orders. Which will you implement first?
A. Decrease IV fluids from 100 mL to 50 mL/hr.
B. Administer calcium chloride (Kalcinate) 1000 mg IV.
C. Give sodium polystyrene sulfonate (Kayexalate) 15 g.
D. Notify the dialysis department to prepare for continuous renal replacement therapy (CCRT).
B
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A patient who has received a heart transplant has been given an order for drugs that block T cell activity. What is the rationale behind this order?
A) To manufacture antibodies to the foreign proteins B) To stimulate wound healing C) To combine with a complement to cause a massive inflammatory reaction D) To prevent an inflammatory reaction against the transplanted heart
A nurse is assessing an older patient with new onset confusion using the Confusion Assessment Method (CAM). The nurse understands that in order to have a diagnosis of delirium when using the CAM, the patient must exhibit which of the following?
(Select all that apply.) a. Acute onset of symptoms or fluctuating course b. Inattention c. Disorganized thinking d. Altered level of consciousness e. Alteration in level of physical activity
The student asks the nurse why ground beef and other ground meat products are more likely to be contaminated and cause food-borne illness. What response by the nurse is best?
a. It's because they are handled more. b. They are from cheaper cuts of meat. c. They are not kept cold during shipping. d. They are made from leftover meats.
When temperature assessment is required, which of the following cannot be delegated to nursing assistive personnel?
a. Temperature measurement b. Assessment of changes in body temperature c. Selection of appropriate route and device d. Consideration of factors that falsely raise temperature