A patient with increased intracranial pressure is prescribed mannitol (Osmitrol). What should the nurse do when providing this medication? Select all that apply.
A. Use an in-line filter for IV administration.
B. Monitor central venous pressure (CVP) and pulmonary artery pressures (PAP) before and every hour throughout administration.
C. Assess patient for signs of fluid retention.
D. Do not administer the medication if crystals are noted in the solution.
E. Discontinue the drug immediately if the patient complains of a headache.
Answer: D
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A hospital is experiencing a high nursing turnover rate. One manager suggests offering sign-on bonuses to fill positions
Why would the nurse executive veto this suggestion? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply. 1. Sign-on bonuses only attract newly licensed nurses. 2. The bonus schedule adversely impacts the current salary schedule. 3. Current nurses can be discouraged by this program. 4. Sign-on bonuses do not recognize achievement and loyalty. 5. Sign-on bonuses do not attract enough nurses to make it worth the time to set them up and advertise them.
The nurse appears in the nursing station with multiple facial lacerations and says, "A visitor hit me." What is the manager's priority action?
1. Ask the nurse why the visitor became violent. 2. Ask a nurse to accompany the employee to the emergency department. 3. Call security to report the incident. 4. Call administration and inform them of the incident.
The nurse is making a follow-up call to a patient recently released from the acute care unit following treatment for thrombocytopenia. Which patient statements would the nurse consider reason to suggest contacting the primary health provider?
1. "You didn't tell me that I would have such bad, smelly diarrhea once I got home." 2. "I feel fine but my skin is a little off color." 3. "My appetite is coming back slowly." 4. "I was able to take a walk with my dog yesterday." 5. "I keep getting headaches in the late afternoon if I am tired."
Fatalities have been associated with toxicity from:
1. Vitamins B12 and E 2. Vitamin B6 and folic acid 3. Vitamin C and niacin 4. Vitamins A and D