The nurse is preparing to administer intravenous nitroglycerin to a patient diagnosed with cardiogenic shock. What should the nurse do when administering this medication?
A. Use an infusion pump.
B. Use within 8 hours of reconstitution.
C. Administer with PVC tubing.
D. Allow the patient to get out of bed only with assistance.
Answer: A
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An elderly male patient in the ICU is diagnosed with acute kidney injury. This patient demonstrates a decreased glomerular filtration rate and lowered urine sodium concentration, as well as increased BUN and serum creatinine levels
The nurse observes that the patient takes several minutes to empty his bladder when he uses the bathroom. His blood pressure and blood glucose levels are normal. What should the nurse suspect as the cause of this patient's acute kidney injury? A) Tubular necrosis as a result of accumulation of radiocontrast dye in the renal tubular cells B) Obstruction of the flow of urine due to benign prostatic hypertrophy C) Lack of perfusion due to congestive heart failure D) Hypotension due to systemic inflammatory response to sepsis
A 66-year-old woman presents at the clinic complaining of motion sickness. The physician orders a scopolamine patch. Which statement by the patient leads you to believe she knows how to use the patch?
A) "I will place it on my chest each morning after I shower." B) "I will use it only if I feel sick to my stomach." C) "I will change the patch every 4 hours. I can use the patches for 1 week." D) "I will change the patch every 3 days."
When considering culture as the nurse is designing health plans for clients, the ambulatory care center nurse will consider least the cultural concept of
a. making food modifications culturally appropriate. b. recognizing that cultural family roles may be rigidly defined. c. reflecting on research data describing culturally motivated responses. d. understanding that some cultures reject female authority.
A nurse is repositioning a client who has physical limitations due to recent back surgery. How often would the nurse turn the client in bed?
A) Every hour B) Every two hours C) Every four hours D) Every shift