The nurse is caring for a patient who is receiving IV fluids at a rate of 150 mL per hour. During her assessment, the nurse notes that the patient is having more labored respirations, and that crackles have developed in the patient's lungs
The nurse reduces the IV rate and notifies the physician . She does this while recognizing that the patient is experiencing signs of _______________.
Fill in the blank with correct words.
fluid volume excess (FVE)
FVE is manifested by crackles in the lungs, shortness of breath, and edema.
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What should be your response to the wife who says, "I should get out of this bad situation with his drinking"?
A. "That happened to me. It's best to get out while you can." B. "Tell me more about the bad situation." C. "Why don't you talk to your husband about his drinking?" D. "You'll do what's right."
The nurse, working in the emergency department, receives a patient following a motor vehicle accident whose medical history is unknown with a blood glucose level of 325 mg/dL
What rationale does the nurse provide explaining this elevated blood glucose level? A) The patient's accident was caused by diabetic ketoacidosis (DKA). B) The patient has not been taking the antidiabetic agent as prescribed. C) The patient most likely just finished a meal. D) The stress reaction caused an increase in blood sugar.
A nurse is applying a topical agent that aids in the removal of dead soft tissue by hastening the reduction of proteins into simpler substances. Which of the following might the nurse be applying? Select all that apply
A) Bacitracin (Baci-Rx) B) Papain and urea (Accuzyme) C) Vidarabine (Ara-A) D) Collagenase (Santyl) E) Anthralin (Miconal)
Message competency refers to which phase of the nursing process?
a. Assessment b. Planning c. Intervention d. Evaluation