The nurse is caring for a child who is receiving a diuretic for edema. Which of the following interventions is the most important intervention by the nurse?
a. Monitor blood electrolytes for potassium depletion.
b. Elevate the limbs on pillows to facilitate reabsorption.
c. Elevate the head of the bed.
d. Measure the abdomen daily.
A
Feedback
A Correct: The nurse is caring for a child who is receiving a diuretic for edema. The most important intervention by the nurse is to monitor blood electrolytes for potassium depletion.
B Incorrect: The most important intervention by the nurse is not to elevate the limbs on pillows to facilitate reabsorption. Although this is an important aspect of nursing management, it is not the priority intervention since this child is receiving diuretics.
C Incorrect: Elevating the head of the bed would be an important nursing action if the child had pulmonary edema.
D Incorrect: Measuring the abdomen daily would be an important intervention only is the child has an edematous abdomen.
You might also like to view...
A client with a history of hypertension, is diagnosed with chronic renal disease. When the client asks the nurse how this occurred, which response by the nurse is the most appropriate?
A) "Thickening of the kidney structures and gradual death of nephrons has caused this diagnosis." B) "Cysts compress renal tissue that destroys the kidneys causing this diagnosis." C) "High blood pressure reduces renal blood flow and harms the kidney tissue causing this diagnosis." D) "Immune complexes form in the kidney tissue that causes inflammation causing this diagnosis."
A nurse is caring for client at a health care facility whose treatment includes therapeutic exercises. Which of the following nursing diagnoses is most likely for this client?
A) Ineffective breathing pattern B) Perioperative-positioning injury C) Impaired social interaction D) Delayed surgical recovery
A student nurse who was terrified of giving an injection now gives many injections every shift. The change in the nurse is the result of _____
Fill in the blank(s) with correct word
A patient in the dermatology clinic is scheduled for removal of a 15-mm multicolored and irregular mole from the upper back. The nurse should prepare the patient for which type of biopsy?
a. Shave biopsy b. Punch biopsy c. Incisional biopsy d. Excisional biopsy