A patient with advanced cirrhosis develops esophageal varices. The nurse anticipates that this complication will be addressed by which type of medication(s)? (select all that apply.)
a. Vasodilators
b. Intravenous (IV) vasopressin (Pitressin)
c. IV iron
d. Beta blockers
e. Vitamin K
B, D, E
Treatment options include administration of parenteral vasopressors such as vasopressin (Pitres-sin) to lower portal pressure, a beta blocker to lower blood pressure, and vitamin K to help rectify clotting factor deficiencies. Vasoconstrictors (not vasodilators) such as somatostatin (Zecnil) and octreotide (Sandostatin) are used to reduce portal blood flow, and iron may exacerbate liver failure.
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The OB manager is looking at staffing for the night shift. The post-partum unit is busy and the labor-delivery unit has four clients in labor. The manager collects data from the nursing staff regarding the acuity of their clients
These data assist the manager in determining the staff for the next shift. This is an example of which type of system? 1. Client-care related 2. Staff related 3. Organizational related 4. Patient classification
A nurse who is considering theories that guide the practice of psychiatric nursing wants to base her interactions with patients on the theory of interpersonal relations. Whose works might she consult in order to learn more?
1. Hilda Peplau 2. Karl Menninger 3. William Stokes 4. Florence Nightingale
A patient, 4 weeks post gastric resection surgery, is experiencing cramping, nausea, and diarrhea within 10 minutes after eating
The nurse suspects that the patent is experiencing "dumping syndrome" and suggests which intervention? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. Increase protein in the diet. 2. Lie down for 30 minutes immediately after eating. 3. Eat frequent, small meals. 4. Reduce the amount of carbohydrates eaten daily. 5. Drink a glass of water prior to each meal.
Which of the following objective assessment data does the nurse know to obtain before administering any opioid?
A) Pain level as stated by client B) Any nausea the client might be feeling C) Color of skin D) Respiratory rate