While caring for a patient with a small bowel obstruction, the nurse assesses a pulmonary artery occlusion pressure (PAOP) of 1 mm Hg and hourly urine output of 5 mL. The nurse anticipates which therapeutic intervention?
a. Diuretics
b. Intravenous fluids
c. Negative inotropic agents
d. Vasopressors
B
Low pulmonary artery occlusion pressures usually indicate volume depletion, so intravenous fluids would be indicated. Administration of diuretics would worsen the patient's volume status. Negative inotropes would not improve the patient's volume status. Vasopressors will increase blood pressure but are contraindicated in a low volume state.
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The preceptor is watching a nursing student care for a male patient who requires a condom catheter. Which action by the nursing student indicates that the procedure is performed correctly?
a. Sterile gloves are donned before touching the catheter. b. Adhesive tape is applied securely around the base of the penis. c. Water-soluble lubricant is applied to the end of the catheter. d. The foreskin is returned to its natural position before the catheter is applied.
Critical to a successful distributive education program are the student support services. The first thing one should do is:
a. make sure the library has online access to its holdings through online lending, full text literature databases, and online access to the research librarian. b. arrange for tutoring services especially in the distribution courses such as probability and statistics, college algebra, English, and sciences. c. arrange for the bookstore to provide delivery services for required textbooks. d. survey the students for what support services they expect from the school.
When caring for a client with chemotherapy-induced thrombocytopenia, the nurse should:
a. avoid intramuscular injections. c. institute falls precautions. b. protect the client from infection. d. administer appropriate premedications.
A group of nurses is working with the Quality Assurance Department to improve the quality of care in the hospital. These nurses would recognize that one of the hospital's external customers would include which of the following?
a. Staff nurse c. Joint Commission (JC) b. Pharmacist d. Hospital chaplain