The patient is in hypovolemic shock, with mean arterial pressures below 90 mm Hg and a very low urine output. An IV drip of norepinephrine is prescribed to keep blood pressure above 90 mm Hg. No other therapy is initiated
What effect on kidney function does the nurse expect?
A) Improvement in renal perfusion secondary to improved blood pressure
B) Reduction in urine output secondary to constriction of renal arteries
C) Augmentation of water reabsorption from distal tubular fluid
D) Decrease in urine sodium concentration to critically low levels
B
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The most effective way for the nurse to administer pain medication to a client who is experiencing severe pain related to metastatic liver cancer is to
a. administer medication only when other methods of pain relief are ineffective. b. dispense pain medications on a regular basis. c. give only intravenous pain medications. d. respond promptly to as-needed (prn) pain requests.
The client tells the nurse that she has missed a dose of her progestin-only oral contraceptive. What is the most accurate instruction the nurse should provide?
a. Take one tablet, discard missed tablet, continue schedule, but use secondary form of contraception until menses begin. b. Take two tablets daily for the next 2 days and resume regular schedule PLUS use a secondary form of contraception for the rest of the cycle. c. Take tablet as soon as realized and follow with next tablet at regular time PLUS use backup method of contraception for 48 hr. d. Start a new package of tablets 7 days after the last tablet was taken. Use another form of contraception until tablets have been taken for 7 consecutive days.
With advances in technology, the creation of a computer-based and network-based community infrastructure has become increasingly important. Which classification system was developed for community health nursing?
a. International classification of nursing practice b. North American Nursing Diagnosis Association system c. Nursing Interventions Classification d. Omaha classification system
A nurse working with the elderly population is distressed that in order to obtain public funding for long-term care, the elderly must expend nearly all of their resources. When considering bioethical principles, which principle should the nurse choose to
act from to make the biggest difference in this situation? A. Autonomy B. Fidelity C. Justice D. Veracity