A patient with acute pancreatitis is demonstrating signs of hypovolemic shock. The nurse will conduct additional assessment for which expected cause of this hypovolemia?
1. Increased urine output
2. Undiagnosed gastrointestinal ulcerations
3. Pulmonary edema
4. Fluid shifts and decreased vascular resistance
Answer: 4
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A nurse reviews the current medication administration record of a patient who has recently been prescribed octreotide. The nurse performs this important safety action in order to prevent drug interactions that could result in
A) increased growth. B) anaphylaxis. C) cardiac complications. D) respiratory arrest.
The nurse working in an orthopedic clinic received a call from a client complaining of itching under the cast and asking for advice on how to relieve the discomfort. Which instruction will the nurse provide to this client?
1. Use a back scratcher to scratch under the cast. 2. Use a wooden spoon to scratch inside the cast. 3. Blow air from a hair dryer set to cool under the cast, or apply ice. 4. Take an antihistamine to reduce itching.
The nurse is briefly reviewing a newly admitted patient's medical history prior to a shift change, and notes that the patient has low vision. The nurse should understand that this term denotes what?
A) The patient requires eyeglasses or contact lenses to achieve clear vision. B) The patient requires assistive devices to compensate for impaired visual acuity. C) The patient has no light perception. D) The patient is unable to perform functional tasks due to decreased vision.
Deep pressure tests are used mostly for patients who are experiencing:
a. absent superficial pain sensation. b. gait and stepping disturbances. c. lordosis, osteoporosis, or arthritis. d. tonic neck or torso spasms.