A patient is admitted to the hospital with multiple trauma and extensive blood loss
The nurse assesses vital signs to be BP 80/50 mm Hg, heart rate 135 beats/min, respirations 36 breaths/min, cardiac output (CO) of 2 L/min, systemic vascular resistance of 3000 dynes/sec/cm-5, and a hematocrit of 20%. The nurse anticipates administration of which the following therapies or medications? a. Blood transfusion
b. Furosemide (Lasix)
c. Dobutamine (Dobutrex) infusion
d. Dopamine hydrochloride (Dopamine) infusion
A
Both hemodynamic parameters and the reported hematocrit value indicate hypovolemia and blood loss requiring volume resuscitation with blood products. Furosemide administration will worsen fluid volume status. Inotropic agents will not correct the underlying fluid volume deficit and anemia. Vasoconstrictors are contraindicated in a volume-depleted state.
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A patient who is living with AIDS has developed anemia of chronic disease (ACD). Which laboratory results would the nurse attribute to this condition? Note: Credit will be given only if all correct choices and no incorrect choices are selected
Select all that apply. 1. Hemoglobin level of 10.4 g/dL 2. Decrease in total erythrocytes 3. Increased transferrin levels 4. Changes in MCHC and MCV 5. Increasing iron depletion over time
A 35-year-old female patient is seen in the clinic complaining of abdominal pain. Which of the following should be included in the history and physical exam?
a. Digital rectal exam c. Sexual history b. Pelvic exam d. All of the above
Which nurses would be ideal for faith community nursing, if the work is less physically demanding and provides flexibility in the work schedule?
A) Ambulatory care B) Critical care C) Nurse practitioner D) Retired
The nurse manager is developing a staff education session on change in healthcare. Which concepts should be included in this information? Select all that apply
1. Oftentimes, before one change in healthcare is completed, another is taking place. 2. Most changes are focused on the organization's structure. 3. Change has been the normal state for healthcare providers for some time. 4. Change disturbs the organization's equilibrium. 5. Sometimes multiple changes occur together in healthcare.