All orders have been corrected and initiated. C.J. receives fluid resuscitation and sliding-scale insulin drip
via infusion pump. After several hours, her latest laboratory findings are as shown in the chart.
Based on C.J.'s laboratory results, what changes in her IV fluids do you anticipate, and why?
When the blood glucose level falls to 300 to 350 mg/dL, the infusion rate is reduced and 5% dextrose
is added to maintain a blood glucose level of about 250 mg/dL or until the patient recovers from
ketosis. Because her potassium level is dropping, you would also expect the physician to add
potassium chloride to the IV infusion.
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A patient on the medical unit has a documented history of polycystic kidney disease (PKD). What principle should guide the nurse's care of this patient?
A) The disease is self-limiting and cysts usually resolve spontaneously in the fifth or sixth decade of life. B) The patient's disease is incurable and the nurse's interventions will be supportive. C) The patient will eventually require surgical removal of his or her renal cysts. D) The patient is likely to respond favorably to lithotripsy treatment of the cysts.
When interviewing the mother of a 3-year-old child, the nurse asks about developmental milestones such as the age of walking without assistance. This should be considered
a. Unnecessary information, because the child is 3 years old b. An important part of the family history c. An important part of the child's past growth and development d. An important part of the child's review of systems
The nurse is assessing a woman at 10 weeks' gestation who is addicted to alcohol. The woman asks the nurse, "What is the point of stopping drinking now if my baby probably has been hurt by it already?" What is the best response by the nurse?
1. "It won't help your baby, but you will feel better during your pregnancy if you stop now." 2. "If you stop now, you and your baby have less chance of serious complications." 3. "If you limit your drinking to once a week, your baby will be okay." 4. "You might as well stop it now, because once your baby is born, you'll have to give up alcohol if you plan on breastfeeding."
A client with a history of benign prostatic hyperplasia is beginning treatment for schizophrenia. Which medication might be contraindicated for this client?
1. Fluphenazine 2. Chlorpromazine 3. Aripiprazole (Abilify) 4. Risperidone (Risperdal)