When a client is admitted to the emergency department with a gunshot wound to the abdomen and is experiencing severe blood loss, the nurse anticipates the initial use of
a. dextran.
b. normal saline.
c. packed red blood cells.
d. whole blood.
B
When shock resulting from hemorrhage is treated, a crystalloid is usually given as an initial emergency treatment to sustain BP. Fluid replacement must include both blood and the fluid lost from the interstitial space. Since blood loss is the problem, blood products will be administered, starting with un-crossmatched universal donor blood, and then when available, crossmatched blood.
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Balancing factors that help clients after a crisis would not include:
1. Degree of threat to life. 2. Realistic perception of the event. 3. Decreased or limited communication. 4. Adequate coping mechanisms.
A medical surgical nurse has been trained to work in the ICU unit. The nurse has been working in ICU for the past 2 years
During the nurse?s annual appraisal the ICU manager informs the nurse that his performance in not adequate to provide nursing care to this population. The manager informs the nurse they he be transferred back to the medical-surgical unit. Over the past few weeks the manager has pulled this nurse to work in the ICU unit. This type of management style causes: 1. Increased stress. 2. Role ambiguity. 3. Mistrust. 4. Disharmony.
A nurse instructs a client that gastrointestinal (GI) upset is a common side effect of anthelmintics. To avoid GI distress, the client should take the anthelmintic:
a. between meals. b. immediately after meals. c. before breakfast and at bedtime. d. before lunch without milk products.
Your answer for lunch total
Mr. Simpson finished his lunch. On his tray you note that he has eaten one bowl of soup, a half carton of milk, one and a half cups of coffee, all of his meat and vegetable, and one serving of Tello. Calculate his total fluid intake for this meal. (See below for the usual measurements.) Soup bowl 150 mL Juice glass 120 mL Coffee cup 180 mL Water glass 240 mL Milk carton 240 mL Tello dish 120 mL a. 580 mL b. 720 mL c. 680 mL d. 660 mL