A 45-year-old patient who weighs 50 kg sustained partial thickness burns over 60% total body surface area (TBSA). This morning the patient's urine has a reddish brown color. Which interventions would the nurse anticipate?
1. Interventions to raise the urine pH to an alkaline level
2. Discussion of whether to change the patient's pain medication to a nonopioid
3. Irrigating the patient's bladder with a sodium bicarbonate solution
4. Management of intravenous fluids to achieve a urine output of at least 40 mL/hr
5. Requesting immediate measurement of serum potassium
1, 4
You might also like to view...
The nurse is examining a toddler client. The toddler has a fever and the nurse notes the ear canal is red and swollen, and the presence of purulent drainage. Based on this assessment data, which diagnosis does the nurse anticipate?
1. Otitis media. 2. Otitis externa. 3. Hemotympanum. 4. Tophi.
The nurse is instructing a bioterrorism class regarding anthrax. How can anthrax be transmitted?
a. From person to person b. Through microscopic skin punctures c. Through inhalation of the spores d. By exposure to animals that have anthrax
During the past 6 months, a client has gradually withdrawn from friends and family, choosing instead to spend time alone and obtain increasing amounts of cocaine
While the client initially limited drug use to weekends, more frequent "hits" are needed to make it through the week and this involves use at work. This client meets the criteria for: a. detoxification c. substance abuse b. narcotics anonymous d. substance dependence
As the nurse caring for a spinal cord injured patient, you are performing your initial shift assessment. You note muscle spasticity. What medication would you expect to be ordered to control this clinical manifestation?
A) Baclofen (Lioresal) B) Dexamethasone (Decadron) C) Mannitol (Osmitrol) D) Phenobarbital (Luminal)