A client has been waiting for a donor heart for several months. When he receives the call that a heart has become available, the client states, "How long do I have to get to the hospital?" What is the best response by the transplant nurse?
A) "You can take your time. We have to get your heart so it could be 24 hours."
B) "You must be at the hospital within the next 15 minutes, or your heart will go the next person on the list."
C) "The heart has to be transplanted within 6 hours, so it is advisable that you go to the hospital to be prepared now."
D) "We can put the heart on ice and wait for you for 2 days."
C
Feedback:
When a donor heart becomes available, it must be removed from the donor and transplanted within 6 hours of being harvested. Answers A and D are too long of a time frame for the donor heart to be transplanted. It is unreasonable to expect a client to be in the hospital within 15 minutes and would be an incorrect time frame.
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The client pregnant with her first child reports that her husband wants her to visit a homeopath for help with her nausea and vomiting. The client asks what the nurse's opinion of homeopathy is. The best response by the nurse is:
1. "Homeopathy is unproven and potentially dangerous. Avoid using homeopathic remedies." 2. "The FDA has approved homeopathic remedies, and practitioners undergo education and certification." 3. "I can't give you advice about what alternatives to try. Go online and do some research to get information." 4. "Homeopathy is the same as herbal remedies. Some are safe during pregnancy and some are not."
A patient in acute renal failure presents with a potassium level of 6.9 mg/dL. He has had no urine output in the past 4 hours despite urinary catheter insertion and Lasix 40 mg intravenous push
Vital signs are as follows: HR, 76 beats/min; respiratory rate, 18 breaths/min; and BP, 145/96 mm Hg. He is given 100 mL of 50% dextrose in water and 20 U of regular insulin intravenous push. A repeat potassium level 2 hours later shows a potassium level of 4.5 mg/dL. What order would now be expected? a. Sodium Kayexalate 15 g PO b. Nothing; this represents a normal potassium level c. Lasix 40 mg IVP d. 0.9% normal saline at 125 mL/hr
The physician prescribes 10 mEq of potassium intravenously for an adult patient with a potassium level of 3.2 mEq/L. How would the nurse plan to administer this drug?
1. In 50 mL of D5W infused over 1 hour using an intravenous pump 2. A rapid IV push because of the dangerously low potassium level 3. Slowly as a bolus IV push over 10 minutes 4. Orally; giving potassium intravenously is too dangerous
Shock may be caused by all of the following EXCEPT:
A) spinal cord damage. B) seizures. C) severe injury. D) infection.