A postpartum woman being dismissed complains to the nurse that she has extreme fatigue, shoulder pain, and has noticed what looks like blood in her urine. Which laboratory finding would the nurse correlate with these symptoms?
A.
Arterial blood pH: 7.35
B.
Blood glucose: 100 mg/dL
C.
Platelet count: 98,000/mm3
D.
White blood cell count: 9,000/mm3
ANS: C
This woman has symptoms of possible HELLP syndrome, which is characterized by poor liver function and thrombocytopenia. The platelet count is very low, consistent with this condition. The other laboratory values are within normal limits.
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An ECG has been ordered for a newly admitted patient. What should the nurse do prior to electrode placement?
A) Clean the skin with providone-iodine solution. B) Ensure that the area for electrode placement is dry. C) Apply tincture of benzoin to the electrode sites and wait for it to become "tacky." D) Gently abrade the skin by rubbing the electrode sites with dry gauze or cloth.
A patient is taking digoxin [Lanoxin] and quinidine to treat sustained ventricular tachycardia
Before giving medications, the nurse reviews the patient's electrocardiogram (ECG) and notes a QRS complex that has widened by 50% from the baseline ECG. What will the nurse do? a. Administer the medications as ordered, because this indicates improvement. b. Contact the provider to discuss reducing the digoxin dose. c. Contact the provider to request an increase in the quinidine dose. d. Withhold the quinidine and contact the provider to report the ECG finding.
The nurse is caring for a child in Bryant skin traction. An appropriate nursing intervention for this child would be to
1. remove the adhesive traction strapsdaily to prevent skin breakdown. 2. check the traction frequently toensure that proper alignment is maintained. 3. place the child in a prone position tomaintain good alignment. 4. move the child as infrequently aspossible to maintain traction.
It is MOST important to exercise caution when administering isotonic solutions to patients with:
A. hypertension and congestive heart failure. B. hypotension and severe hypovolemia. C. a history of insulin-dependent diabetes mellitus. D. dehydration secondary to excessive diarrhea.