A patient sustained extensive burns and depletion of vascular volume. The nurse expects which changes in vital signs and urinary function?
a. Decreased urine output, hypotension, tachycardia
b. Increased urine output, hypertension, tachycardia
c. Bradycardia, hypotension, polyuria
d. Dysrhythmias, hypertension, oliguria
Answer: a. Decreased urine output, hypotension, tachycardia
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A homeless man who is well known to care providers at the local hospital has been admitted to the emergency department after having a seizure outside a mall
The man is known to be a heavy alcohol user and is malnourished with a very low body mass index. How are this patient's characteristics likely to influence possible treatment with phenytoin? A) The patient will require oral phenytoin rather than intravenous administration. B) Phenytoin is contraindicated within 48 hours of alcohol use due to the possibility of paradoxical effects. C) The patient's heavy alcohol use will compete with phenytoin for binding sites and he will require a higher-than-normal dose. D) The patient's protein deficit will likely increase the levels of the free drug in his blood.
The nurse is caring for a client with hypoparathyroidism. When the nurse taps the client's facial nerve, the client's mouth twitches and the jaw tightens. What is this response documented as related to the low calcium levels?
A) Positive Chvostek's sign B) Positive Trousseau's sign C) Positive paresthesias D) Positive Babinski's sign
The patient requests that one bed siderail be fully up for use in assisting with turning. Is this considered a restraint?
1. Yes, bedrails should never be in the full-up position unless the patient is being transported. 2. Yes, this is a restraint that requires an order by a physician. 3. No, if the patient requests the restraining device, it is not a restraint. 4. No, the bedrail in this case is being used as an assistive device, not a restraint.
Public health surveillance has many features. One of these is:
1. The sharing of the results with others 2. Defining pubic health policy 3. Evaluating interventions 4. Planning national programs