Which statement correctly identifies the initial use for an IV in a patient undergoing a lengthy abdominal surgery that requires general anesthesia?
1. To administer agents that will produce rapid unconsciousness
2. To administer reversal agents or other medications used to treat the adverse effects associated with general anesthesia
3. To administer large amounts of colloid solutions following surgical blood loss
4. To administer a volatile liquid that will keep the patient asleep
1
Rationale 1: IV lines are started prior to surgical procedures requiring general anesthesia to administer agents that will cause rapid loss of consciousness.
Rationale 2: The IV may be used to treat adverse effects but this is not an initial use.
Rationale 3: The IV may be used to administer replacement fluids, but this is not an initial use.
Rationale 4: Volatile liquids are inhaled gases.
Global Rationale: IV lines are started prior to surgical procedures requiring general anesthesia to administer agents that will cause rapid loss of consciousness. The IV also may be used to treat adverse effects and administer replacement fluids, but these would not be initial uses. Volatile liquids are inhaled gases.
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1. "I will drink only diet cola in my daily rum and Coke, and eat more fruits and vegetables." 2. "I will avoid carbohydrates and increase my intake of vitamin C." 3. "I will take a calcium supplement and eat more pasta." 4. "I will allow myself a few pieces of chocolate and eat a diet high in protein."
The clinic nurse is caring for a 42-year-old male oncology patient. He complains of extreme fatigue and weakness after his first week of radiation therapy. Which response by the nurse would best reassure this patient?
A) "These symptoms usually result from radiation therapy; however, we will continue to monitor your laboratory and X-ray studies." B) "These symptoms are part of your disease and can't be helped." C) "Don't be concerned about these symptoms. Everybody feels this way after having radiation therapy." D) "This is a good sign. It means that only the cancer cells are dying."
A male patient, who was admitted for evaluation of the cardiovascular system, has strong and equal peripheral pulses. The nurse correctly documents:
1. "Peripheral pulses 2+ and equal bilaterally." 2. "Pedal and radial pulses 1+ and equal." 3. "All pulses 3+ and equal bilaterally." 4. "Peripheral pulses present and equal."
The Intervention Wheel is a conceptual model that defines population-based practice. Which of the following is true about the origins of the Wheel?
1. A panel of nurses from Iowa, Minnesota, North Dakota, South Dakota, and Wis-consin developed and refined the Wheel. 2. The Wheel was conceived by a group of international nurses from Norway, Ka-zakhstan, and Japan. 3. The Wheel was a result of a qualitative analysis carried out by the State Boards of Nursing. 4. The Wheel resulted from a grounded theory process carried out by public health consultants at the Minnesota Department of Health.