A client who may be safely considered as a candidate for a lumbar puncture is an individual with:
A. Meningitis
B. A bleeding disorder
C. Degenerative joint disease
D. Increased intracranial pressure
A
A. When the need for diagnostic LP is urgent, such as in clients without brain shift who are comatose and suspected of acute meningitis, prior CT may be omitted.
B and C. Contraindications include spinal degenerative joint disease, spinal deformities, and coagulopathies.
D. The major contraindication for lumbar puncture is if there is evidence of greatly increased intracranial pressure.
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A woman who is 4 months pregnant notices frequent heart palpitations and leg cramps. She is anxious to learn how to alleviate these. Which of the following nursing diagnoses would best apply to her?
A) Impaired urinary elimination related to inability to excrete creatine from her muscles B) Risk for ineffective breathing pattern related to pressure of the growing uterus C) Pain related to severe complications of pregnancy D) Health-seeking behaviors related to ways to relieve discomforts of pregnancy
Ordered: heparin infusion 1500 units per hour Available: heparin 20,000 units in 1000 mL Ringer's solution When the nurse arrives on duty, the IV is flowing at 125 mL per hour. How many units per hour are being infused?
a. DA equation: b. Evaluation: IV flow rate the nurse should have set on the infusion pump based on the order: c. DA equation: d. Evaluation of math and flow rate:
What is the major advantage of "sunset laws"?
A) Nurses can modify their standards of practice on a daily basis. B) They guarantee that the legislature will review and evaluate agencies and programs. C) The legislature can close facilities that do not meet governmental requirements. D) Facilities must renew their accreditation in a specified amount of time.
Pharmacokinetic processes in children are different from those in adults partly because children have a higher percentage of ________ per kilogram of body weight.
Fill in the blank(s) with the appropriate word(s).