The nurse is planning care for a number of clients who have been victims of a tornado. Which nursing diagnosis would the nurse include in the plan of care for the victims?
1. Decreased Cardiac Output.
2. Risk for Post-Trauma Syndrome.
3. Chronic Confusion.
4. Fatigue.
2. Risk for Post-Trauma Syndrome.
Rationale:
Almost all victims of trauma would be at risk for post-trauma syndrome. Some victims may experience decreased cardiac output, but not all. Clients will not experience chronic confusion from the trauma unless there is a disease process already present that causes confusion. Fatigue may or may not affect the victims.
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The physician orders erythromycin ethylsuccinate 280 mg. The suspension contains 400 mg per 5mL. How many mL would you administer?
1. 7 mL 2. 3 mL 3. 3.5 mL 4. 0.7 mL
A patient is undergoing testing to see if he has a pleural effusion. Which of the nurse's respiratory assessment findings would be most consistent with this diagnosis?
A) Increased tactile fremitus, egophony, and a dull sound upon percussion of the chest wall B) Decreased tactile fremitus, wheezing, and a hyperresonant sound upon percussion of the chest wall C) Lung fields dull to percussion, absent breath sounds, and a pleural friction rub D) Normal tactile fremitus, decreased breath sounds, and a resonant sound upon percussion of the chest wall
A patient in the ICU has a diagnosis of acute pancreatitis. The critical care nurse has attached the patient to pulse oximetry and knows that frequent pulmonary assessment is essential
What is the rationale behind this frequent assessment? A) To detect changes in respiratory status and initiate early treatment B) To see which position the patient is placed in best improves respiratory function C) To ease the patients and family's anxiety D) To give the nurse something to do
A client is taking antacids with an antibiotic. The nurse's instructions are based on the fact that antacids such as aluminum hydroxide (Amphojel) can:
a. increase drug absorption. b. slow drug metabolism. c. increase drug metabolism. d. slow or block drug absorption.