During hemodialysis, a client with chronic renal failure develops headache, nausea and vomiting and restlessness. Which initial action by the nurse would be most appropriate?
A. Notify the physician immediately.
B. Discontinue the hemodialysis immediately.
C. Order a blood urea nitrogen level STAT.
D. Administer an intravenous bolus of dextrose solution.
A
Headache, nausea, vomiting, and restlessness may be signs of dialysis disequilibrium syndrome. Rapid decreases in fluid and the BUN level can cause cerebral edema and increased ICP. Early recognition and treatment of this syndrome are essential in preventing a life-threatening situation.
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A nurse manager is working on several projects and is stressed most of the time. This manager prefers working at the unit desk instead of in the office to be certain nothing on the unit is missed
Which would be the most effective method to decrease this manager's stress? 1. Keep a structured schedule for "work time" on each project in the office. 2. Elicit assistance from employees to help complete the projects. 3. Allow one project to fall behind while finishing up the others. 4. Take a sick day to work on the projects uninterrupted at home.
The nurse is preparing to obtain a pulmonary artery occlusion pressure (PAOP) reading for a patient who is mechanically ventilated. Ensuring that the air-fluid interface is at the level of the phlebostatic axis, what is the best nursing action?
a. Place the patient in the supine position and record the PAOP immediately after exhalation. b. Place the patient in the supine position and document the average PAOP obtained after three measurements. c. Place the patient with the head of bed elevated 30 degrees and document the average PAOP pressure obtained. d. Place the patient with the head of bed elevated 30 degrees and record the PAOP just before the increase in pressures during inhalation.
A patient with Parkinson's disease is at risk for which complication?
1) Impaired kinesthesia 2) Macular degeneration 3) Seizures 4) Xerostomia
Order: 500 mL D5W with heparin 5,000 units IV to infuse at 1,000 units/h
? Calculate the flow rate. Flow rate: __________ mL/h Fill in the blank(s) with correct word