The nurse is caring for a client in the hyperdynamic phase of septic shock. Which medication does the nurse expect to be prescribed?
a. Heparin sodium
b. Vitamin K
c. Corticosteroids
d. Hetastarch (Hespan)
A
During the hyperdynamic phase of septic shock, because of alterations in the clotting cascade, clients begin to form numerous small clots. Heparin is administered to limit clotting and prevent consumption of clotting factors. The other medications would not be prescribed during the hyperdynamic phase of septic shock.
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The nurse will review a critically ill patient's history for which causes of intrinsic renal failure? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply
1. Contrast media given intravenously during diagnostic imaging 2. Prescribed levothyroxine (Synthroid) following thyroidectomy 3. Acyclovir (Zovorax) prescribed for treatment of genital herpes 4. Receiving prophylactic chemotherapy after surgery for cancer 5. History of using high-dose NSAIDs for rheumatoid arthritis
The nurse is assessing a patient's functional performance. What assessment parameters will be most important in this assessment?
a. Continence assessment, gait assessment, feeding assessment, dressing assessment, transfer assessment b. Height, weight, body mass index (BMI), vital signs assessment c. Sleep assessment, energy assessment, memory assessment, concentration assessment d. Health and well-being, amount of community volunteer time, working outside the home, and ability to care for family and house
When moving a dependent patient in bed,
A) perform this procedure by yourself. B) use a sheet to turn and reposition the patient. C) always have two or three other people assist. D) use the mechanical lift whenever possible.