The burned client relates the following history of previous health problems. Which one should alert the nurse to the need for alteration of the fluid resuscitation plan?
A. Seasonal asthma
B. Hepatitis B 10 years ago
C. Myocardial infarction 1 year ago
D. Kidney stones within the last 6 month
C
It is likely the client has a diminished cardiac output as a result of the old MI and would be at greater risk for the development of congestive heart failure and pulmonary edema during fluid resuscitation.
You might also like to view...
The nurse is caring for a patient admitted to the intensive care unit with a subarachnoid bleed. Vital signs are as follows: blood pressure (BP) 120/74 mm Hg, pulse 70 beats/min, and respirations 16 breaths/min
Several hours later, the patient requests help to have a bowel movement. The patient refuses a bedpan and asks to use a bathroom. When told that this is not possible, the patient becomes angry and belligerent and starts yelling at the nurse. Vital signs are now BP 160/60 mm Hg, pulse 48 beats/min, and respirations 12 breaths/min. The neurosurgeon has been paged but has not yet responded. With which of the following actions should the LPN anticipate assisting the RN? a. Waiting for the neurosurgeon to call back with orders b. Administering an as-needed dose of a sedative that is ordered c. Helping the patient to get up on a bedside commode d. Paging security to restrain the patient from harming the nurse
The client is admitted with full-thickness burn to the forearm. Which is the most accurate interpretation made by the nurse?
A) The wound will take up to 3 weeks to heal. B) Pain management will be a challenge. C) Skin grafting will be necessary. D) Ligaments, tendons, muscles, and bone are not involved.
When a patient is being treated for cancer, promptly report all of the following to the nurse except
A) fever over 101 degrees F. B) fatigue on exertion. C) burning on urination. D) warm, flushed skin.
An anxious or agitated individual would be prescribed which drug classification to control this behavior?
A. minor tranquilizer B. antimanic C. MAOI D. neuroleptic