Standards of care
What will be an ideal response?
Define acts whose performance is required, permitted or prohibited
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A nurse cares for a client who has burn injuries. The client's wife asks, "When will his high risk for infection decrease?" How should the nurse respond?
a. "When the antibiotic therapy is complete." b. "As soon as his albumin levels return to normal." c. "Once we complete the fluid resuscitation process." d. "When all of his burn wounds have closed."
Suzanne complains of nausea and is vomiting frequently after she returns to the critical care unit from laparoscopic removal of her gallbladder. The critical care nurse is cognizant that a potential problem with nausea and vomiting is
A) pain. B) hypoxemia. C) hypotension. D) aspiration.
A pregnant woman at 30 weeks' gestation is in the CCU with severe eclampsia. She is experiencing pulmonary edema, severe oliguria, and hypotension and continues to have seizures
She is endotracheally intubated, supported by a mechanical ventilator, and is receiving intravenous magnesium sulfate at 3 g/hr; the serum magnesium level is 8 mg/dL. She is beginning spontaneous early labor. What is the most important intervention? A) Administer medication to delay the onset of labor, as the baby is preterm. B) Increase the dose of magnesium sulfate to control seizures. C) Facilitate delivery of the baby, as eclampsia is worsening. D) Administer high-dose diuretics for the pulmonary edema.
Before initiation of photochemotherapy (PUVA), the nurse instructs a client suspected of having lupus erythematosus about the diagnostic study that will be performed first, which is a(n)
a. antinuclear antibody test. b. chest x-ray study. c. complete blood cell count. d. platelet count.