While caring for a patient with acute pancreatitis, the nurse measure the patient's intake and output, monitors blood pressure and breath sounds, and measures daily weights
These interventions are indicated for which of the following patient outcomes? 1. relief of pain
2. relief of nausea and vomiting
3. fluid and electrolyte balance
4. optimize nutrition
3
Rationale: Interventions appropriate for the patient outcome of fluid and electrolyte balance include measuring intake and output, monitoring blood pressure, monitoring breathing sounds, and measuring daily weights. Interventions appropriate for the patient outcome of relief of pain include assess pain and administer analgesics as prescribed. Interventions appropriate for the patient outcome of relief of nausea and vomiting include administer anti-emetic medication as prescribed. And interventions appropriate for the patient outcome of optimizing nutrition include monitor serum albumin and monitoring for ileus formation.
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When a client is in acute renal injury (ARI), the nurse should closely monitor which of the following laboratory test values?
A) Serum sodium C) Complete blood count B) Blood urea nitrogen D) Serum potassium
An adolescent female is brought to the emergency department after experiencing a panic attack while at school
She had forgotten to study for a test in Biology. The mother indicates that her daughter is easily distracted, often forgets schoolwork, and has difficulty completing assignments and following instructions. She asks if her daughter should be on medication for ADHD. What is the nurse's best response? 1. "Many medications given for treatment of ADHD can worsen anxiety, which is a major component of panic attacks." 2. "Medication might help with the ADHD." 3. "Have you tried behavioral therapy for treatment of the ADHD?" 4. "It is better to change the diet first as treatment for the ADHD."
A postmenopausal patient is at high risk for developing osteoporosis. The patient's prescriber orders raloxifene (Evista), and the nurse provides teaching about this drug. Which statement by the patient indicates understanding of the teaching?
a. "I may experience breast tenderness while taking this drug." b. "I may experience fewer hot flashes while taking this drug." c. "I should discontinue this drug several weeks before any surgery." d. "I should walk as much as possible during long airline flights."
Hemorrhagic cystitis is characterized by:
A. irritative voiding symptoms B. persistent microscopic hematuria C. the presence of hypertension D. elevated creatinine and BUN levels