Which action should the nurse take first upon discovering that the client with hypotonic overhydration has a serum sodium level of 119 mmol/L (mEq/L)?
A. Document the finding as the only action.
B. Administer oxygen by nasal cannula.
C. Call the emergency team.
D. Increase the IV flow rate.
C
A serum sodium level of 119 mEq/L is an indication of severe hyponatremia, which has a pro-found effect on all excitable membranes and results in cerebral edema. This client is at high risk for seizures and requires immediate medical attention.
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An assistant nurse manager has relieved a staff nurse for lunch. After the nurse leaves, the assistant manager realizes there is a nursing administration meeting at noon. Which stress-producing event does this exemplify?
1. Poor leadership 2. Mismanagement of the unit 3. Role conflict 4. Miscommunication
An employee has gone through the steps of the grievance process without resolution. The employee asks the union representative, ?What can we do?? Which of the following answers by the representative would be appropriate?
1. ?We will arrange another meeting with administration to discuss your options.? 2. ?The next step is arbitration.? 3. ?The next step is to file a grievance with the hospital association.? 4. ?We have exhausted all measures.?
The manager is concerned that a staff nurse is not appropriately implementing evidence-based practice with patient care. What did the manager observe to come to this conclusion?
1. Clinical expertise is included. 2. Patient situations are individualized. 3. Data is researched before implementing. 4. Interventions are applied to all patients assigned.
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