The nurse is caring for a postoperative patient and is evaluating the patient's intake and output as a measure to prevent AKI. The patient weighs 60 kilograms and has produced 180 mL of urine in the past 4 hours. What should the nurse do?
a. Perform other assessments related to fluid status and record the output.
b. Call the health care provider and obtain an order for a fluid bolus.
c. Encourage the patient to drink more fluid, so that the output is increased.
d. Compare the patient's weight to baseline to determine fluid retention.
Answer: a. Perform other assessments related to fluid status and record the output.
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The nurse just noted from the medical record that the patient has a lesion that is confluent in nature. On examination, the nurse expects to find:
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The nurse has completed teaching related to dietary management of coronary heart disease (CHD). Effective teaching is indicated by what patient statement?
spreads." 2. "I will watch my fiber intake so I don't get too much." 3. "Well, I'll just have to go buy some of that coconut oil to cook with." 4. "Drinking a couple of glasses of milk each day will give me better protein."
A 19-year-old female is a nasal Staph aureus carrier and is placed on 5 days of rifampin for treatment. Her only other medication is combined oral contraceptives. What education should she receive regarding her medications?
1. Separate the oral ingestion of the rifampin and oral contraceptive by at least an hour. 2. Both medications are best tolerated if taken on an empty stomach. 3. She should use a back-up method of birth control such as condoms for the rest of the current pill pack. 4. If she gets nauseated with the medications she should call the office for an antiemetic prescription.
Narcotics affect oxygen needs because they:
a. Cause brain damage b. Depress the respiratory center in the brain c. Decrease heart rate and blood flow d. Cause swelling of the mucous membranes in the upper airway