The physician has ordered ammonium chloride for the patient. What will be a primary assessment of the nurse during administration?
1. The patient's level of orientation
2. The patient's blood pressure
3. The patient's renal status
4. The patient's liver status
Correct Answer: 3
Rationale: The nurse must closely monitor the patient's renal status during the administration of ammonium chloride, because the excretion of this drug depends on normal kidney function. Although important, blood pressure is not a primary assessment for a patient receiving ammonium chloride. Although important, liver status is not a primary assessment for a patient receiving ammonium chloride. Although important, the level of orientation is not a primary assessment for a patient receiving ammonium chloride.
You might also like to view...
The nurse is working with a client whose brother had recently died as a result of a brain aneurism. The client reports spending the days crying or sleeping. The nurse intervenes in this situation to:
1. Encourage the client to stay busy. 2. Help the client focus on other aspects of life. 3. Provide respite from a painful reality. 4. Restore the client to pre-trauma level of functioning.
The nurse is developing a nursing care plan for a patient with primary hypertension who has not been adhering to the prescribed dietary regimen. One of the measurable patient outcomes may include:
A) Reduction of sodium intake to no more than 2.4g B) Stable BUN and serum creatine levels C) Abstinence from fat intake and reduction of calories D) Maintenance of a normal body weight
The nurse is completing a plan of care for a client with chronic urinary incontinence. Which of the following outcomes is a priority?
A) The client will decrease fluid intake to 1000 mL/day. B) The client will use the bathroom every 30 minutes while awake. C) The client will maintain perineal skin integrity. D) The client will express feelings of acceptance related to condition.
Stimulation of parasympathetic nerves results in:
a. increased heart rate. b. urinary retention. c. constipation. d. pupil constriction.