The nurse records a patient's intake and output for an 8-hour period and notes nasogastric (NG) tube irrigation with 50 mL of normal saline solution every 4 hours and lactulose syrup, 30 mL, instilled through the NG tube with 30 mL of normal saline
solution. Which total should the nurse record as the patient's intake over 8 hours? a. 30 mL
b. 160 mL
c. 110 mL
d. 210 mL
B
The patient's 8-hour intake is 160 mL, obtained by adding 50 mL of saline ? 2, 30 mL of lactu-lose, and 30 mL of saline to equal 160 mL.
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Which of the following ECG patterns would the nurse observe in a patient admitted for arrhythmogenic right ventricular cardiomyopathy/dysplasia (ARVC/D)? Select all that apply
A) Atrial flutter B) Ventricular tachycardia with left bundle branch block pattern C) T-wave inversion in the right precordial leads D) Sinus arrhythmia with a first-degree AV block E) Development of a "U" wave following a normal T wave
A nurse is caring for an older adult patient during the immediate postoperative period after a total hip replacement. The surgeon has ordered meperidine [Demerol] for severe pain. What will the nurse do?
a. Administer the medication as prescribed and initiate a fall risk protocol. b. Ask for a PRN order for diphenhydramine [Benadryl] for the expected side effect of itching. c. Request an order for morphine instead of meperidine [Demerol]. d. Suggest to the surgeon that the patient receive diazepam [Valium] to reduce an-xiety and the need for narcotics.
How soon must the person void after surgery?
a. Within 4 hours b. Within 8 hours c. Within 10 hours d. Within 24 hours
What activities are required after a home visit?
A. All the insurance and other third-party payer forms submitted appropriately B. Calling the family and determining their satisfaction with the visit C. Documentation completed and questions beyond the nurse's expertise discussed with a consultant D. Ordering all the necessary supplies and equipment for the return visit