During a client's first dialysis treatment, the client complains of a severe headache and appears somewhat confused. The priority action by the nurse's is to
a. administer oxygen by nasal cannula.
b. encourage the client to drink fluids.
c. notify the physician immediately.
d. slow the rate of the dialysis.
C
Dialysis equilibrium syndrome can occur after dialysis, particularly during the client's first few dialysis episodes. The syndrome is characterized by mental confusion, deterioration in level of consciousness, headache, and seizures and may last for several days. The frequency or strength of the dialysate may need to be altered. The priority action by the nurse is to notify the physician; the nurse should not independently slow the dialysis rate or encourage the client to drink fluids as fluids may be restricted. Oxygen will not help the situation.
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The nurse initiates the application of a draw sheet on every bedfast patient on her unit to facilitate lifting and to prevent _________ forces
ANS:
While caring for a critically ill child, the child's mother becomes distraught and begins to cry loudly while stroking the child's face. Which is the best response by the nurse?
A) Explain the procedure that will occur with the treatment. B) Tell the mother that she needs to control herself for the benefit of her child. C) Take the mother out of the room and comfort her. D) Distract the mother by having her straighten the linens on the bed.
A client with shock accompanied by lung congestion needs to be positioned carefully by the nurse. Which of the following positions is appropriate?
A) Completely supine B) Low Fowlers with legs flat C) Supine with lower extremities raised to approximately 45º D) Semi-Fowlers with lower extremities raised to approximately 15º
The major impediment to successful chemotherapy in treating cancer is:
1. patient reluctance. 2. reimbursement by insurers. 3. toxicity to normal tissues. 4. difficulty attaining venous access.