When the client arrives in the intensive care unit following CABG surgery, the nurse obtains the reports from laboratory work including chemistries, a complete blood count (CBC), arterial blood gases (ABGs), and a chest x-ray; an ECG should be done
as soon as possible. The rationale for obtaining this data is: 1. To establish a baseline for future assessments.
2. To provide the client's family with the information.
3. To provide fellow nurses with the information.
4. To report to the surgery nurses.
To establish a baseline for future assessments.
Rationale: It is essential to have this baseline information in order to assess trends and changes in the client's condition. Providing the client's family with the information is not the primary reason for obtaining the information. There is no need for fellow nurses to know this information.
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A nurse is planning the care for an older adult patient. Which age-related changes in kidney function should the nurse consider when providing care to this patient? (Select all that apply.)
a. Thinning of nephron membranes b. Sclerosis of renal blood vessels c. Decreasing glomerular filtrations d. Decreasing ability to concentrate or dilute urine e. Decreasing erythropoietin
The nurse is teaching a pregnant patient the cardinal movements of labor. What should the nurse explain that occurs once the fetal head presses on the sacral nerves at the pelvic floor?
A) The fetal head bends forward onto the chest. B) The fetal head rotates into a transverse position. C) The head extends so that the face and chin are born. D) The shoulders move into an anteroposterior position.
A client weighing 80 kg lost 5 kg of body weight immediately after delivery. In 2 days, another 3 kg has been lost. During a 6-week postpartum examination the client was pleased to learn of returning to her prepregnancy weight of 143 lb. How many kilograms of weight did the client lose during the 6 weeks postpartum? (Calculate to the nearest whole number.)
What will be an ideal response?
During a health history, a patient tells the nurse about following traditional epidemiological practices. What is the purpose of these practices?
1. Preserve a heritage 2. Used as a part of the patient's religion. 3. Cure an illness 4. Uses folk medicine herbal remedies