Review 10 patients in your ICU who are prescribed CRRT and observe which stage or RIFLE criteria they satisfy before beginning CRRT. This may be useful and help you better understand AKI, diagnosis and initiation of CRRT
What will be an ideal response?
Suggested response: RIFLE ‘F' is the most common criterion for beginning CRRT. The context of the patient presentation is also important. A history of shock, intoxication or ingestion of toxins and infections contributes to the AKI diagnosis.
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A geriatric patient with a diagnosis of essential hypertension recently underwent a change in his medication regimen and was prescribed metoprolol 12.5 mg PO bid
Which of the following statements by the patient may suggest a need to alter or discontinue this medication? A) "I don't ever recall feeling so hopeless as I have in the last couple of weeks." B) "I hardly ever get headaches, but the last two mornings I've woken up with one." C) "It might be my imagination, but I sometimes feel like my heart skips a beat." D) "I usually have a good appetite, but that hasn't been the case this week."
The client is to be administered Cymbalta (duloxetine hydrochloride) 0.04 gram po twice a day. Each scored tablet contains 0.020 gram. How many tablets would the client receive?
What will be an ideal response?
A patient in a detoxification unit asks, "What good will it do to go to Alcoholics Anonymous and talk to other people with the same problem?" The nurse's best response would be to explain that self-help groups such as AA provide opportunities for
a. newly discharged alcoholics to learn about the disease of alcoholism. b. people with common problems to share their experiences with alcoholism and recovery. c. patients with alcoholism to receive insight-oriented treatment about the etiology of their disease. d. professional counselors to provide guidance to individuals recovering from alcoholism.
A nurse is providing education to a community support group about ways to decrease stress. Which of the following would be the initial nursing intervention discussed by the nurse?
a. Explain how support groups function b. Demonstrate deep breathing techniques c. Practice guided imagery techniques d. Help people to identify their response to stress