The nurse is assessing a client with chronic renal failure (CRF). Which finding is most important for the nurse to respond to first?
A) Potassium 6.0 mEq.
B) Daily urine output of 400 ml.
C) Peripheral neuropathy.
D) Uremic fetor.
Ans: A) Potassium 6.0 mEq.
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Order: Heparin sodium 25,000 units in 250 mL DW IVPB, infuse at 1500 units /h. Calculate the flow rate in milliliters per hour
1. 15 mL/h 2. 17 mL/h 3. 25 mL/h 4. 12 mL/h
A staff nurse is facing a dilemma between upholding personal care standards and meeting organizational goals. The nurse manager understands that the best way to assist staff members in resolving ethical dilemmas effectively is to:
a. avoid applying any pressure to compro-mise personal values. b. change their work assignment until the dilemma is resolved. c. continually remind staff of consequences related to ignoring organizational goals. d. refer indecisive staff members for addi-tional training.
The client asks the nurse why he is to receive flurbiprofen sodium during ocular surgery. The nurse's best response is:
a. "It is used because you have herpes simplex keratitis." b. "It is administered to constrict your pupils." c. "It is used to reduce edema and inflammation." d. "One drop is administered q. 30 minutes beginning two hours before surgery."
A patient is brought to the emergency department by a family member. The patient reports seeing colored lights and describes feeling bugs crawling under the skin. The nurse suspects that this patient is abusing which drug?
a. Alcohol b. Cocaine c. LSD d. Methamphetamine