A patient with a brain injury is receiving IV mannitol to reduce cerebral edema and intracranial pressure (ICP) during the early resuscitation phase. The patient is rapidly becoming hypovolemic
What intervention should the nurse make to help correct the hypovolemia?
A) Administer crystalloid solution.
B) Administer morphine.
C) Discontinue mannitol.
D) Administer propofol.
A
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After teaching a client with congestive heart failure (CHF), the nurse assesses the client's understanding. Which client statements indicate a correct understanding of the teaching related to nutritional intake? (Select all that apply.)
a. "I'll read the nutritional labels on food items for salt content." b. "I will drink at least 3 liters of water each day." c. "Using salt in moderation will reduce the workload of my heart." d. "I will eat oatmeal for breakfast instead of ham and eggs." e. "Substituting fresh vegetables for canned ones will lower my salt intake."
The client is admitted with full-thickness burn to the forearm. Which is the most accurate interpretation made by the nurse?
A) The wound will take up to 3 weeks to heal. B) Pain management will be a challenge. C) Skin grafting will be necessary. D) Ligaments, tendons, muscles, and bone are not involved.
Which of the following is an assessment finding in a client with secondary pulmonary hypertension?
A) Shock B) Orthopnea C) Lung tissue infarction D) Restlessness
A nurse is implementing a tertiary prevention strategy. Which of the following activities would the nurse most likely implement?
a. Diabetes screening b. Rehabilitation for musculoskeletal injury c. Birth control d. Pregnancy testing