A nurse is administering I.V. fluids to a dehydrated client. When administering an I.V. solution of 3% sodium chloride, what should the nurse do?
a) Force fluids, especially water.
b) Measure the intake and output.
c) Evaluate the client for neurologic changes.
d) Inspect the jugular veins for distention.
e) Insert an indwelling urinary catheter.
Ans:
b) Measure the intake and output.
c) Evaluate the client for neurologic changes.
d) Inspect the jugular veins for distention.
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Which of the following individuals would most likely be placed on highly active antiretroviral therapy (HAART) if he or she were not yet receiving the treatment? Select all that apply
A) A 35-year-old female sex trade worker who is HIV negative but who has a documented history of sharing needles for heroin use B) A 46-year-old male with long-standing HIV and a CD4+ count of 125 cells/mL C) A 16-year-old female who was diagnosed with HIV 2 days prior and is asymptomatic with normal CD4+ levels D) A 38-year-old woman who has a CD4+ count of 250 cells/mL and is keen to begin HAART E) Prophylactically to a health care worker who incurred a laceration from a scalpel used in surgery but has no abnormal lab results
After a stroke, a patient is having difficulty swallowing. The nurse may make a referral to what member of the healthcare team?
A) physical therapist C) social worker B) speech therapist D) respiratory therapist
The nurse is visiting an elderly patient who lives with his wife and daughter. He takes several daily medications, including antihypertensives, antiarrhythmics, diuretics, and pain medication
The patient's wife states that he takes all of the pills in the morning and some at night. The nurse should examine the pills and suggest which of the following? a. Take the antiarrhythmics and antihypertensives together in the morning to prevent hypotension during sleep. b. Take the diuretics at bedtime. c. Increase the different types of pain medication to prevent addiction to one. d. Administer at bedtime medications that are likely to cause confusion.
Promotion for family-centered care consists of all except one of the following strategies:
1. Emphasizing family strengths. 2. Identifying family coping skills. 3. Developing unidirectional communication. 4. Promotion of family empowerment.