The nurse closely monitors for an oncologic emergency consisting of a blood calcium concentration that is too high. This may be manifested by:
1. hypertension and bradycardia.
2. fatigue, confusion, and weakness.
3. laboratory test results of potassium 2.5 mEq/L, sodium 143 mEq/L
4. urine output less than 30 mL/hr.
2
This is the application of previous learned information in a new situation.
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The nurse needs to be aware that the legal basis for providing care in long-term care facilities is found in the Omnibus Budget Reconciliation Act (OBRA) of 1987
In addition, which of the following are also federal regulations of which the nurse must be aware? (Select all that apply.) a. Self-Determination Act of 1990 b. Insurance Reform Act c. state regulations regarding the reporting of client abuse d. OBRA
Caroline asks family members to leave while she cares for the 16-year-old victim of a recent car accident
The father screams at her and tells her that she has no right to ask his family to leave, and that if she continues to do so, he will "throw her out of the room." Caroline is shaken and tells her head nurse, who tells her that this kind of thing is just part of the job. The guidance of the head nurse: a. Is reasonable. No physical violence was involved. b. Is related to why statistics on violence in health care are likely underreported. c. Acknowledges the deep distress and fear of the family. d. Acknowledges the concern of the nurse.
A nurse is providing education regarding catecholamines. The nurse is evaluating understanding among the staff
Which statement made by one of the nurses would best demonstrate an understanding of why catecholamine medications cannot be administered orally? a. Catecholamines have a long half-life. b. The effects of catecholamines would be excessively potent if the drugs were given by this route. c. The side effect of catecholamines prevents this route of administration. d. Catecholamines are quickly destroyed by monoamine oxidase and catechol-O-methyltransferase enzymes.
The nurse is caring for a 33-year-old woman who is experiencing pregnancy-induced hypertension (PIH). On the first visit, the nurse focuses on assessing
A) weight, presence of edema and hyperreflexia, fetal heart tones, compliance to the plan of care, nutrition, psychosocial status, and knowledge of symptoms. B) weight, fetal heart tones, fundal height, and psychosocial status. C) vomiting, weight loss, and fluid and electrolyte imbalances. D) self-care capacity, edema, fundal height, and fetal heart tones.