The nurse is monitoring a patient's PD treatment. The Total output is slightly less than the inflow. What does the nurse do next?
a. Instruct the patient to ambulate
b. Notify the health care provider
c. Record the difference as intake
d. Put the patient on fluid restriction.
Answer: c. Record the difference as intake
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The nurse is caring for a patient who has a displaced midshaft fracture of the left femur and is in balanced suspension skeletal traction with 35 pounds of weights. The patient reports calf pain with right foot dorsiflexion
Which of the following actions would be most appropriate for the nurse to take? a. Notify the RN. b. Encourage dorsiflexion more frequently. c. Check the traction setup. d. Reduce 5 pounds of weight.
A nurse has to care for three victims of anthrax. The first victim inhaled the toxin, the second victim ingested it, and the third victim suffered a skin infection. Which client should get priority?
A) The one who ingested the toxin C) The one with the skin infection B) The one who inhaled the toxin D) Any convenient order
The nurse caring for a client who had spinal anesthesia will ensure that the plan of care includes
a. administering oxygen to reduce the hypoxia produced by spinal anesthesia. b. elevating the client's feet to increase the blood pressure. c. elevating the head of the bed to decrease nausea. d. instructing the client to remain flat in bed for 6 hours.
A patient tells a nurse that he always uses boric acid solution to wash out his eyes. What would the nurse teach the patient?
A) "Boric acid should not be used; it is toxic when absorbed." B) "Good work! Continue with your cleansing routine." C) "Why in the world would you do such a thing?" D) "Maybe you should try something a little stronger."