The nurse is caring for a client receiving total parenteral nutrition (TPN) at 125 mL/hr. The client complains of excessive urination. The client's finger stick reveals an elevated blood sugar level
The nurse realizes the client is at risk for which of the following? A. Rebound hypoglycemia
B. Hypovolemic shock
C. Hyperkalemia
D. Hypernatremia
B
When TPN is administered rapidly, water shifts into the plasma. Expansion of plasma volume in the presence of hyperglycemia predisposes the client to osmotic diuresis, dehydration, and hy-povolemic shock.
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Which of the following patients would likely be the best candidate to receive alteplase recombinant therapy?
A) A 68-year-old male who has had an ischemic stroke that resulted in neurological deficits B) An 18-year-old female who has intracranial bleeding C) A 72-year-old female who had a hemorrhagic stroke D) A 14-year-old male who has a massive pulmonary embolism
Mr. Smith, a former client of the hospital, alleges that a surgical instrument was left inside his abdominal cavity after surgery. A radiograph reveals the presence of a hemostat in his abdomen
Under which legal principle will the client's lawyer most likely base his lawsuit? a. Defense of the fact b. Voir dire c. Tort-feasor d. In re ipsa
The nurse is completing a physical exam for a 45-year-old client who has come to the family practice office. In evaluating the observations made during the examination, the nurse recognizes that an expected finding for a client in this age-group is:
1. Hepatomegaly 2. Visual acuity below 20/50 3. An oral temperature of 39° C 4. Increased amount of skin turgor
The nurse is discussing lack of sleep with a middle-aged adult. Which area should the nurse most likely assess to determine a possible cause of the lack of sleep?
a. Anxiety b. Loud teenagers c. Caring for pets d. Late night television