A patient in the intensive care unit has developed gastrointestinal hemorrhage. The nurse would prepare to fluid resuscitate this patient with which intravenous fluid?
1. 5% dextrose and 0.45% normal saline
2. 2.5% dextrose
3. 0.45% normal saline
4. 0.9% normal saline
Answer: 4
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After turning a bedridden client from her side to her back, the nurse observes that the area over the trochanter is red and does not blanch with finger pressure. The nurse should document this observation as:
A) a stage I pressure ulcer. B) ischemia. C) eschar. D) hyperemia.
A nurse educator is explaining to licensed staff that health care is no longer safe and describes The Quality and Safety for Nursing (QSEN) recommended competencies for educating nursing professionals. These include: (Select all that apply.)
a. advanced health assessment techniques. b. patient-centered care. c. prescriptive pharmacology content. d. quality improvement. e. safety.
A patient who is HIV-positive begins therapy with the fixed-dose combination nucleoside reverse transcriptase inhibitor (NRTI) Combivir (lamivudine/zidovudine) twice daily
The patient is in the clinic for follow-up 1 week after initiation of therapy and reports having nausea. The patient's creatinine clearance is 40 mL/minute. Based on these findings, the nurse will perform which action? a. Instruct the patient to take the medication 60 minutes prior to meals. b. Notify the provider to discuss single-dose NRTI products. c. Request an order for once-daily dosing of this medication. d. Suggest that the patient increase fluid intake.
A client complains of pain over the maxillary sinuses. Which device does the nurse use to determine if there air or fluid in the client's sinuses?
a. Magnification device b. Transilluminator c. Monofilament d. Wood's lamp