In a client with addisonian crisis, assessment would indicate that the drug Kayexalate is not effective when the nurses assesses the clinical manifestation of
a. decreasing blood pressure.
b. low back pain.
c. pedal edema.
d. rapid or erratic pulse.
D
Sodium polystyrene sulfonate (Kayexalate) is given to reduce hyperkalemia. If Kayexalate is not effective, hyperkalemia results and can cause cardiac dysrhythmias.
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The nurse is explaining the preconventional stage of moral development to a group of nursing students. What characterizes this stage?
a. Children in this stage focus on following the rules. b. Children in this stage live up to social expectations and roles. c. Children in this stage have a concrete sense of justice and fairness. d. Children in this stage have little, if any, concern for why something is wrong.
Which statements by an emergency department nurse reflect poor compliance with the "A" portion of the diversity practice model? Note: Credit will be given only if all correct choices and no incorrect choices are selected
Select all that apply. 1. "If patients are going to live in the U.S., they should at least attempt to learn English.". 2. "Her clothes are dirty, so I bet she doesn't have any insurance.". 3. "This patient is weird. He has all kinds of marks on his skin and says they will make him feel better.". 4. "You know how it is with these young mothers; they never follow instructions on how to prevent their kids from getting ear infections.". 5. "Oh no, another old man with influenza. You take care of him. They all stink.".
The nurse uses each of the following assessments during the course of every client's care, including:(Select all that apply) Standard Text: Select all that apply
1. Complete assessment 2. Focused assessment by body system 3. Focused assessment of a body part 4. Fontanel assessment 5. Pain threshold
A 5-year-old child has been admitted for complications related to asthma. When the nurse auscultates the child's lungs, she would anticipate hearing:
1. Wheezes because the bronchioles have been restricted. 2. Rhonchi because of thick secretions from the flare-up. 3. Crackles because there is fluid in the alveoli. 4. All of the above may be heard.