The nurse takes report from a colleague at the beginning of the shift. The off-going nurse reports that a new liter of D5LR was just hung and is flowing at 75 cc/hr
Upon entering the room 15 minutes later, the nurse greets the client and visualizes the client's IV site and IV bag. The nurse observes that the newly hung bag is nearly empty. What should the nurse be potentially concerned with regarding this client's health? a. elevated glucose level c. hypernatremia
b. hyponatremia d. hypervolemia
D
Hypervolemia (increased circulating fluid volume) may result from rapid IV infusion of solutions, causing cardiac overload, which can lead to pulmonary edema and cardiac failure. If the IV rate is not regulated by a pump, the infusion rate must be monitored hourly to prevent these complications. If the IV is regulated by a pump, check that the rate is flowing correctly on clients at risk for fluid volume overload.
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When reporting to the physician the assessment findings, which word is appropriate? A) Conjunctivitis B) Ptosis C) Nystagmus D) Proptosis
Which leadership style is most apt to evoke apathy in team members and may result in chaos?
a. democratic c. autocratic b. laissez-faire d. synergistic
Many parents-to-be will have questions about multiple births. Maternity nurses should be able to tell them that:
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What is included in Anderson and McFarlane's Community as Partner Assessment Model?
A) Transcultural assessment of community allies B) Social assessment of community leaders as individuals C) Systemic evaluation to identify the effects of interventions D) Community evaluation to identify interventions in communities