A patient is scheduled for a computed tomography (CT) scan of the abdomen with contrast. The patient has a baseline creatinine of 2.3 mg/dL. In preparing this patient for the procedure, the nurse anticipates what orders?
A) Monitoring the patient's electrolyte values every hour before the procedure
B) Preprocedure hydration and administration of acetylcysteine
C) Hemodialysis immediately prior to the CT scan
D) Obtaining a creatinine clearance by collecting a 24-hour urine specimen
B
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A patient has been casted to stabilize a fracture of the right radius and ulna. The nurse assesses a capillary refill of 5 seconds and cold fingers of the right hand. Which initial intervention should the nurse deploy?
a. Notify the charge nurse of a probable compartment syndrome b. Apply a warm compress to the fingers to relieve swelling c. Elevate the right hand to heart level to maintain arterial pressure d. Cut the cast off to release constriction
A client has been taking varenicline (Chantix) for smoking cessation. Which observations should the nurse identify as potential adverse effects of this medication? (Select all that apply.)
1. Joint pain 2. Body rash 3. Depression 4. Inability to sleep 5. Increased hunger
An older client with chronic health problems does not want to be admitted to a nursing home for continued care. What can the nurse explain to the client about nursing homes today? Select all that apply.
1. Nursing homes are for short-term stays. 2. Nursing homes help the client with activities of daily living. 3. Nursing homes are being replaced with community-based services. 4. Nurses in nursing homes provide at least 5 hours of care to each client each day. 5. Nursing homes help with bathing, toileting, meals, and medication administration,
A female client was admitted to an acute care unit with weakness and complaints of dizziness. Dehydration is suspected as the cause. The nurse would expect which of the following lab values?
1. Sodium of 150 mEq/L; potassium 5.1 mEq/L; hematocrit of 50% 2. Sodium of 132 mEq/L; potassium 3.1 mEq/L; hematocrit of 35% 3. Sodium of 145 mEq/L; potassium 3.9 mEq/L; hematocrit of 44% 4. Sodium of 140 mEq/L; potassium 3.1 mEq/L; hematocrit of 37%