Mr. Reynolds is admitted through the emergency department after being involved in a motor vehicle accident. His airbag failed to deploy, and he was hit in the abdomen with the steering wheel. He has an IV of 0
9% NS @ 100 mL/hr, BP 92/58, and complains of weakness, fatigue, and abdominal pain. On assessment, the nurse discovers that Mr. Reynolds is nauseated and just vomited 560 mL. The nurse is quite busy and decides to delegate client care activities to the nursing assistant. Of the following activities, which should the nurse keep?
A) Taking and recording vital signs every 15 minutes
B) Recording accurate intake and output
C) Obtaining a baseline weight to guide therapy
D) Increasing the IV rate to 250 mL/hr if the blood pressure drops to 85/50
D
Increasing the IV rate to 250 mL/hr if the blood pressure drops to 85/50
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A patient, age 69, is admitted to the hospital with gross hematuria and history of a 20-lb weight loss during the last 3 months
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While providing medications the nurse notes that a client has just consumed 8 ounces of milk. Which medication should the nurse withhold from administering?
1. Calcium channel blocker 2. Diuretic 3. Aspirin 4. Tetracycline antibiotic
When the patient's response exceeds the prescribed parameters at the minimal dose, you should
A. lower the infusion rate and notify the AP. B. keep the infusion at the minimal rate. C. discontinue the infusion and notify the AP. D. continue to titrate the infusion upward.
Which statement(s) about ipratropium bromide (Atrovent) is/are true? (Select all that apply.)
a. It is administered by aerosol inhalation. b. It relieves nasal congestion. c. It decreases mucus secretion. d. It has minimal effect on ciliary activity. e. It is used for short-term treatment of bronchospasm. f. It may cause tachycardia or urinary retention.