A patient is prescribed N-acetylcysteine (NAC) 140 mg/kg via nasogastric tube. What is the priority nursing intervention?
1. Give the dose slowly over at least 15 minutes.
2. Warn the patient that the medication smells like burning rubber.
3. Give all follow-up doses exactly on time.
4. Ask the patient what he weighs.
Answer: 3
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A patient is in shock and is exhibiting low blood pressure, low systemic vascular resistance (SVR), peripheral edema, pulmonary wheezing, tachycardia, and nausea and vomiting
What precipitating event does the nurse expect for this group of symptoms? A) Acute myocardial infarction B) Bacterial infectious illness C) Recent seafood meal D) Massive fluid loss
A patient in a skilled nursing facility is losing weight. What can the nurse do to determine the patient's daily oral intake?
A) Conduct a complete nutrition history. B) Analyze the patient's intake record. C) Have the patient complete a 24-hour food diary. D) Ask the patient to complete a 2-day food diary.
A client who is having outpatient gallbladder surgery states he will have a ride to the hospital for the surgery, but will not have a ride home, and does not have anyone to be with him at home
Which response is most appropriate at this time for the nurse? 1. "Would it be better to reschedule your surgery until a day when you have someone who can take you home?" 2. "The health care provider will refuse to do the surgery on a client who must go home alone.". 3. "I am sorry; you will not be able to have your surgery then.". 4. "No problem, you can drive yourself home after the surgery.".
The nurse reviews an order for a continuous bladder irrigation after prostate surgery. Which action should the nurse take before starting the bladder irrigation?
a. Label the irrigation solution with the words for genitourinary (GU) irrigation only. b. Change the irrigation tubing at least once every 12 hours. c. Infuse the irrigation solution at 100 mL/hr for clear urine. d. Ensure that the patient has a triple-lumen urinary catheter.