The nurse is caring for a client who is at risk for developing cerebral vasospasm. The nurse recognizes which of the following as an inappropriate order for such a client?
1. Discontinue IV fluids when tolerating fluids.
2. Hold client's carvedilol (Coreg).
3. Monitor blood pressure hourly.
4. Monitor serum electrolytes daily.
Discontinue IV fluids when tolerating fluids.
Rationale: Patients with subarachnoid hemorrhage are at significant risk for vasospasm. Do not discontinue IV fluids even if the patient has adequate oral intake. Monitor blood pressure at least hourly. Do not administer antihypertensive medications without parameters for administration. Monitoring serum electrolytes, especially sodium, is appropriate.
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A. Identify the best practice and facilitate standardization of care. B. Monitor client care more effectively. C. Measure and analyze success of an outcome. D. Assist employees with wellness and prevention of injuries.
A 6-year-old child is diagnosed as having streptococcal pharyngitis. When planning care, you should be aware that the chief danger of such an infection is that
A) lymph nodes will swell and obstruct the airway. B) the infection may spread and cause a tooth abscess. C) a small proportion of children develop rheumatic fever. D) four out of five children develop nephrosis afterward.
The last sound or distinct change in sound heard when taking blood pressure is recorded as
a. venous pressure. c. systolic pressure. b. aortic pressure. d. diastolic pressure
A nurse is preparing to teach about functions to maintain homeostasis and instinctive behavioral patterns. Which area of the brain is the nurse discussing?
a. Thalamus b. Medulla c. Cerebellum d. Hypothalamus