A patient is being treated for severe hypovolemic shock. Based on the primary treatment goal, what nursing intervention has the highest priority?
A) Frequent measurement of vital signs
B) Management of mechanical ventilation
C) Rapid intravenous fluid administration
D) Insertion of urinary drainage catheter
C
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A client is experiencing delusions and appears to be frightened. Which of the following actions are appropriate nursing interventions? Standard Text: Select all that apply
1. Validate the client's feelings in response to altered perceptions. 2. Inform the client that their delusions and hallucinations are just bad dreams. 3. Assure the client that the nurse does not experience delusions or hallucinations. 4. Provide reality testing. 5. Keep the client physically safe.
The home care nurse is visiting a patient who requires home oxygen therapy. Which of the following criteria indicates that an oxygen concentrator will serve the needs of the patient in the home environment?
A) The patient desires a low-maintenance oxygen delivery system that delivers oxygen flow rates up to 6 liters per minute. B) The patient requires a high-flow system for use with a tracheostomy collar. C) The patient desires a portable oxygen delivery system that delivers 2 liters per minute. D) The patient's respiratory status requires a system that provides an FI02 of 50%.
When a person makes up information to fill in memory gaps as a result of abusing or depending on alcohol, what term describes this process?
a. confabulation c. lying b. impaired thinking d. moral deterioration
A nursing instructor is talking with her clinical group about patients with acute glomerulonephritis. The instructor tells the students that the patient may exhibit which of the following clinical manifestations?
A) Hematuria B) Decrease in serum creatinine levels C) Hypotension D) Glucosuria