A client is at risk for MODS. In caring for this client, the nurse should place the highest priority on
a. assisting with incentive spirometry.
b. hourly monitoring of urinary output.
c. maintaining adequate oral intake.
d. performing range-of-motion exercises.
A
Because the lungs are often the first organs to fail, they require special attention. Aggressive pulmonary care is needed in all clients who are at risk for MODS.
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When a client has an order for "daily weight," when should the nurse weigh the client?
a. after breakfast each morning b. at the same time each morning, on the same scale, wearing the same type of clothing c. at the staff's convenience between the hours of 7 A.M. and 7 P.M. on the unit scales d. before bedtime each evening
An obese 38-year-old African American patient with diabetes is being evaluated for the use of propranolol (Inderal) in controlling hypertension. What is a contraindication for the use of pro-pranolol (Inderal) in this patient?
a. Race b. Age c. Diabetes d. Weight
A patient has this nursing diagnosis: "Risk for ineffective management of the therapeutic regimen related to difficulty paying the high costs of medication"
This diagnosis best applies to a patient with multiple sclerosis for whom which regimen is prescribed? a. Methylprednisolone daily by mouth b. Interferon beta-1a injections 3 times a week c. Docusate sodium by mouth 3 times a week d. Bupropion tablets daily by mouth
The nurse should instruct clients taking oral anticoagulants who are then started on propylthiouracil (PTU) to:
a. ask their health care providers if they should have both drug dosages decreased. b. get a lower propylthiouracil (PTU) dose than is usually prescribed. c. discuss with health care provider about having the oral anticoagulant dose decreased. d. discuss with health care provider about having the oral anticoagulant dose increased.