The nurse is caring for a patient with diabetes insipidus. What type of intravenous fluid would the nurse expect to be ordered for fluid replacement?
a. Isotonic
b. Hypotonic
c. Hypertonic
ANS: B
Hypotonic IV fluids such as 0.45% saline may be ordered to replace intravascular volume without adding excessive sodium. IV fluids are especially important if the patient is unable to take oral fluids. Isotonic and hypertonic fluids will add sodium.
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A patient is diagnosed with an open compound fracture and is scheduled for immediate surgery. On which problems should the nurse focus during the patient's immediate postoperative period?
1. difficulty with mobility 2. anxiety related to the surgical procedure 3. potential for infection 4. possibility of falling
During an educational session regarding physical changes of the middle-aged adult, a question is asked regarding weight loss. The nurse's best response is:
A) "As long as you exercise appropriately, weight loss will be ensured." B) "Metabolism slows during middle age, which can result in weight gain." C) "Weight loss is always a good idea, regardless of your age." D) "Weight loss is no different during this time than any other time of your life."
Which activities represent the eight-step process for organizational change? Select all that apply
1. Management has created a sense of urgency for the change by publishing outcome data on the organization's intranet. 2. Management has worked to develop and communicate a vision that can be shared by all employees. 3. Management has empowered employees to make changes. 4. Management is engaged in "deep change." 5. Management has orchestrated and celebrated some short-term successes along the path to change.
Which of the following describes a nurse who is being with the client?
a. Answers a call bell b. Completes a dressing change c. Silently prays with a client when requested to do so d. Teaches a client about his or her medication regime