An adult patient with diagnoses of liver cirrhosis and hepatitis C is exhibiting signs and symptoms of hypovolemic shock. How will the patient's compromised hepatic function affect the possible use of epinephrine?
A) The patient will require a higher-than-normal dose.
B) The patient's hepatic function is not a priority consideration.
C) The patient should not receive epinephrine by a parenteral route.
D) The patient should receive a small fraction of the normal dose.
B
Feedback:
Liver disease is not usually considered a contraindication to administering adrenergic drugs. Dosages do not normally need to be adjusted.
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The patient has persistently elevated intracranial pressure that is refractory to first-tier or conventional therapy. Controlled hypothermia is initiated to help control ICP. During this therapy, the nurse notices that the patient is shivering. What is the best nursing decision?
A) Shivering is an expected effect of this therapy and should be ignored. B) Administer a neuroparalytic medication to minimize patient discomfort. C) Reduce the rate of cooling to prevent shivering, and monitor the patient closely. D) Place a cotton blanket between the patient and the hypothermia blanket.
The population health nurse receives a report identifying the number and types of injuries reported by women who work in a clothing manufacturing company. What should the nurse encourage the female employees to do to reduce the frequency of injuries
at work? (Select all that apply.) 1. Set realistic goals. 2. Report safety hazards. 3. Limit the intake of alcohol. 4. Monitor response to exercise. 5. Use personal protective equipment.
When performing an assessment of the external genitalia of an older man, the nurse observes the scrotum to have smooth skin and to be very pendulous. Which action by the nurse is most ap-propriate?
a. Suggest to the client that he should wear an athletic supporter while awake. b. Ask the client if he has been treated for a sexually transmitted disease. c. Document the observation and continue the assessment. d. Notify the health care provider and facili-tate a scrotal ultrasound.
The nurse is caring for a child on bed rest who has severe edema in a left lower extremity due to blocked lymphatic drainage. Which nursing diagnosis would take priority?
1. Risk for Impaired Skin Integrity 2. Risk for Altered Body Image 3. Risk for Imbalanced Nutrition: Less Than Body Requirements 4. Risk for Activity Intolerance