The nurse is assessing a client who has a serum potassium level of 4.5 mEq/L after coronary artery bypass graft (CABG) surgery. Which action does the nurse take?
a. Notify the health care provider.
b. Document the finding.
c. Administer prescribed diuretics.
d. Administer prescribed potassium re-placements.
B
The client who is postoperative from a CABG is at risk for hypokalemia from hemodilution, na-sogastric suction, or diuretic therapy. Therefore, the potassium level is maintained between 4 and 5 mEq/L to avoid dysrhythmias. This value is at the desired level for this client. The finding re-quires documentation only.
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The nurse observes older female adults learning advanced knitting techniques. The nurse concludes that this is a suitable learning activity for these women because it accomplishes which of the following?
a. Helps to maintain joint flexibility b. Improves the group's cohesiveness c. Provides a needed social opportunity d. Adds to their existing knowledge base
As you perform the iliopsoas muscle test on a patient with acute abdominal pain, the patient complains of pain in the right lower quadrant as you place your left hand over his right thigh and
a. press upward with your right hand under his thigh as he raises his leg. b. gently jab his abdomen with a pin. c. press downward on his right thigh as he raises his leg, flexing at the hip. d. flex his leg at the hip and knee with your right hand under his lower leg.
Some of the quality measures for an Emergency Department might include which of the following? Select all that apply
a. Increase in patient satisfaction b. Decrease in patient complaints c. Reduction in market share d. Increase in repeat asthma patient visits e. Development of patient education material f. Review of all Emergency Department deaths
A patient is using a metered-dose inhaler containing albuterol for asthma. The medication label instructs the patient to administer "2 puffs every 4 hours as needed for coughing or wheezing."
that the medication is always effective. Which is not an appropriate nursing intervention for this patient? a. Asking the patient to demonstrate use of the inhaler b. Assessing the patient's exposure to tobacco smoke c. Auscultating lung sounds and obtaining vital signs d. Suggesting that the patient use one puff to reduce side effects