The nurse is caring for a patient who has hepatic encephalopathy. If the following medications were ordered, what drug would the nurse question?
a. Diazepam (Valium)
b. Lactulose (Cephulac)
c. Neomycin sulfate
d. Vitamin K
ANS: A
A. Valium is hepatotoxic. B, C, and D are all used in the treatment of liver disorders.
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A nurse assesses a client after an open lung biopsy. Which assessment finding is matched with the correct intervention?
a. Client states he is dizzy. - Nurse applies oxygen and pulse oximetry. b. Client's heart rate is 55 beats/min. - Nurse withholds pain medication. c. Client has reduced breath sounds. - Nurse calls physician immediately. d. Client's respiratory rate is 18 breaths/min. - Nurse decreases oxygen flow rate.
The hospital organization has developed a philosophy based on the client, organizational involvement, quantitative measurement of outcomes, and processes for improvement
In which quality management process are these characteristics typically seen? 1. Continuous quality improvement (CQI) 2. Total quality management (TQM) 3. Plan, Do, Check, Act (PDCA cycle) 4. Six Sigma
When performing an initial patient assessment, which would be considered objective data? (Select all that apply.)
a. Abdominal pain reported by the patient b. The patient's vital signs (blood pressure, pulse, temperature, etc.) c. Documents such as old laboratory results, EEG printouts, or x-rays brought in by the patient d. Home medications with patient labels brought in by the patient e. The chief problem or complaint as stated by the patient
The nurse anticipates that the client with a fluid volume excess will manifest which one of the following signs?
a. Increased urine specific gravity b. Decreased body weight c. Increased blood pressure d. Decreased pulse strength