The resident writes an order for D5W to infuse intravenously at 125 mL/hr. Does this order
concern you? If so, why?
What will be an ideal response?
Hypotonic solutions such as D5W should not be given in large volumes or at rapid infusion rates to
patients with increased ICP. The excess free water will lower plasma osmolality and drive water across
the blood-brain barrier and into the brain tissues, which will increase cerebral water content and
increase ICP.
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A patient is complaining of pain in his joints that is worse in the morning, better after he moves around for a while, and then gets worse again if he sits for long periods. The nurse should assess for other signs of what problem?
a. Tendinitis b. Osteoarthritis c. Rheumatoid arthritis d. Intermittent claudication
The nurse is writing a plan of care for an older adult patient taking flavoxate. What is an appropriate goal for this patient's plan of care?
A) The patient will have adequate pupil dilation within 24 hours. B) The patient will experience fewer bronchospasms within 8 hours. C) The patient will experience fewer symptoms of prostatitis within 24 hours. D) The patient will show resolution of peptic ulcer within 2 weeks.
A nurse should instill eye irrigation from the inner to the outer canthus to:
a. avoid harming the sclera. b. include the conjunctiva in the irrigation. c. keep the pupil constricted. d. protect the nasolacrimal ducts.
The nurse is conducting a staff in-service on multifetal pregnancy. Which statement about dizygotic twin development should the nurse include in the teaching session?
a. Dizygotic twins arise from two fertilized ova and are the same sex. b. Dizygotic twins arise from a single fertilized ovum and are always of the same sex. c. Dizygotic twins arise from two fertilized ova and may be the same sex or different sexes. d. Dizygotic twins arise from a single fertilized ovum and may be the same sex or different sexes.