An adult patient with a large thermal burn has been receiving intravenous fluid resuscitation calculated by the maximum amount according to the American Burn Association consensus formula
What symptom or result would indicate the onset of a complication secondary to rapid fluid resuscitation?
A) Urine output 30 to 50 mL/hr
B) Serum sodium 135 to 140 mEq/L
C) Weight gain of 12% since admission
D) New coarse crackles auscultated at lung bases
D
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An 8-year-old child had a hematopoietic stem cell transplant 10 months ago. The father brings her to the clinic, where the child reports "I just don't feel well." Dad relates that the child has been lethargic and sleeping a lot
The child's vital signs are within normal range for age. What action by the nurse is best? A. Explain that growth spurts can cause fatigue. B. Prepare the family for a "fever" workup. C. Provide reassurance to the father and child. D. Review side effects of immunosuppressants.
The nurse explains how the myocardium receives oxygen to the new graduate nurse beginning work in the constant care unit; she tells the new nurse the coronary arteries receive blood when?
A) During diastole B) During systole C) When the heart is refractory D) When the aortic valve is open
The nurse is documenting a variance that has occurred during the shift. This report will be used for quality improvement to identify high-risk patterns and, potentially, to initiate in-service programs. This is an example of which type of report?
a. Incident report b. Nurse's shift report c. Transfer report d. Telemedicine report
The treatment team believes medication will help a patient diagnosed with adult attention deficit hyperactivity disorder (ADHD). Which class of medications does the nurse expect will be prescribed?
a. Benzodiazepines b. Psychostimulants c. Antipsychotics d. Anxiolytics