The nurse is caring for a patient who experienced a closed head injury 6 days ago. The patient's urine output over the previous 24 hours was 10,000 mL. Total intake for the same period was 1,200 mL. Diabetes insipidus (DI) has been diagnosed
Which order would the nurse question? 1. Desmopressin (Minirin) 0.2 mg IM daily
2. Increased oral fluid intake
3. Serum electrolyte levels every 12 hours
4. Computed tomography scan of head
1
Rationale 1: Desmopressin is not given IM.
Rationale 2: Replacing lost fluids is an essential part of managing DI.
Rationale 3: It is important to monitor serum electrolyte levels in patients with DI and to treat imbalances.
Rationale 4: A CT scan is an appropriate diagnostic tool, as a pituitary gland tumor can be a causative factor.
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a. "The patient should be allowed to decide." b. "As your nurse, I'll support your right to refuse." c. "You should do this because many could benefit from it." d. "If this is against your beliefs, you should not do it."
A documentation system that allows for minimizing the risk of medication errors is the:
1. Electronic medical record. 2. Problem-oriented medical record. 3. Problem, intervention, evaluation system. 4. Focus system.
Select from the list below the phases used in the Six Sigma process
a. Define b. Measure c. Verify d. Analyze e. Implement f. Control
The community/public health nurse asks a married couple to review important family events. What is the nurse accomplishing through this review?
a. Giving the family members an opportunity to emote about negative events b. Recognizing how past events have changed their lives c. Providing an opportunity to review how they interact with each other d. Putting distance between past events and current reality