When a person is under acute stress, his or her metabolic and physiologic needs are highly individualized. Based on blood pressure, heart rate, and body temperature, decisions are made about which of the following?
A) Fluid status C) Risk of refeeding syndrome
B) Calorie intake D) Glucose load
A
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The physician determines the client's fluid needs based on intake and output, blood pressure, heart rate, respiratory rate, and body temperature.
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The patient is receiving continuous bladder irrigation after a transurethral resection of the prostate (TURP). He complains of a "spasmlike" pain over his lower abdomen
Which of these actions should the nurse perform first in response to this complaint? a. Inform the nurse in charge. b. Decrease the continuous bladder irrigation flow. c. Administer the prescribed analgesic. d. Check the catheter and drainage system for obstruction.
The nurse is caring for a client diagnosed with coryza possibly from the rhinovirus. Vital signs are temperature: 101.2° F, pulse: 72 beats/minute, respirations: 28 breaths/minute, blood pressure: 112/70 mm Hg
Upon morning assessment, the client states a sore throat, moist cough, and watery eyes. The lungs are course in the bases. Which afternoon assessment finding suggests the advancement to an infectious process? A) Achiness B) Headache C) Temperature rise D) Increased respiratory rate
The nurse reminds a group of student nurses that the most significant problem associated with the use of "demand" or nurse-administered analgesia is
a. determination of the difference between pain control and addiction. b. inability of heavily assigned nurses to respond in a timely manner. c. pain medications being administered too close to one another. d. the nurse's underestimation of the need for medication.
The nurse has completed instructions regarding the beta-blocker atenolol. Which patient statement would indicate the patient understands the teaching?
1. "My pulse rate will increase.". 2. "I will need to take potassium supplements.". 3. "I may feel more tired.". 4. "My urine output will increase.".