In recent days, a female patient on the critical care unit has developed diarrhea and has begun to experience skin breakdown in her perineal area. How should the nurse first respond to this development?

A) Attempt to identify the specific causes of the patient's diarrhea.
B) Advocate for a change in the patient's diet orders.
C) Ask the primary care provider to prescribe loperamide as needed.
D) Obtain an order for a rectal tube.


A

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A patient admitted to the telemetry unit with heart failure is exhibiting signs and symptoms of pulmonary edema. The nurse is aware that positioning will promote circulation. The nurse will position the patient:

A) In an upright position in bed or with the legs dangling over the side of the bed B) On his left side in a supine position C) In a supine position on his back D) In a Trendelenburg position

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A nurse is caring for a client with systemic lupus erythematous (SLE) who is taking hydroxychloroquine (Plaquenil). When providing care for this client, the nurse monitors for which adverse effects associated with the prescribed medication?

A) Pulmonary fibrosis B) Cushingoid effects C) Retinal toxicity D) Renal toxicity

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Which information obtained by assessment ensures that the client's respiratory efforts are currently adequate?

A. The client is able to talk. B. The client is alert and oriented. C. The client's oxygen saturation is 97%. D. The client's chest movements are uninhibited

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The physician orders 20 mEq of potassium chloride in 50 mL 0.9% NS to infuse over 2 hours. Calculate the flow rate in milliliters per hour. ____________________

Fill in the blank(s) with correct word

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