Every bed in the intensive care unit is occupied when a call comes from the emergency department about admitting a patient who was critically injured in an explosion. Which patients would the manager evaluate as a possible transfer to a less acute unit?
1. A 70-year-old man who remains hemodynamically unstable after cardiac surgery the previous day
2. A 48-year-old patient who was admitted for diabetic ketoacidosis whose blood glucose is now 240 mg/dL
3. A 40-year-old patient admitted for an unintentional overdose of blood pressure medication who is now conscious and alert
4. An 18-year-old patient who developed a pulmonary embolism this morning and is being mechanically ventilated
5. A 41-year-old patient with severe sepsis secondary to renal failure for whom the family has requested "no code" status
2, 3, 5
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The nurse is caring for a patient who is receiving gentamicin, 250 mg and fluconazole (Diflucan), 500 mg at the same time. The nurse knows that if these two drugs competed with each other for protein-binding sites, what would this do?
A) Make the patient gentamicin deficient B) Make the patient fluconazole deficient C) Counteract any positive benefit the drugs would have D) Alter the effectiveness of both drugs
After attending a community meeting the population health nurse learns that 15 children in the community have terminal illnesses. What action should the nurse take to support the care of these children?
1. Review the recommendations for each child's ongoing care. 2. Explain the importance of screening for illnesses early in a child's life. 3. Analyze family environments to reduce the risk of illness development. 4. Ensure palliative and hospice care is available to the children and families.
The first step of developing a teaching plan is:
1. planning. 2. assess client's learning needs. 3. diagnosis. 4. learn standardized goals.
The community health nurse is formulating a nursing diagnosis. Which of the following should the nurse take into consideration when making this diagnosis?
a. Illness management for the health of the community b. Financial resources c. Time d. Availability of health care professionals