NURS 3000

1. The nurse is caring for a client with deficient fluid volume caused by a massive burn injury. Which of the following assessment data will be of greatest concern to the nurse? 1. The blood pressure is 90/40 mm Hg. 2. Urine output is 30 mL over the last hour. 3. Oral fluid intake is 100 mL for the last 8 hours. 4. There is prolonged skin tenting over the sternum. Correct Answer-1. The blood pressure is 90/40 mmHg 2. The nurse is caring for a client recently admitted with small cell carci...

1. The nurse is caring for a client with deficient fluid volume caused by a massive burn injury. Which of the following assessment data will be of greatest concern to the nurse? 1. The blood pressure is 90/40 mm Hg. 2. Urine output is 30 mL over the last hour. 3. Oral fluid intake is 100 mL for the last 8 hours. 4. There is prolonged skin tenting over the sternum. Correct Answer-1. The blood pressure is 90/40 mmHg 2. The nurse is caring for a client recently admitted with small cell carci...

Important things to know about levothyroxine: Correct Answer-Take forever, in the morning, without food, do not stop Monitor levels When is it a good time for a diabetic exercise: Correct Answer-1 hour After eating because blood sugar goes up What are the symptoms of hypoglycemia: Correct Answer-Clammy skin, diaphoresis, tachycardia, confusion, incontinence episode at night If someone is taking thyroid medicine what would you teach them: Correct Answer-Can't stop it, tachycardia, nerv...

When analyzing the waveforms of a client's electrocardiogram (ECG), the nurse will need to investigate further upon assessing which of the following findings? a. A P-R interval of 0.18 seconds b. A QRS interval of 0.14 seconds c. Q-T interval of 0.34 seconds d. T wave of 0.16 seconds Correct Answer-QRS interval of 0.14 second Unconsciousness without response to painful stimuli is assessed in a client with a head injury who has been admitted to the emergency department. To promote cerebra...

gas exchange Correct Answer-main purpose of the respiratory system upper respiratory tract Correct Answer-nose, pharynx, larynx, trachea lower respiratory tract Correct Answer-bronchi, bronchioles, alveolar ducts, alveoli alveoli Correct Answer-primary site for gas exchange in lungs; interconnected by pores of kohn; composed of cells that provide structure and that secrete surfactant (which prevents collapse) pulmonary circulation Correct Answer-blood for gas exchange pulmonary ar...

Hydrocortisone Correct Answer-* Trade: Cortef * Classification: corticosteroid * Uses: severe inflammation, asthma, COPD * Precautions: pregnancy, breastfeeding, diabetes, osteoporosis, hypothyroidism * Contraindications: fungal infection, hypersensitivity * Side effects: flushing, sweating, hypertension, diarrhea, nausea * Nursing implications: assess potassium, blood and urine glucose for long-term therapy, BP and pulse, I&O, infection, mental status, and GI effects (nausea, ...

A nurse is providing oral care for a client who is immoblie. Which of the following actions should the nurse take? Correct Answer-Turn the client on his side before starting oral care. A nurse is providing discharge teaching to a client who has asthma and a new prescription for fluticasone/salmeterol. For which of the following adverse effects should the nurse instruct the client to report to the provider? Correct Answer-White coating in the mouth A nurse is preparing an adolescent client ...

When computing a heart rate from the ECG tracing, the nurse counts 15 of the small blocks between the R waves of a client whose rhythm is regular. From these data, which of the following rates should the nurse calculate as the client's heart rate? Correct Answer-A: 60 beats/minute B: 75 beats/minute C: 100 beats/minute A D: 150 beats/minute A: C- Since each small block on the ECG paper represents 0.04 seconds, 1 500 of these blocks represents 1 minute. By dividing the number of small blo...

In Maslow's hierarchy what receives highest priority? Correct Answer-physiologic needs such as air, food, and water ___________ are predeveloped to indicate the actions commonly required for a particular group of clients. For example, an agency may have a set of rules for admitting a client to the ICU or for caring for a client receiving continuous epidural analgesia. Correct Answer-Protocols ___________ are developed to govern the handling of frequently occurring situations. For example,...

Nursing interventions for pt receiving O2 via nasal cannula(nose prongs) Correct Answer--Assess for signs of O2 impairment -Ensure proper functioning and rate of O2 Nursing interventions to promote circulation and oxygenation in hospitalized patients Correct Answer--Teach effective coughing and Deep breathing -TCDB(Turn, Cough, Deep Breathe every 2 hrs. -Postural drainage with percussion(Chest Vest) -Hydration -Assuming Fowler's or High Fowler's position -Ambulation Priority nursin...