Health

A client with syndrome of inappropriate secretion of antidiuretic hormone (SIADH) is admitted to the intensive care unit with a serum sodium level of 112mEq/L(112 mmol/L) . Which protocol prescription should the nurse implement first? Obtain serum sodium levels every 4 hours. Provide oral sodium chloride supplements. Monitor fluid restriction and document hourly intake and output. Initiate normal saline IV at 100mL/hour.

A client placed on hospice care is admitted for palliative radiation treatments to the neck.Which assessment should the nurse identify as a priority? Pain assessment. Respiratory assessment. Cardiovascula assessment. Integumentary assessment.

The paramedics bring in a victim of a high speed motor vehicle collision The client is semi -coherent and fading in and out of consciousness Two large bore intravenous catheters have been established.One is infusing with sodium chloride at 100mL/hr Which information is most important for the triage nurse to obtain from the paramedics? The client's vital signs upon arrival on the scene. Status of the other victims involved in the accident. Description of the motor vehicle collision circumstances. Police custody status of the client pending further investigation.

The healthcare provider has determined that a client has irreversible brain damage with subsequent brain death.Organ donation is discussed with the family. Which action should the nurse take prior to contacting the organ procurement organization (OPO)? Obtain informed consent. Disconnect the ventilator. Remove all jewelry. Contact the medical examiner.

A client in the intensive care unit receives a STAT prescription for mannitol IV for cerebral edema post closed head injury. Which action should the nurse implement when preparing to administer the medication? Use a filtered needle to draw up the medication and an inline filter during infusion. Place atropine at the bedside for use if the client develops bradycardia during administration. Hyperventilate the client prior to administration to decrease intracranial pressure. Stop all sedation while mannitol is being administered per secondary infusion.

The emergency department nurse is triaging a client whose spouse reports a sudden onset of symptoms to include fever, tremors,and decreased level of orientation.They also report psychotic behavior accompanied by tachycardia and palpitations.The only significant medical history of that the client is 4 days postoperative laparotomy appendectomy without complications and discharged home 2 days ago. Which intervention should the nurse do first? Initiate a large bore intravenous catheter. Perform a 12-lead electrocardiogram test. Insert an indwelling urinary catheter drainage system. Obtain serum electrolytes and kidney function test laboratory specimens.

Two days after surgical repair of an aortic abdominal aneurysm, the cardiac monitor is displaying sinus bradycardia and blood pressure of 82/40 mmHg.Nitroprusside is infusing at 10mcg/kg/min and 0.9% sodium chloride at 100mL/hr Which intervention should the nurse implement first? Place the client's head flat and elevate the feet. Stop the nitroprusside infusion. Rapidly administer 1 liter of intravenous fluids. Increase the 0.9% sodium chloride to 150mL/hr

A client with diabetic ketoacidosis (DKA) is admitted to the intensive care unit and is manifesting respirations that are rapid and deep .Which descriptive term should the nurse use to document the client's breathing pattern? Kussmaul respirations. Cheyne-Stokes respirations. Apnea. Orthopnea.

A male client who experienced a myocardial infarction (MI) asks the nurse what could have caused the MI since he follows a lifestyle of regular exercise and healthy food choices. Which response should the nurse provide to the client? A family history of heart disease is a risk factor for MI. Foods consumed when younger can cause plaque formation. The MI was caused by too much exercise. Your MI was caused by too much protein in your diet.

The nurse is caring for a client with severe sepsis related to a ruptured appendix.The client is diaphoretic and reports lower extremity spasms The nurse observes respirations that are uneven and labored. Arterial blood gas (ABG) results are: pH 7.60,PaCO_(2)25mmHg,HCO_(3)24mEq/L and PaO_(2) 24 mmHg.Which assessment finding warrants immediate intervention by the nurse? Increased pulmonary secretions. Intercostal muscle retraction. Decreased breath sounds. Bronchovesicular breath sounds.