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When administering any vasopressor during the treatment of shock, the nurse knows the assessment finding that best supports the goal of therapy is:
a. Constriction of vessels to maintain BP
b. Dilating vessels to improve tissue oxygenation
c. Maintaining a MAP of, or greater than 65 mm Hg
d. Increased urine output to 50 mL/hr
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Solved in 2 steps
- For the management of hypertensive crisis, the nurse is aware that the initial goal of treatment includes: a. Decreasing the mean arterial pressure (MAP) by no more than 20-25% b. Decreasing the diastolic blood pressure below 100 as soon as possible c. The use of ACE inhibitors and diuretics to lower blood pressure quickly d. Decreasing the mean arterial pressure (MAP) to 80-100 mmHg within 30 minutesAn older client is receiving an IV of 0.9% Normal Saline solution at 75 mL/hour. Which finding indicates to the practical nurse that the client may be developing a complication from this therapy? A Episodes of vertigo and loss of balance.B Fatigue and breathlessness upon exertion. C Apical pulse rate of 64 beats/minute. D Average 24-hour urinary output of 1,400 mL.While assessing a patient in the PACU, a nurse notesincreased wound drainage, restlessness, a decreasing blood pressure, and an increase in the pulse rate. The nurse inter-prets these findings as most likely indicating: a. Thrombophlebitisb. Atelectasisc. Infectiond. Hemorrhage
- A client is prescribed furosemide and digoxin to manage their symptoms associated with heart failure. The nurse understands which of following is true when taking these medications together? Furosemide can cause a loss of potassium, creating a higher risk of digoxin-induced dysrhythmias Furosemide can cause an excess retention of potassium, creating a higher risk of digoxin-induced dysrhythmias. Furosemide can promote loss of potassium and thereby decrease the risk of digoxin-induced dysrhythmias. There is no concern for the concomitant use of these two medications.The nurse assesses a client’s legs. Which assessment finding indicates arterial insufficiency? a. Full veins present in dependent extremity. Ankle discoloration and pitting edema Decrease or absent palpable pulses. Pain with activity but not while resting.. A client is receiving an intravenous magnesium infusion to correct a serum level of 1.4 mEq/L. Which of the following assessments would alert the nurse to immediately stop the infusion?A. Absent patellar reflexB. DiarrheaC.Premature ventricular contractionsD.Increase in blood pressureRationale:Reference/s:
- Nurse is preparing to administer amoxicilin 30mg /kg/day, devided equaly every 12hr who weights 32 lbs. Available 200mg/5ml. How many ml should nurse administer?A client is receiving an intravenous magnesium infusion to correct a serum level of 1.4 mEq/L. Which of the following assessments would alert the nurse to immediately stop the infusion? A. Absent patellar reflex C. Premature ventricular contractions B. Diarrhea D. Increase in blood pressure Rationale: Reference/s:A nurse is monitoring a patient who is receiving an IVinfusion of normal saline. The patient is apprehensive andpresents with a pounding headache, rapid pulse rate, chills,and dyspnea. What would be the nurse’s priority interventionrelated to these symptoms?a. Discontinue the infusion immediately, monitor vitalsigns, and report findings to primary care providerimmediately.b. Slow the rate of infusion, notify the primary care providerimmediately and monitor vital signs.c. Pinch off the catheter or secure the system to prevent entryof air, place the patient in the Trendelenburg position, andcall for assistance.d. Discontinue the infusion immediately, apply warm, moistcompresses to the site, and restart the IV at another site.
- All of the following are the most common ways that patients with HF present in a primary care setting except_____________? Fluid retention Sleep apnea Dyspnea Decrease exercise toleranceThe nurse reviews the electronic health record (EHR) of a 16-year-old client admitted to the pediatric unit for treatment following an overdose of acetaminophen. In what order should the nurse perform these prescriptions, from first to last?Insert peripheral venous access deviceNormal saline 100 mL bolusN-acetylcysteine infusion 150 mg/kg over one hourN-acetylcysteine infusion 12.5 mg/kg over four hoursN-acetylcysteine infusion 6.25 mg/kg over sixteen hoursClear liquid diet as toleratedA nurse is reviewing the laboratory values of the client who has COPD. Which of the following findings should the nurse report to the provider? Potassium 3.7 mEq/ L Iron 150 mcg/ dL Hgb 13,000/ mm3 White blood cell count 13,000 mm3 Give typing answer with explanation and conclusion