The nurse is assessing a client in the acute care unit. Assessment findings: BP 80/40 mm Hg, pulse 120 beats/min and thready, poor skin turgor, dry mucus membranes. Which of the following IV fluids would the nurse expect the provider to prescribe for this client’s condition?
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The nurse is assessing a client in the acute care unit. Assessment findings: BP 80/40 mm Hg, pulse 120 beats/min and thready, poor skin turgor, dry mucus membranes.
Which of the following IV fluids would the nurse expect the provider to prescribe for this client’s condition?
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- Discuss the symptoms the nurse should assess while completing a head-to-toe assessment of a client in potential sickle cell (vaso-occulsive) crisis.A patient has a normal cardiac rhythm and a heart rate of 72 beats/minute. The nurse determines that the P-R interval is 0.24 seconds. The most appropriate intervention by the nurse would be to: 1. document the finding and continue to monitor the patient 2. give atropine per agency dysrhythmia protocol 3. notify the health care provider immediately 4. prepare the patient for temporary pacemaker insertionThe 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 tolerated
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- What nursing interventions are necessary for a nurse to use a CVAD to obtain blood samples? What is the procedure for blood collection? What assessments are necessary pre and post collection?The nurse is caring for a 6-year-old client. Which prescription would the nurse question based on concerns related to the medication's absorption? vancomycin 50 mg/kg/day IM divided in 4 doses moxifloxacin 7 mg/kg/day IV given once daily amoxicillin 100 mg/kg/day PO divided in 3 doses erythromycin 50 mg/kg/day IV divided in 4 dosesThe nurse is giving medications to a newly admitted patient who is to receive nothing by mouth (NPO status) and finds an order written as follows: “Digoxin, 250 mcg stat.” Which action is appropriate? a )Give the medication immediately (stat) by mouth because the patient has no intravenous (IV) access at this time. b )Clarify the order with the prescribing physician before giving the drug. c) Ask the charge nurse what route the physician meant to use. d )Start an IV line, then give the medication IV so that it will work faster, because the patient’s status is NPO at this time
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