How should the nurse administer the medication to the client?
The nurse should instruct the client to tilt his head back slightly to assist with medication distribution to the airways. The client should hold his breath for a minimum of 10 seconds to allow for delivery of a maximum amount of the medication deep into the airways.
What does a nurse in a substance abuse clinic assess a client?
A nurse in a substance abuse clinic is assessing a client who recently started taking disulfiram. The client reports having discontinued the medication after experiencing severe nausea and vomiting. Which of the following reasons should the nurse suspect to be a likely cause of the client's distress?
What is the nurse preparing to care for the 86-year-old client?
the acute care nurse is preparing to care for an 86-year-old who just returned to the unit after surgery to repair a fractured hip. The client has severe dementia.
What is the nurse doing in the back of the client?
a nurse is massaging the back of client to relieve pain. in addition to pain relief, the nurse understands that massage has which of the following other benefits for the client? promotes general relaxation increases circulation reduces anxiety improves sleep quality
How many units of NPH insulin should a nurse withdraw?
The nurse should next withdraw 10 units of regular insulin into the syringe and withdraw the needle. The nurse should then reinsert the needle into the NPH insulin vial and withdraw 20 units of NPH, which will minimize mixing any of the NPH insulin with the regular insulin. A nurse is planning to instill ear drops to a toddler ...
How many units of insulin do nurses administer?
A nurse is preparing to administer 10 units of regular insulin and 20 units of NPH insulin to a client who has diabetes. Identify the steps the nurse should take when preparing the two insulins. Using evidence-based practice, the first action the nurse should take is to draw up 20 units of air into the syringe, ...
What is narcan in nursing?
intravenous naloxone (Narcan) a nurse is caring for a client who's receiving continuous wound perfusion pain management. Arrange the following steps in the correct order. check the medication order against the original medical order. assess the client's pain.
What is the respiratory rate of a client receiving morphine?
The nurse notes that the client's respiratory rate is 10 breaths/min. The client is somnolent, with minimal response to physical stimulation.
What is the nurse's first action to check for hypotension?
check for bleeding at tube connection sites. --The low pressure alarm could signal hypotension. The nurse's first action should be to check the client for evidence of hypotension and the cause. Arterial lines carry the risk of hemorrhage and are most likely to occur at connection sites of the tubing and catheter.
How long does it take for ICP to return to baseline?
During interventions, ICP should not exceed 25 mm Hg and should return to baseline within a few minutes. Metabolic demands (pain, straining, agitation, shivering, fever, hypoxia) increase blood supply and raise ICP. The nurse should suction a maximum of 10 seconds and only as necessary to remove secretions.
How long should a nurse suction?
The nurse should suction a maximum of 10 seconds and only as necessary to remove secretions. Prolonged suctioning increases ICP. Nursing interventions to control ICP. -elevating the head of the bed to 30 degrees with the head/neck in a neutral position to reduce venous congestion.
What is the best medication for a patient with a 24 mm Hg PAWP?
Furosemide is an appropriate drug for the nurse to administer to decrease left ventricular preload in a client in cardiogenic shock with PAWP of 24 mm Hg. Norepinephrine is a vasopressor used to increase stroke volume, cardiac output, and MAP.
Why do nurses need to provide nursing interventions?
The nurse must provide nursing interventions to prevent aspiration and monitor for its signs and symptoms. Clients are at increased risk when receiving bolus rather than continual enteral feedings. Bolus feedings should be avoided in critically ill clients, who are already at increased risk for aspiration.
What is a fast flush of the arterial line system?
The nurse should verify that these connections are tight on admission of the client in the ICU. A fast flush of the arterial line system (square wave test ) should be performed after the nurse has ruled out a physiological cause of the low pressure alarm.
Is 0.45% normal saline a hypotonic fluid?
Postponing antibiotics would be a greater concern if the client were in septic shock 0.45% normal saline is a hypotonic fluid that decreases circulatory volume. Clients in hypovolemic shock require isotonic solutions to increase circulatory volume. A nurse is caring for a client on a mechanical ventilator.