A nurse is caring for a client in the ICU
For each potential nursing action, click to specify if the action is essential, nonessential, or contraindicated for the client.
Administer furosemide
Administer ordered Epinephrine drip
Administer ordered low dose dopamine
Insert an indwelling urinary catheter.
Administer ordered nitroglycerin
Administed 0.9% NS 500ML bolus
The Correct Answer is {"A":{"answers":"A"},"B":{"answers":"A"},"C":{"answers":"A"},"D":{"answers":"A"},"E":{"answers":"B"},"F":{"answers":"A"}}
- Administer furosemide: The patient has signs of pulmonary edema which needs to be managed.
- Administer ordered Epinephrine drip: Epinephrine is crucial for managing hemodynamic instability.
- Insert an indwelling urinary catheter: Monitoring urine output helps assess kidney function and fluid balance.
- Administer ordered low dose dopamine: Useful for maintaining renal perfusion and blood pressure.
- Administered 0.9% NS 500 mL bolus: Helps address hypotension and volume deficit.
- Administer ordered nitroglycerin: Not needed in this acute post-arrest phase unless specifically indicated for managing ongoing angina or heart failure symptoms.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Take this medication with orange juice is incorrect; alendronate should be taken with plain water to avoid food or drink interactions.
B. Take this medication with food is incorrect; alendronate should be taken on an empty stomach to enhance absorption.
C. Sit upright or stand for at least 30 minutes after taking this medication helps prevent esophageal irritation and ensure the medication reaches the stomach.
D. Chew or suck on the tablet is incorrect; the effervescent tablet should be dissolved in water as directed.
Correct Answer is ["B","C","D","E"]
Explanation
A. Ecchymosis indicates bruising but is not a primary parameter for assessing neurovascular status.
B. Skin integrity is important to monitor for any signs of breakdown or infection.
C. Temperature helps assess for adequate blood flow and potential complications.
D. Color of the extremity indicates blood flow and can show signs of compromised circulation.
E. Sensation checks for nerve damage or impaired circulation.
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