A nurse is caring for a client in the ICU

Exhibits

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

Answer and Explanation

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

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Correct Answer is B

Explanation

A. Fluids should not be restricted; adequate hydration is necessary to help flush the contrast dye used during the procedure out of the client's system.
B. Performing neurovascular checks with vital signs is essential to monitor for complications such as bleeding, hematoma, or compromised circulation to the extremity.
C. The client should avoid range-of-motion exercises to the lower extremities immediately following the procedure to prevent disruption of the femoral artery site.
D. The client should remain on bed rest for several hours following the procedure to reduce the risk of bleeding at the catheter insertion site.

A. Engage in repetitive tasks, even when joints are inflamed, to keep the joints mobile. B. Press water from a sponge rather than wringing it. C. Finish weekly household tasks within 1 or 2 days. D. Turn doorknobs using a clockwise motion.

Correct Answer is B

Explanation

A. Engage in repetitive tasks, even when joints are inflamed, to keep the joints mobile is not recommended; rest and joint protection are important during inflammation.

B. Press water from a sponge rather than wringing it is a good strategy to avoid straining the joints.

C. Finish weekly household tasks within 1 or 2 days may lead to increased stress on the joints; tasks should be spread out to avoid exacerbating symptoms.

D. Turn doorknobs using a clockwise motion does not have specific benefits for managing rheumatoid arthritis; using adaptive devices is generally recommended.

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A nurse is caring for a client in the ICU Exhibits For each potential nursing action, click to specify if the action is essential, nonessential, or contraindicated for the client.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is planning care for a client following a cardiac catheterization accessed through his femoral artery. Which of the following actions should the nurse plan to take?

Correct Answer is B

Explanation

A nurse is teaching a client who has rheumatoid arthritis about self-care strategies for managing the disease. Which of the following activities should the nurse include in the teaching?

Correct Answer is B

Explanation

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A nurse is caring for a client in the ICU

Exhibits

For each potential nursing action, click to specify if the action is essential, nonessential, or contraindicated for the client.