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 B
Explanation
A. Keeping the leg in a dependent position can increase swelling; the leg should be elevated to reduce swelling.
B. Applying ice to the affected area is recommended to reduce swelling and pain after arthroscopic knee surgery.
C. Active range of motion exercises might be recommended, but this depends on the surgeon’s instructions and typically starts after the initial recovery period.
D. Bedrest for 24 hours is not usually required; gentle movement and following specific rehabilitation protocols are encouraged.
Correct Answer is ["125"]
Explanation
To calculate the IV pump rate:
- Total volume of dextrose solution: 250 mL
- Time for infusion: 2 hours
- The pump rate is calculated as total volume divided by time: 250/2
- This results in a pump rate of 125 mL/hr
Therefore, the nurse should set the IV pump to deliver 125 mL/hr.
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