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 {"A":{"answers":"A"},"B":{"answers":"B"},"C":{"answers":"A"},"D":{"answers":"A"},"E":{"answers":"B"}}
Explanation
Administer an analgesic: Essential. The client is experiencing sudden, sharp chest pain and appears anxious, which indicates the need for pain management.
Initiate a weight-based continuous heparin infusion: Non-essential. This intervention is related to anticoagulation management and is not indicated for the immediate management of a pneumothorax or pain.
Initiate supplemental oxygen: Essential. The client has a low pulse oximetry reading of 85%, indicating a need for supplemental oxygen to improve oxygenation.
Prepare client for a chest tube insertion: Essential. The chest x-ray shows a right upper lobe pneumothorax, and preparing for chest tube insertion is crucial for managing this condition.
Insert an indwelling urinary catheter: Non-essential. There is no indication from the client's current condition that an indwelling urinary catheter is required.
Correct Answer is ["100"]
Explanation
- First, determine the total volume to be infused: 50 mL.
- Next, calculate the time in hours: 30 minutes is 0.5 hours.
50/0.5
= 100mL/hr
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