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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.

A.

Administer furosemide

B.

Administer ordered Epinephrine drip

C.

Administer ordered low dose dopamine

D.

Insert an indwelling urinary catheter.

E.

Administer ordered nitroglycerin

F.

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.


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Related Questions

Correct Answer is A

Explanation

A. A synthetic cast is lighter in weight compared to a plaster cast, making it more comfortable for the patient.
B. Both plaster and synthetic casts effectively immobilize bone fractures; the choice often depends on the specific clinical situation and patient preference.
C. Drying time is actually shorter with a synthetic cast compared to a plaster cast, which can take up to 24-72 hours to fully dry.
D. A plaster cast does not require expensive equipment for application; the materials and application process are generally less costly compared to synthetic casts.

Correct Answer is C

Explanation

A. Hyperglycemia typically presents with symptoms such as polyuria, polydipsia, and blurred vision, rather than these symptoms.

B. Neuropathy involves symptoms like numbness and tingling, not headache, restlessness, fatigue, and hunger.

C. Hypoglycemia presents with symptoms including headache, restlessness, fatigue, and hunger.

D. Hypokalemia presents with symptoms like muscle weakness and cramping, not the symptoms described.

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