The health care provider has written the following orders for a client with bounding peripheral pulses, weight gain of 2 lb., pitting edema, and moist crackles bilaterally. Which order will the nurse complete first?

Metoprolol 50 mg. PO daily.

Maintain accurate intake and output records.

Furosemide (Lasix) 40 mg IV push.

Encourage fluid intake more than 2000 mL/day

Answer and Explanation

The Correct Answer is C

The client's symptoms of bounding peripheral pulses, weight gain, pitting edema, and moist crackles bilaterally suggest fluid volume overload or fluid retention. Furosemide (Lasix) is a loop diuretic that helps to promote diuresis and reduce fluid volume. Administering the medication promptly can help address the client's symptoms and alleviate the fluid overload.

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Correct Answer is ["Lithotripsy"," Encourage increased fluid intake"]

Explanation

Lithotripsy and Encourage increased fluid intake are the most important interventions.

A. Prevent blood clots B. Prevent malignant hyperthermia. C. Promote fracture healing. D. Reduce pain E. Prevent fat embolism

Correct Answer is ["C","D","E"]

Explanation

The nurse explains that immobilizing a fracture will:

Help align the bone fragments and reduce movement, which is crucial for proper healing. Immobilization can help maintain the stability of the fracture site, allowing the bones to knit together and heal.
Help to minimize movement and subsequent pain. It provides support and reduces stress on the injured area, which can help alleviate discomfort and promote a more comfortable healing process.
Help to minimize movement and reduce the risk of fat globules from bone marrow entering the bloodstream and causing a fat embolism, a potentially serious complication.

Preventing blood clots, preventing malignant hyperthermia, and immobilizing a fracture are not directly related. Preventing blood clots typically involves other measures such as early mobilization, elevation, and medication to prevent deep vein thrombosis. Malignant hyperthermia is a rare, potentially life-threatening reaction to certain medications used during anesthesia, and immobilization does not directly prevent it.

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The health care provider has written the following orders for a client with bounding peripheral pulses, weight gain of 2 lb., pitting edema, and moist crackles bilaterally. Which order will the nurse complete first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

What are the most important nursing interventions for clients with possible renal calculi? List two.

Correct Answer is ["Lithotripsy"," Encourage increased fluid intake"]

Explanation

Why it is important to immobilize a suspected fracture. The nurse explains that immobilizing a fracture will... (SELECT ALL THAT APPLY)

Correct Answer is ["C","D","E"]

Explanation

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