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The nurse is continuing to assist in the care of the client.
Exhibits
The nurse should anticipate a provider prescription for and

Answer and Explanation

The Correct Answer is {"dropdown-group-1":"C","dropdown-group-2":"E"}

1. Bumetanide 1 mg IV stat: The client’s vital signs show hypotension (blood pressure 88/54 mm Hg) and tachycardia (heart rate 104/min). The skin is cool and moist, and capillary refill is delayed, suggesting possible fluid overload or heart failure. Bumetanide is a potent diuretic used to address fluid overload and reduce the heart's workload.

2. Packed red blood cells: The client’s urine output is low (110 mL over 6 hours), which, combined with signs of hypotension and tachycardia, may indicate significant blood loss or anemia. Administering packed red blood cells can help correct anemia and improve blood volume.


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Related Questions

Correct Answer is B

Explanation

A. Ammonia 55 mcg/dL (10 to 80 mcg/dL): This value is within the normal range and does not indicate an immediate concern for a liver biopsy.
B. Platelets 60,000/mm³ (150,000 to 400,000/mm³): This value is significantly below the normal range and indicates thrombocytopenia, which increases the risk of bleeding during a liver biopsy and should be reported to the provider.
C. Aspartate aminotransferase 34 units/L (0 to 34 units/L): This value is on the upper limit of normal and generally does not require reporting unless there are other clinical concerns.
D. Bilirubin 1.0 mg/dL (0.3 to 1.0 mg/dL): This value is at the upper limit of normal and does not require reporting unless there are additional symptoms or concerns.

Correct Answer is C

Explanation

A. Elevate the head of the bed 45° before starting the CPM device: This is not necessarily required and may not be appropriate based on the specific needs of the client or the setup of the CPM device.
B. Ensure the frame joint is in a flexed position before placing the leg onto the device: This is incorrect as the CPM device should be properly aligned with the joint's neutral position to avoid discomfort and ensure effective movement.
C. Ensure the knee joint is positioned over the CPM device frame joint: This is correct as proper alignment ensures that the device functions effectively and helps in the controlled movement of the knee joint.
D. Instruct the client to increase the degree of flexion as tolerated: This is incorrect as the degree of flexion should be adjusted according to the provider’s orders, not based on the client’s tolerance alone.

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