Thirty minutes after starting a blood transfusion a patient develops tachycardia and tachypnea and complains of chills and low back pain. The nurse recognizes these symptoms as characteristic of:
The physician orders heparin 40 000 U in 1 liter of D5W IV to infuse at 1000 U/hr. What is the flow rate in milliliters per hour?
The nurse is preparing teaching plans for several patients. The nurse should recognize which of the following patients is at greatest risk for fluid and electrolyte imbalance?
Order: Compazine 8 mg IM stat. Drug availablE. 10 mg/ 2mL in vial.
How many mLs would you give?
During balloon inflation of an indwelling urinary catheter, the patient complains of pain and discomfort. The nurse should:
A patient with pneumonia is coughing up purulent thick sputum. Which one of the following nursing measures is most likely helpful to loosen the secretions?
You have started work on a new ward. One of the patient's allocated to you has been on the ward for the last 7 months since she had a cerebrovascular accident (CVA). You notice that her nursing care plan says strict bed rest, but on assessment you can not see any reason why this patient can not sit out of bed for short periods. Your nursing action would be:
A patient with a history of angina pectoris arrives in emergency complaining of headache, visual disturbances and feeling dizzy. Your nursing assessment also notes he looks flushed, is perspiring perfusely and is experiencing palpitations. You should suspect:
A trauma patient with open wounds arrives in the emergency department. The nurse would know that a tetanus injection is needed if the patient has:
The mother of a child with nephrotic syndrome asks why her child must be weighed each morning. The nurse's response should be based on the fact that this is important to determine the:
