Document and continue to monitor Place the client on oxygen via mask Call the healthcare provider to report the results Suction the client using a yankeur During the immediate postburn period, the nurse assesses the client for injuries other than burns. Which of the following assessments indicates a potential problem? Urine output of 30ml/hour Presence of eschar Presence of edema Coughing The nurse is caring for a client with papillary muscle rupture. When assessing the client, the nurse is alert to the development of symptoms related to _________ shock? Septic Anaphylactic Cardiogenic Neurogenic The family of a client in shock asks why the hands are cold. The best client’s nurse’s response is which of the following? in shock, which takes blood away “Blood vessels constrict from the hands and feet” the intensive care unit cool to “We keep reduce clients’ metabolic rate” family member has developed a fever and “Your chills” to clients in shock “This happens frequently states” While flushing a central vascular access device, the nurse meets resistance. The nurse should: Apply force to the syringe Report the findings to the physician Check the clamp on the catheter Pull the catheter back slightly When caring for a group of patients, which of the following individuals is at risk for metabolic alkalosis?
Document and continue to monitor Place the client on oxygen via mask Call the healthcare provider to report the results Suction the client using a yankeur During the immediate postburn period, the nurse assesses the client for injuries other than burns. Which of the following assessments indicates a potential problem? Urine output of 30ml/hour Presence of eschar Presence of edema Coughing The nurse is caring for a client with papillary muscle rupture. When assessing the client, the nurse is alert to the development of symptoms related to _________ shock? Septic Anaphylactic Cardiogenic Neurogenic The family of a client in shock asks why the client’s hands are cold. The nurse’s best response is which of the following? “Blood vessels constrict in shock, which takes blood away from the hands and feet” “We keep the intensive care unit cool to reduce clients’ metabolic rate” “Your family member has developed a fever and chills” “This happens frequently to clients in shock states” While flushing a central vascular access device, the nurse meets resistance. The nurse should: Apply force to the syringe Report the findings to the physician Check the clamp on the catheter Pull the catheter back slightly When caring for a group of patients, which of the following individuals is at risk for metabolic alkalosis?
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