The nurse is assisting with urgent management of a woman experiencing a postpartum hemorrhage who has a history of asthma. Which provider order would the nurse question before initiating? Increase Oxytocin to 150 milliunits/min Give Misoprostol 1000 mcg per rectum now Administer Dinoprostone 20 mg per rectum every 2 hours O Insert indwelling urinary catheter and monitor urine output hourly Begin oxygen via Non-rebreather at 10 LPM
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- The nurse is caring for a 40-year-old client who is 2 hours postoperative following an appendectomy. The client received general anesthesia for the procedure and has opioid pain medications prescribed. The client’s vital signs are Temp 97.2°F, HR 105, RR 24 and BP 110/50. The client has had only 30 mL urine output since arriving to the postoperative area. The client is arousable and slow to respond to commands, but has become slightly restless, shifting in the bed frequently. The client states that they “hurt” and asks for something to drink. The last dose of IV pain medication was given to the client just before leaving the surgical suite. Discuss three key pieces of assessment data and why you feel they are important. Discuss nursing interventions you would implement in caring for this client.What is the Nursing diagnosis and objectives for a child diagnosed with a urinary tract infection? Please answer the question, if there any missing information, add any information that u think it make senseThe Nurse is caring for an adolescent with BMI above the 95th percentile with has been experiencing increased urination. Which diagnostic test should the nurse anticiapated?
- A nurse is caring for an 82-year-old woman in a long-termcare facility who has had two urinary tract infections in thepast year related to immobility. Which finding would thenurse expect in this patient?a. Improved renal blood supply to the kidneysb. Urinary stasisc. Decreased urinary calciumd. Acidic urine formationWhen assessing a patient who is to begin therapy with an immunosuppressant drug, the nurse recognizes that such drugs should be used cautiously in patients with which condition(s)? (Select all that apply.) a )Pregnancyb) Glaucomac )Anemiad) Myalgiae )Renal dysfunctionf) Hepatic dysfunctionA patient with end-stage renal disease is admitted with orders for hemodialysis. Which actions should the nurse take to prepare the client for hemodialysis? Select all that apply. 1 .Administer subcutaneous heparin to decrease clotting during dialysis 2. Administer the client's morning doses of carvedilol and lisinopril 3. Check the client's medical records to determine the last post-dialysis weight 4. Obtain a set of client vital signs and the client's current weight 5. Palpate the fistula in the client's arm for a thrill and auscultate for a bruit
- Identify appropriate nursing interventions whenadministering enemas, rectal suppositories, rectalcatheters, and performing digital removal of stool.The nurse is caring for a patient who is 1 hour postpartum after a normal vaginal delivery. She is receiving oxytocin to control uterine atony and postpartum hemorrhage. What does the nurse need to know about postpartum hemorrhage?Scenario Client, Mary Smith, DOB 4/27/1976, was admitted to your unit yesterday with a bladder infection related to neurogenic bladder. The client is part of your assignment today and she is due for her 10 a.m. medication. You go to see her to administer her medication, and she is complaining of feeling like she needs to urinate but has been unable to void since this morning at 5:30 a.m. You review the client’s chart and find these orders: If client has not voided within 4 hours, use bladder scanner to check residual amount. If residual is > 200mL then perform intermittent urinary catheterization. You use the bladder scanner and see that there is 400mL urine in the bladder. Following the provider’s orders, you perform an intermittent urinary catheterization using sterile technique. Document the procedure for the intermittent urinary catheterization for this patient?
- A patient is taking an alpha blocker as treatment for benign prostatic hyperplasia. The nurse will monitor for which potential drug effects? (Select all that apply.)a) Orthostatic hypotensionb) Increased blood pressurec) Increased urine flowd) Headachese) BradycardiaThe nurse on shift is caring for a 66 year old male patient who was brought in to the urgent care center by his partner with new onset nausea, vomiting, and confusion. Th nurse notes the following upon assessment History of DM, hypertension, chronic kidney disease (CKD) Reports of decreased urinary output over "past few days." Reports "feeling drowsy and tired." Noted pitting edema to lower extremities. Vitals: T97.3(oral), P86 regular, R20, BP178/95, SPO293% on room air Labs - BUN72, creat7.8, K6.1 Questions: 1. What signs and symptoms are of concern in this patient's presentation? 2. What could these be telling you is happening to the patient? 3. Of the concerning symptoms, which of these is a priority? Please explain your answer. 4. What can we do to stabilize this patient? Why?During assessment of a patient who is receiving digoxin, the nurse monitors for findings that would indicate an increased possibility of toxicity, such as:a) apical pulse rate of 62 beats/min.b) digoxin level of 1.5 ng/mL.c) serum potassium level of 2.0 mEq/L.d) serum calcium level of 9.9 mEq/L.