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- Which of these findings would cause the nurse to hold an oral metoprolol 25mg. A) Heart rate of 12 beats per mins B)Respiratory rate of 26 breaths per minutes C)Blood pressure of 92/44 mg (D) Oxygen saturation level of 95% on room airDuring 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.A nurse is caring for a patient who has fluid imbalance relatedto the development of ascites. Which imbalances would thenurse monitor for in this patient? Select all that apply.a. Extracellular fluid volume deficitb. Protein deficitc. Metabolic alkalosisd. Sodium deficite. Plasma-to-interstitial fluid shiftf. Metabolic acidosis
- A client diagnosed with hypertension is prescribed lisinopril. The nurse should monitor the client for which potential adverse effect associated with this medication? A) Hyperkalemia B) Hypocalcemia C) Hypokalemia D) Hypercalcemia.pathophysiology Lisa Smith (LS) is brought to the emergency department [ER] for management of accidental acute poisoning. She is nonresponsive and admitted to the critical care unit [CCU] to be closely monitored. LS has no urinary output, and her laboratory values are serum K+ = 6.7 mEq/L; serum Na+ = 177 mEq/L; arterial blood gases [ABGs]: pH = 7.13, PaCO2 = 35 mmHg, HCO3- = 16 mEq/L, PaO2 = 89 mmHg, and oxygen saturation = 94%. Identify LS’s current acid-base disorder. What is the most likely underlying cause of the acid-base disorder LS is experiencing?Measure the Intake and Output of Mr. De la Cruz for the 8-Hour shift and give conclusion if Intake & Output is proportionate or not. Mr. dela Cruz is a 67 year old male who has been admitted to the Medical ICU with a diagnosis of congestive heart failure (CHF). He is intubated and attached to a ventilator, with nasogastric tube attached at the L nostril, intravenous fluid (IVF) of D5 LR 1L x 12 hours, and foley catheter draining to a pale straw urine. He is monitored hourly for his vital signs as well as intake & output. Nurse Tina was assigned to take care of Mr. Dela Cruz and the following tasks transpired during her morning shift: After endorsement, Nurse Tina made her rounds to check on Mr. Dela Cruz. She took his vital signs, level of consciousness. His present IVF has a remaining amount of 600 cc & regulated the desired rate. She prepared the medications and osteorized tube feeding (OTF) all due at 8 am. She fed Mr. Dela Cruz with 200 ml of OTF and instilled 50 ml of…
- HC is a 42-year-old male with hypertension (his average systolic/diastolic blood pressure is 147/92 mm Hg), who is referred to the outpatient clinic. Dietary recall shows that he consumes highly processed foods with added salt such as processed meats, canned foods, salty snacks, and he does not consume adequate amounts of fresh vegetables and fruits. d. What is the recommended optimal dietary intake for sodium and potassium for HC? e. What would be the major specific recommendations to modify HG’s current diet to improve management of hypertension? How would your dietary modification recommendations affect his intake of sodium and potassium?Order: potassium chloride 30 mEq PO dailyPharmacy Supply: 20 mEq/15mLHow much will you give your patient?Please pick one of the following hypoxia's and describe how you would treat it: Ischemic hypoxiaHistotoxic hypoxiaHypoxemic hypoxia
- Lisa Smith (LS) is brought to the emergency department [ER] for management of accidental acute poisoning. She is nonresponsive and admitted to the critical care unit [CCU] to be closely monitored. LS has no urinary output, and her laboratory values are serum K+ = 6.7 mEq/L; serum Na+ = 177 mEq/L; arterial blood gases [ABGs]: pH = 7.13, PaCO2 = 35 mmHg, HCO3- = 16 mEq/L, PaO2 = 89 mmHg, and oxygen saturation = 94%. What electrolyte disturbances need to be monitored at this time? What clinical signs & symptoms should the nurse be assessing LP, at this time, for the electrolyte disturbances?YOU ARE A STUDENT NURSE ON DUTY AT THE EMERGENCYROOM. MR. PEDRO, 50-YEAR-OLD, CAME IN WITH CHIEFCOMPLAINTS OF DIZZINESS. HE CLAIMED THAT HE HASBEEN VOMITING AND HAS HAD DIARRHEA FOR 2 DAYS.YOU ASSESSED HIS PHYSIOLOGIC STATUS AND NOTESTHAT HIS MUSCLES ARE WEAK,HIS ABDOMEN IS DISTENDED, AND BOWEL SOUNDS ARE ABSENT. A. WHAT ELECTROLYTE IMBALANCE DO YOU SUSPECT? B. WHAT IS THE NORMAL RANGE FOR THIS ELECTROLYTE? C. WITH THIS TYPE OF ELECTROLYTE IMBALANCE, WHAT OTHER SYMPTOMS CAN THIS PATIENT HAVE EXHIBITED?RECORD THE HOURLY INTAKE AND OUTPUT USING THE TABLE PROVIDED. SHOW COMPLETE COMPUTATION IN THE TABLE- LABEL/ NAME ALL THE INATAKE PER You admitted a patient with hypotensive crisis; with the following data and doctor’s order Patient Juan Dela Cruz, 45 y/o, the patient NGT for gavage feeding every 4 hours. With Indwelling Foley Catheter for urine output monitoring 6:30am Clients VS BP=70/40 RR=15 PR=59 O2 Sat=98% monitor I &O every hour Doctor’s Order: Fluid Regimen: (R hand) Start IVF of D5LRS 1L to run for 8 hours using macroset with Side drip of Levophed: 2 ampules + 96 cc of PNSS x 15 ugtts/min stock dose of levophed (2ndline) L start IVF PNSS 1L x 10 gtts/min; To Start Blood transfusion of 2-unit PRBC once available properly typed and crossmatched You received the patient at exactly 7:00 AM and started the fluid regimen 8:00 AM – started gavage feeding of 1 glass osteorized feeding with 1/2 glass of plain water to dilute the feeding. 8: 30 AM -packed…