rashid ahmed vsim
What information should be included when documenting a change in the infusion rate of an iv solution?
change made to flow rate, date and time change was made, nurse's initials,pt response to iv therapy.
Which statement by Mr. Ahmed best reflects his ability to assume some responsibility in tracking his urinary output?
i will always use the calibrated urinal to measure my urine
Considering Mr. Ahmed's diagnosis of dehydration and the possibility of neurological impairment, which nursing intervention is directed toward minimizing his risk for possible injury? 1.Educating the patient on the use of a calibrated urinal 2.Implementing falls precaution 3.Administrating ondansetron with a full glass of water 4.Assessing for orthostatic hypertension daily
implementing fall precautions
reduced skin turgor is characteristically altered among which population?
older adults
which physical finding poses the greatest safety risk for a pt diagnosed with hyponatremia?
orthostatic htn
hypokalemia is confirmed by what serum blood result
potassium 3.0 mEq/l
In addition to regular monitoring of serum potassium level, which. intervention will the nurse implement to address the safety needs of a pt prescribed iv potassium chloride?
securing ECG regularly
hyponatremia is associated with a decrease of which electrolyte?
sodium
which statement by the nurse indicates a need for further education on the role of water as a body fluid ?
water is transported to cells when it is attached to electrolytes.
which statement concerning the measurement of intake and output is true?
when possible intake and output should be measured rather than estimated.
Calculate the IV infusion rate using the following provider's order: 1000 mL of NS over 8 hours. Infusion set has a drip rate of 10drops/mL. 1.41 2.21 3.10 4.30
21 drops / min
Which of Mr. Ahmed's lab results best supports his diagnosis of dehydration? 1.Creatinine 1.1 2.WBC 21 x 10^9 3.HgB 16.7 4.Sodium 130
sodium 130mEq/l
what determines the acidity of a substance like body fluids?
the number of H+ ions
what pathology is responsible for metabolic acidosis
a decrease in bicarbonate or an increase in hydrogen ions
what is the initial step in assessing a pt for orthostatic htn?
after having the pt lie supine position for 3-10mins, take and record blood pressure and pulse
What information will the nurse provide to a pt to best assure minimizing the risk of side effects associated with Bactrim therapy?
increase fluid intake in order to remain well hydrated
what statement concerning fluid balance demonstrates a need for additional instruction concerning fluid intake and output?
a balance between fluid intake and output must be achieved each day to maintain homeostasis
which diagnostic test serves as the basis for determining acid base imbalances?
ABG
In preparation for calculating the infusion rate for a newly ordered iv solution, the nurse must first secure what info?
the infusion set drop factor