Rashid Ahmed post simulation Quiz

The nurse begins Rashid Ahmed's nursing assistant. The nurse understand which of the following are significant when assessing for the presence of ortho plastic hypertension select all that apply.

Assessing a systolic blood pressure drop of 20mm Hg or more after the client has stood for two minutes Assessing a pulse rate of 30 bpm or more after client has stood for two minutes Assessing a diastolic drop of 10 mmHg after the client tested for two minutes

The nurse is assessing Rashid Ahmed after administration to the medical unit. The nurse understands which of the following are expected outcomes following the administration of isotonic IV fluid.

Blood pressure volume increases Urine output increases

Rashid Ahmed requires education regarding fall prevention, and safety, which of the following clients responses indicate further teaching is required

I will walk slowly to the bathroom I will wear my personal socks when ambulating I don't need my side rail while I'm in bed

The nurse begins caring for Rashid Ahmed who was admitted from the emergency department for dehydration and hyperkalemia, the nurse recognizes which of the following assessment findings are related to his dehydration

Decreased weight Dizziness and weakness Decreased elasticity ( skin tugor)

After completing the initial nursing assessment, the nurse recognizes Rashid Ahmed's ........... as a priority, finding which would require the following additional interventions

Hyperkalemia of 3.1 mEq/L ; call provider

The nurse is providing care for Rashid Ahmed, who is receiving continues IV fluids for dehydration. The nurse must first secure what information in preparation for administering a new order of IV potassium.

The status of the clients IV receiver The volume of potassium piggyback The Pump designated for infusion The medication compatibility