The nurse has received an order for Total Parenteral nutriti…
The nurse has received an order for Total Parenteral nutrition IV enhanced electrolyte solution with 20% Dextrose since the patient has not been able to take PO intake now for greater than 8 days. TPN is being recommended for the next 5 days to prevent a malnourished state. The normal saline (NS) fluids are ordered at 80ml/hr. The patient has one IV Saline Lock at this time. What action should the nurse anticipate?
Read DetailsGeorge Kent is a 54-year-old widower with a history of chron…
George Kent is a 54-year-old widower with a history of chronic obstructive pulmonary disease and was rushed to the emergency department with increasing shortness of breath, pyrexia= (fever), and a productive cough with yellow-green sputum. He has difficulty communicating because of his inability to complete a sentence. One of his sons, Jacob, says he has been unwell for three days. Upon examination, crackles and wheezes can be heard in the lower lobes; he has tachycardia and a bounding pulse. Measurement of arterial blood gas shows pH 7.35, PaCO2 68 mm Hg, HCO3 m32 mol/L, and PaO2 60 mm Hg. How would you interpret this?
Read DetailsA patient is requiring a blood transfusion. Prior to initiat…
A patient is requiring a blood transfusion. Prior to initiating the blood transfusion vital signs are obtained and the nurse collects all needed supplies. The tubing and NS are placed at the patients bedside. Along with assessing for a patent IV site and correct size of catheter, reviewing the policy on vital sign obtainment during the transfusion and obtaining the patient consent the nurse is responsible for knowing the patients blood type and that of the donor for compatibility. The patient is AB -neg. Which type of blood can the patient receive?
Read DetailsA client’s absolute neutrophil count (ANC) is 550/mm3. (Norm…
A client’s absolute neutrophil count (ANC) is 550/mm3. (Normal ANC=1.5 to 8.0 which is also stated as 1,500-8,000/mm3) What is the best protective action the nurse should initiate? Definitions: Neutropenia-abnormally low Neutrophilia-higher than normal
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