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Author Archives: Anonymous

A nurse is caring for a patient admitted 12 hours ago to a s…

A nurse is caring for a patient admitted 12 hours ago to a surgical ICU after emergent surgery for an acute ischemic bowel.The nurse has the following data: Past Medical History• Lumbar spine surgery 5 years ago• Chronic back pain controlled with oxycodone 15 mg PO tidOperative Procedure• Surgical procedure involved extensive abdominal surgery to repair a perforated colon, irrigate the abdominal cavity, and provide hemostasis• During surgery the systolic BP dropped to 70mm/Hg• Six units of packed red blood cells and 4L of 0.9% saline were infused• The patient is receiving 60% O2 via an aerosol face maskPostoperative Orders• Continuous ECG and pulse oximetry monitoring• Give 0.9% saline at 125mL/hr via a central venous IV catheter• Monitor hourly urine output via indwelling bladder catheter• For pain management bolus with Morphine 10mg and begin a continuous IV infusion of morphineImmediate Postoperative Status• Patient’s is restless requiring progressively higher FIO2 via high-flow face mask and a short trial of noninvasive positive pressure ventilation (NIPPV).• The patient continues to experience declining SaO2 levels and urine output decreases. Emergent endotracheal intubation and mechanical ventilation are needed.• Postintubation chest x-ray reveals 50% right-sided pneumothorax, requiring the emergent chest tube placement. Chest tube is inserted and connected to intermittent suction. Immediately after chest tube placement, the SpO2 decreased to 84%.• ABGs shows PaCO2 increased to 52mm/Hg; PaO2 has come back up to 92%.• Patient is tachycardic during insertion and remains tachycardic and restless immediately after chest tube insertion. Based on the data provided from the case study and the available postoperative orders, what is the nurse’s most appropriate intervention for the care of the patient following insertion of the chest tube? 

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The nurse is teaching a patient with iron-deficiency anemia…

The nurse is teaching a patient with iron-deficiency anemia about foods to increase iron intake. Which foods should the patient be instructed to eat?

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A patient is on vitamin D supplemental therapy. The nurse wi…

A patient is on vitamin D supplemental therapy. The nurse will monitor for which signs of toxicity during this therapy?

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An elderly patient needs to take an enteral supplement to im…

An elderly patient needs to take an enteral supplement to improve their overall nutritional status. When considering enteral supplements, the nurse notes that which formulation provides complex nutrients?

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Drugs administered via which route may face “first pass meta…

Drugs administered via which route may face “first pass metabolism”?

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A patient has liver cirrhosis and is now lacking cytochrome…

A patient has liver cirrhosis and is now lacking cytochrome p450 enzymes that metabolize and activate a drug she is prescribed. How will this affect the serum levels of the active version of this drug?

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35. The nurse aide notices that a client’s bedsidelamp cord…

35. The nurse aide notices that a client’s bedsidelamp cord is draped across a chair in orderto reach the nearest outlet. The nurse aideSHOULD:

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25. The nurse aide SHOULD refuse to perform atask if the:

25. The nurse aide SHOULD refuse to perform atask if the:

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25. The nurse aide SHOULD refuse to perform atask if the:

25. The nurse aide SHOULD refuse to perform atask if the:

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23. The nurse aide is walking with a client whouses a wheelc…

23. The nurse aide is walking with a client whouses a wheelchair when the facility firealarm system is activated. The client becomesexcited by the noise. The nurse aide SHOULD:

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