What is most important for the nurse to do prior to initiating peritoneal dialysis?
, Aspirate for placement.
Have the client void.
Irrigate the catheter for patency.
Warm the dialysate fluid. - ✔✔4
The nurse in the outpatient clinic performs an assessment on a client who
takes propranolol for management of palpitations associated with mitral valve
prolapse. Which statement by the client should be reported immediately to the
primary healthcare provider?
"My resting pulse was 60 this morning."
"I feel a little short of breath when walking."
"I have lost 5 pounds in the last 2 weeks."
"My blood pressure (BP) was lower this visit than last time." - ✔✔2
,Blood and urine samples are sent to the laboratory for a client who has had a
spinal cord injury. After reviewing these results, the nurse would expect
which finding?
Exhibit
Gross hematuria
Septicemia
Urinary tract infection
Anemia - ✔✔3
The nurse is instructing a client on achieving relaxation using deep breathing
exercises. Which statement by the client indicates to the nurse that further
teaching is necessary?
"I can perform deep breathing exercises anywhere and at any time that I feel
tension and anxiety."
, "I should sit or lie in a comfortable position, making sure my back is straight."
"I will inhale slowly and deeply through my mouth focusing on my chest
expansion."
"When I have inhaled in as much as possible, I will hold my breath for a few
seconds before exhaling." - ✔✔3
A client diagnosed with pancreatitis becomes increasingly restless, confused and
has pulled out the NG tube and IV catheter. HR-128/min, BP 96/62. Oxygen
saturation = 90%. Skin is cool and clammy to touch. Prioritize the actions that
the nurse should take.
Initiate oxygen.
Insert another IV line.
Obtain blood sugar level.
Insert NG tube.
Repeat vital sign checks - ✔✔This is the correct order
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