MED SURG II HESI (Elsevier)
A client is admitted for dehydration, and an intravenous (IV) infusion of normal saline at one
hundred twenty five mL/hr has been began. One hour after the IV initiation the patron starts
screaming, "I can't breathe!" The nursing precedence movement is:
1. Discontinue the IV site and make contact with the primary fitness care company
2. Elevate the pinnacle of the mattress and obtain important signs
3. Contact the number one fitness care provider to acquire a prescription for a sedative
four. Assess for allergies and alternate the IV to an intermittent infusion device - ANS-Elevate
the pinnacle of the mattress and acquire vital signs
A patron is hospitalized for the treatment of thrombophlebitis. What must the nurse consist of in
the consumer's teaching plan associated with a way to prevent thrombophlebitis?
1. Perform leg physical games
2. Sit with the knees flexed
three. Apply heat soaks to the legs day by day
4. Put on elastic stockings before springing up - ANS-four. Put on elastic stockings earlier than
springing up
A patron on a telemetry unit demonstrates a normal sinus rhythm (RSR) with an occasional
untimely atrial contraction (PAC). What motion should the nurse take?
1. Continue to reveal the client.
2. Notify the fitness care company.
Three. Ensure that a defibrillator is close by.
Four. Administer lidocaine intravenously as consistent with protocol. - ANS-1. Continue to reveal
the client.
A client is admitted for dehydration, and an intravenous (IV) infusion of normal saline at one
hundred twenty five mL/hr has been began. One hour after the IV initiation the patron starts
screaming, "I can't breathe!" The nursing precedence movement is:
1. Discontinue the IV site and make contact with the primary fitness care company
2. Elevate the pinnacle of the mattress and obtain important signs
3. Contact the number one fitness care provider to acquire a prescription for a sedative
four. Assess for allergies and alternate the IV to an intermittent infusion device - ANS-Elevate
the pinnacle of the mattress and acquire vital signs
A patron is hospitalized for the treatment of thrombophlebitis. What must the nurse consist of in
the consumer's teaching plan associated with a way to prevent thrombophlebitis?
1. Perform leg physical games
2. Sit with the knees flexed
three. Apply heat soaks to the legs day by day
4. Put on elastic stockings before springing up - ANS-four. Put on elastic stockings earlier than
springing up
A patron on a telemetry unit demonstrates a normal sinus rhythm (RSR) with an occasional
untimely atrial contraction (PAC). What motion should the nurse take?
1. Continue to reveal the client.
2. Notify the fitness care company.
Three. Ensure that a defibrillator is close by.
Four. Administer lidocaine intravenously as consistent with protocol. - ANS-1. Continue to reveal
the client.
