NURSING CARE AND ASSESSMENT FOR CIRRHOSIS, BURNS, AND ESOPHAGEAL VARICES (A+ GRADED) What action should the nurse take first for a patient with esophageal varices who has vomited blood? Obtain the charts from previous admissions Listen for bowel sounds Obtain blood pressure & pulse Ask about abdominal pain- Answer -Obtain blood pressure & pulse. What assessment finding requires immediate nursing intervention for a patient with advanced cirrhosis on furosemide and spironolactone? Mild dizziness when standing Weight loss of 1.5 pounds in 24 hours Increased hearing an output and decreased abdominal girth. Serum potassium level of 2.6 mEq/L- Answer -Serum potassium level of 2.6 mEq/L. What is the priority finding to report for a patient with burns to the face, ears, and eyelids? Pain of 6/10 HR 122/min Urineoutput 25ml/hr Difficulty swallowing- Answer -Difficulty swallowing. What laboratory result should the nurse expect for a client with extensive burn injury? Low hgb hypervolemia hyperkalemia metabolic alkalosis- Answer -Hyperkalemia What factors determine the severity of a burn? SATA medical care CONTINUES....
Quality you can trust: written by students who passed their tests and reviewed by others who've used these notes.
No worries! You can instantly pick a different document that better fits what you're looking for.
No subscription, no commitments. Pay the way you're used to via credit card and download your PDF document instantly.
“Bought, downloaded, and aced it. It really can be that simple.”
