Study guides, Class notes & Summaries

a nurse is caring for a client who has hepatic encephalopathy that is being treated with lactulose. the client is experiencing excessive stools. which of the following findings is an adverse effect of the medication? - ANSWER hypokalemia a nurse is caring for a client who has emphysema and is receiving mechanical ventilation. the client appears anxious and restless, and the high-pressure alarm is sounding. which of the following actions should the nurse take first? - ANSWER instruct the cl...

A nurse is assessing for compartment syndrome in a client who has a short leg cast. Which of the following findings should the nurse identify as a manifestation of this condition?- ANSWER Pain that increases with passive movement Rationale: The nurse should identify that a client who has compartment syndrome experiences pain that increases with passive movement. Compartment syndrome results from a decrease in blood flow in the extremity caused by a decrease in the muscle compartment size d...

Compartment syndrome - ANSWER Early signs: intense pain with movement, capillary refill less than 2 seconds, erythema of the toes, bounding distal pulses Hemolytic transfusion reaction - ANSWER Manifestations: chills, back pain, hypertension Preventing hip dislocation - ANSWER Action: place two bed pillows between the legs when in bed Allergic cross-reactivity - ANSWER Risk for client with allergy to bananas: latex Incentive spirometer - ANSWER Instruction: hold breaths about 3 to 5 secon...

QUESTIONS AND ANSWERS

QUESTIONS AND ANSWERS

QUESTIONS AND ANSWERS

QUESTIONS AND ANSWERS

QUESTIONS AND ANSWERS

QUESTIONS AND ANSWERS