V1 2010155. A child with diarrhea and dehydration is receiving an IV solution of half-strength saline at 100 ml/hour and is eating ice chips continuously throughout the day. Which laboratory finding is most important for the nurse to monitor?
156. An elderly male client is experiencing urinary incontinence. What is the best initial nursing action? A) restrict the client’s oral fluid intake B) instruct the client to perform intermittent self-catheterization C) insert an indwelling urinary catheter D) apply an external condom catheter
157. A male client develops oral candidiasis. He has MRSA-positive sputum, is dyspneic, and is receiving oxygen per face mask and linezolid (Zyvox) 600 mg BID IV. In planning care for this client, the nurse identifies which factor as the probable cause of the stomatitis? A) sputum infection
158. A 38-year-old male client collapsed at his outside construction job in Texas in July. His admitting vital signs to ICU are: BP 82/70, heart rate 140 beats/minute, urine output 10ml/hr, skin cool to the touch. Pulmonary artery (PA) pressures are: PAWP 1, PAP 8/2, RAP -1, SVR 1600. What nursing action has the highest priority? A) apply a hypothermia unit to stabilize core temperature