The nurse is working in the intensive care unit and has just received lab results for her patients. Which of the following are considered electrolyte imbalances? (Select all That Apply)

Hyperkalemia

Hypocalcemia

Thrombocytopenia

Anemia

Hyponatremia

Answer and Explanation

Correct Answer : A,B,E

These are all electrolyte imbalances. Hyperkalaemia is an elevated level of potassium in the blood. Hypocalcaemia is a low level of calcium in the blood. Hyponatremia is a low level of sodium in the blood. Thrombocytopenia and anemia are not electrolyte imbalances. Thrombocytopenia is a low platelet count and anemia is a low red blood cell count or low hemoglobin levels.

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Correct Answer is A

Explanation

The use of an incentive spirometer is essential after surgery to prevent complications such as pneumonia and atelectasis. Atelectasis is the collapse of air sacs in the lungs, which can occur after surgery due to decreased respiratory eﬀort and shallow breathing. An incentive spirometer helps the patient take deep breaths and increase their lung volume, preventing these complications.

Breathing rapidly to prevent pneumonia (option b) is not recommended as it can lead to hyperventilation and other respiratory complications.

Option c is incorrect because patient education is a crucial aspect of post-operative care, and the patient needs to be aware of the potential complications and how to prevent them.

The use of a chest tube (option d) is not usually required after hip surgery, and it is not a priority teaching for the patient.

A. What do you think that the child might have ingested?’ B. ’At what time did the child ingest the substance?' C. ‘Induce vomiting while you wait for emergency personnel to arrive.' D. ‘Check breathing and heart rate.’

Correct Answer is A

Explanation

In case of suspected ingestion of a poisonous substance, the priority response of the poison control nurse should be to assess the child's vital signs, especially breathing and heart rate, to determine if the child is experiencing any immediate life-threatening symptoms. This information will help the nurse determine the appropriate course of action, such as whether to instruct the caregiver to perform CPR or to immediately call for emergency medical assistance.

Asking about the substance ingested and the time of ingestion are also important pieces of information to gather, but they should not take priority over assessing the child's vital signs. Inducing vomiting is generally not recommended unless instructed to do so by a medical professional, as it can cause further harm if the substance ingested is corrosive or caustic.

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The nurse is working in the intensive care unit and has just received lab results for her patients. Which of the following are considered electrolyte imbalances? (Select all That Apply)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is caring for a client who recently had surgery on her left hip. What should be the priority teaching for the patient after surgery to prevent complications?

Correct Answer is A

Explanation

The poison control nurse receives a call from the caregiver of a young school age child who may have ingested a poisonous substance. Which is the priority response by the nurse?

Correct Answer is A

Explanation

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