Question

A rinally ill patient is admitted to the hospital, which action should the nurse include in the initial plan of care? A Determine the patient's wishes regarding end of life care B Emphasire the importance of addressing any families issues C. Discuss the normal grief process with the patient and family D. Encourage the patient to talk about any fears or unresolved issues 17. A patient's temperature has been 101 F (38.3 C. for several days. The patient's normal caloric intake to meet nutritional needs is about 2000 calories per day. Knowing that the metabolic rate increases 7% for each Fahrenheit degree about 100 degrees in body temperature, calculate the total calories the patient should receive each day 18. On the examination the following question will ask to put in order: A patient who has an infected abdominal wound develops a temperature of 104 degree F. (40 C. All the following interventions are included in the patient's plan of care, in which order should the nurse perform the following actions? A Sponge patient with water B. Administer intravenous antibiotics c. Perform wet to dry dressing change. D Administer acetaminophen (Tylenol) 19. The nurse has administered 3% saline to a patient with hyponatremia. Which one of these assessment data will require the most rapid response by the nurse? A. The patient's radial pulse is 105 beats/minute B. There is sediment and blood in the patient's urine C. The blood pressure increases from 120/80 to 142/94 D. There are crackles audible throughout both lung fields 20. The following data are prohibited by the nurse when assessing a pregnant patient with eclampsia who is receiving IV magnesium sulfate. Which finding is most important to report to the health care provider immediately? A. The bibasilar breath sounds are decreased. B. The patellar and triceps reflexes are absent C. The patient has been sleeping most of the day. D. The patient reports feeling "sick to my stomach."

Answer 1

16.A terminally ill condition needs a supportive ,spiritual ,holistic care not only to the patient but also to the family members.Emotional support forms the most comforting measure.The patient can be let to talk about any issues,problems,things to be done this can give a bigger relaxation to the patient

Ans:D.Encourage the patient to talk about any fears or unresolved issues

17.For every 0.5°C the BMR increases by 7%

Here 101°F =38°C (Two times 0.5°C increases ,so to calculate BMR multiply 7% twice it is 14%of BMR)

The body needs 14% of additional calorie intake during fever

=14%×2000

=(14÷100)×2000

=14×2000÷100

=28000÷100

=280

The patient should be given 2280 calorie per day

18.When a patient is having fever the following steps to be taken

• Provide a sponge bath this will decrease the whole body temperature
• A wet to dry dressing can be helpful to reduce the fever,the wet dressing after it dries off is replaced
• Administer antipyretic
• Administer antibiotics to prevent further infections

19.It is an hypertonic solution may cause severe rise in blood pressure ,to be used in caution with lung and cardiac diseases,edema

Ans:C.The blood pressure increases from120/80 to 142/94