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Author Question: A 23-year-old patient is admitted with diabetes insipidus. Which action will be most appropriate for ... (Read 111 times)

cdr_15

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on: Jun 25, 2018
A 23-year-old patient is admitted with diabetes insipidus. Which action will be most appropriate for the registered nurse (RN) to delegate to an experienced licensed practical/vocational nurse (LPN/LVN)?
 
  a. Titrate the infusion of 5 dextrose in water.
  b. Teach the patient how to use desmopressin (DDAVP) nasal spray.
  c. Assess the patient's hydration status every 8 hours.
  d. Administer subcutaneous DDAVP.

Question 2

Which assessment finding for a 33-year-old female patient admitted with Graves' disease requires the most rapid intervention by the nurse?
 
  a. Bilateral exophthalmos
  b. Heart rate 136 beats/minute
  c. Temperature 103.8 F (40.4 C)
  d. Blood pressure 166/100 mm Hg


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Jbrasil

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Reply #1 on: Jun 25, 2018
Answer to Question 1

ANS: D
Administration of medications is included in LPN/LVN education and scope of practice. Assessments, patient teaching, and titrating fluid infusions are more complex skills and should be done by the RN.

Answer to Question 2

ANS: C
The patient's temperature indicates that the patient may have thyrotoxic crisis and that interventions to lower the temperature are needed immediately. The other findings also require intervention but do not indicate potentially life-threatening complications.


cdr_15

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Reply 2 on: Jun 25, 2018
Thanks for the timely response, appreciate it

komodo7

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Reply 3 on: Yesterday
Great answer, keep it coming :)

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