A nurse is receiving a new admission from the emergency room with a diagnosis of nausea/vomiting/diarrhea and dehydration. Which of the following orders would the nurse question? Select all that apply.
1. Repeat electrolyte panel in a.m.
2. Lomotil (Diphenoxylate and Atropine) 2 tablets PO qid for 24 hours
3. Intravenous (IV) normal saline at 30 mL/hr
4. Regular diet
5. Bedrest with bathroom privileges
Question 2
A nurse is caring for a patient who was admitted with severe hyponatremia. Which of the following symptoms would indicate the patient has increased intracranial pressure? Select all that apply.
1. Presence of Chvostek sign
2. Presence of Trousseau sign
3. Patient is anxious and restless
4. Blood pressure (BP) = 184/80
5. Pulse (P) = 52
Nurse-patient interaction; nonverbal communication
Examples of NANDA nursing diagnosis
Nurse's hand over patients abdomen
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Starter diagnosis chart.
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