You admitted a patient with hypotensive crisis with the following data and doctors patient juan dela cruz 45 years old NGT for gavage feeding every 4 hours
With indwelling foley catheter for urine output monitoring
6:30 a. m. clients vs bp =70/40 rr = 15 pr = 59 o2sat = 98%
doctor's order fluid regimen
R hand start ivf off d5lrs 1 liter to run 48 hours using macro set with slide drift of levophed to ampules + 96 cc of pnss x 15 ugtts per minute
second line le start ivf pnss 1 l x 10 gttsper minute start blood transfusion of two unit prbc once available properly type and crossmatch
you receive the patient at exactly 7:00 a. m. and started the fluid regimen
8:00 a. m. started gavage feeding of 1 glass osterized feeding with 1/2 glass of plain water to dilute the feeding
8:00 a. m. urine output
8:30 a. m. pack rbc for blood transfusion available
9:00 a. m. started blood transfusion with 250 ml of 1 unit prbc to run for 4 hours no reactions noted
12:00 noon next feeding do but the patient was restless was not available to give the full feeding remaining half glass was discarded
1:00 p. m. urine collected is 200ml
1:30 p. m. finish one prbc, hooked 2nd prbc with same rate
3:00 p. m. no urine output recorded
End of Shift
instruction complete the intake and output form every two hours
8-9:00 a. m.
9 to 10
10-11
11-12
12-1
1-2
2-3​

Anurse is teaching a client about nitroglycerin sublingual tablets. which of the following statements by the client indicates an understanding of the teaching? a. “this medication has a slower onset than a nitroglycerin pill that is swallowed.” b. “i should take this medication as soon as pain begins.” c. “i can crush this medication for faster relief.” d. “this medication should completely dissolve within 15 minutes.”

Anurse is assessing a client who receives monthly injections of cyanocobalamin. which of the following findings indicates a therapeutic effect of the medication? a. absence of hand tremors b. hematocrit 45% c. potassium 3.8 meq/l d. improved appetite

Mr smith a 52 year old patient, is admitted to the coronary care unit with the diagnosis of acute inferior myocardial infarction. the patient has a history of smoking two packs of cigarettes for 35 years, and he drinks a six pack of beer on weekend nights, but does not drink the rest of the week. he is the sole financial support for his family. he is a consultant for a company and is out of town during the week days. mr smith has gained 20 pounds. he is 5 foot, 6 inches, weighing 200 pounds. his diet consists mostly of fast foods. he rarely exercise. his wife care for their three teenage children. the eldest son, 17 years of age, totaled the family car when drinking and driving 2 days ago and he is in the local children’s hospital in the intensive care unit in critical condition. mr smith developed chest pains and slumped over in his chair during an argument with his wife about their teenage daughter, who is 15 years of age and wanted to get birth control pills. the wife is in the waiting room while the nurses settle mr smith into his room. the youngest son, 13 years of age, is at a friends house. the teenage daughter is staying at the bedside of the criticall i’ll eldest son. the wife blames her eldest son for her husband’s heart attack and told the emergency department nurse that she does not care to see her son i’ll. a. what maladaptive response to stress may have contributed to mr smith’s development of an illness b. based on the case study, what family assessment data may be used to determine coping strategies being currently used by the family. c. what nursing interventions should be used to promote effective coping for the patient and his family?