Case Study: The nurse is caring for Mr. Jackson, a 68-year-old client who is a direct admit to the medical-surgical unit, with complaints of worsening confusion, shortness of breath, increased fatigue, and increased swelling in lower extremities. Medical History: Heart failure, COPD, Type 2 Diabetes, Parkinson’s Disease, GERD Home Medications: Carbidopa-Levodopa, Digoxin, Lisinopril, Aspirin, Albuterol, Tiotropium, Metformin Initial Assessment:HR 110BP 88/54RR 26SpO2 86% RAWeight 210 lbsCrackles in lungs2+ pitting edemaUrine output: 20 mL/hrThe provider orders:IV fluidsOxygen therapy via nonrebreatherStrict intake and outputAlbuterol treatmentWhich action should the nurse take first?

A nurse is caring for postoperative patients. Which patient requires immediate intervention?

A nurse is caring for a client with Crohn’s disease. Which complication should the nurse monitor for?

The nurse is assigned to four patients. Which patient should the nurse assess first?

Case Study: The nurse is caring for Mr. Jackson, a 68-year-old client who is a direct admit to the medical-surgical unit, with complaints of worsening confusion, shortness of breath, increased fatigue, and increased swelling in lower extremities. Medical History: Heart failure, COPD, Type 2 Diabetes, Parkinson’s Disease, GERD Home Medications: Carbidopa-Levodopa, Digoxin, Lisinopril, Aspirin, Albuterol, Tiotropium, Metformin Initial Assessment:HR 110BP 88/54RR 26SpO2 86% RAWeight 210 lbsCrackles in lungs2+ pitting edemaUrine output: 20 mL/hrWhich condition best explains the client’s current presentation?

A nurse is caring for a patient in skeletal traction. Which finding requires immediate intervention?

The nurse is assigned to four clients diagnosed with gastric ulcers. Which client should the nurse prioritize when monitoring for gastrointestinal bleeding?

A nurse is caring for a patient in skeletal traction. Which finding requires immediate intervention?

The nurse is receiving report on four patients. Which patient should the nurse assess first?

A nurse is preparing to administer vancomycin 15 mg/kg/dose IV every 12 hours to a patient who weighs 132 lb. How many milligrams should the nurse administer per dose? (round to the tenth)