A patient receiving TPN through a PICC line suddenly becomes restless, diaphoretic, and confused. The infusion pump is alarming “downstream occlusion.” The nurse attempts to flush the line and meets resistance. What is the nurse’s best action?

A patient is admitted with dehydration and hypernatremia. Initial labs are: sodium 158 mEq/L, serum osmolality 318 mOsm/kg, blood glucose: 96 mg/dL. The provider prescribes D5W at 125 mL/hr. Four hours later, the nurse notes the patient is increasingly restless and reports a headache. Repeat labs show: sodium 145 mEq/L, serum osmolality 292 mOsm/kg, blood glucose 102 mg/dL. What is the nurse’s best interpretation of these findings?  

The nurse is reviewing medications with a patient scheduled for surgery at 10:00 AM. Vital signs are: BP 158/92, HR 112, RR 18, SpO2 96%. The patient states: “I took my lisinopril and omeprazole this morning with a sip of water like instructed, but I held my metoprolol, aspirin, and metformin.” What is the nurse’s best response?

Which type of injury occurs from the folding of the underlying tissue when the skeletal structure moves while the skin remains stationary? 

If a sentinel event was reported to TJC, how many days does the facility get to perform a root cause analysis and action plan?

Where should the Circulating Nurse arrange and prepare the Betadine prep kit for vaginal preps?

Which of the following diagnostic tests is a common nuclear medicine study?

Which of the following should be prepped last due to the high levels of contamination?

How does stress affect the wound healing process?

How would a patient be positioned for a right shoulder scope?