A healthcare provider orders potassium chloride (KCL) 40 mEq in an IV of 500 cc’s of D5W for the client.  The client’s serum potassium is 2.2 mEq/L.  Which is the best action by the nurse?

The nurse is caring for a client who is post-op following a thoracotomy.  The client has 2 chest tubes in place, connected to suction at 20 cm.  The nursing assessment reveals bubbling in the water seal chamber when the client coughs. What is the most appropriate nursing action?

The nurse is planning care for the clients on the traumatic brain injury unit. The nurse is focusing on interventions to address the diagnosis of “Sleep Deprivation.” Which action should the nurse implement?

A nurse is evaluating a client in the intensive care unit and is receiving TPN.  Which finding best indicates the client is having the desired therapeutic effect from TPN?

The nurse is caring for a client who presents with severe right-sided flank pain, nausea, and vomiting. The client denies any past medical history. Vital signs: Temperature 98.2° Fahrenheit, Blood pressure 92/52 mmHg, Pulse: 118 beats/min, Respirations: 22 breaths/min, O2 Saturation: 95%. The priority nursing action is to:

A nursing student is giving to a client with heart failure a medication with a positive inotropic effect on the heart. The student asks what a “positive inotropic” effect is. The correct response would be which of the following?

The nurse is suctioning a client through a tracheostomy tube.  During this procedure the nurse notes cardiac irregularities on the monitor.  Which of the following is the most appropriate intervention?

A client is diagnosed with Acute Kidney Injury related to an intra-renal cause. The nurse identifies which is the most likely cause of the AKI? 

A client is on a ventilator in the intensive care unit (ICU).  Which of the following measures should the nurse implement to prevent ventilator acquired pneumonia (VAP)?

A nurse is caring for a post-operative client status-post cholecystectomy. Post-operative day 2, Temperature: 99.8° Fahrenheit, Heart Rate: 115 beats/min, Respirations: 26 breaths/min, Blood Pressure 98/66 mmHg.  O2 Saturation: 95%. Arterial blood gases: pH: 7.47 pCO2: 31 pO2: 85 HCO3: 22. Which of the following post-operative complications is the nurse concerned the client is experiencing?