The nurse is caring for a client with a gastrostomy tube who is getting continuous enteral feedings via a feeding pump at 75 mL/hour. The client complains of nausea and abdominal pain. The nurse checks gastric residual and obtains 250 mL. Which of the following interventions should the nurse do next?

The nurse is caring for the client with cerebral edema with a Glasgow Coma Scale (GCS) of 5 and an intracerebral pressure reading (ICP) of 21 mm/Hg. Which of the following medications ordered by the healthcare provider would be inappropriate to administer to the client?

The client is diagnosed with mitral stenosis and new-onset atrial fibrillation. Which of the following interventions could the nurse delegate to the unlicensed assistive personnel? Select all that apply.

CASE STUDY QUESTION The following questions pertain to the client who is newly admitted in the ICU with diabetic ketoacidosis.   QUESTION: The nurse knows that the presence of ketones in the blood in this client is the result of which of the following?

An acutely ill client is being cared for in the critical care unit. The client is delirious and is exhibiting signs of significant anxiety. The nurse should recognize that the client is at greatest risk for which of the following nursing diagnosis?

The nurse is caring for the client with cerebral edema with a Glasgow Coma Scale (GCS) of 5 and an intracerebral pressure reading (ICP) of 21 mm/Hg. Which of the following medications ordered by the healthcare provider would be inappropriate to administer to the client?

The nurse is caring for a client with a gastrostomy tube who is getting continuous enteral feedings via a feeding pump at 75 mL/hour. The client complains of nausea and abdominal pain. The nurse checks gastric residual and obtains 250 mL. Which of the following interventions should the nurse do next?

An acutely ill client is being cared for in the critical care unit. The client is delirious and is exhibiting signs of significant anxiety. The nurse should recognize that the client is at greatest risk for which of the following nursing diagnosis?

The nurse is caring for a spinal cord injury client in neurogenic shock. Several liters of IV fluids have been administered without improvement of the patient’s condition. Current vital signs assessed by the nurse include: B/P 60/40 mmHg, Pulse 132 beats/min, RR 28 breaths/min, and rectal temperature of 35.5°C. Which of the following provider orders should the nurse perform first?

Which of the following disorders cause metabolic acidosis? Select all that apply.