A patient admitted with sepsis has had several episodes of s…

A patient admitted with sepsis has had several episodes of severe hypotension. Lab results indicate a BUN of 30 mg/dl and serum creatinine of 2.0 mg/dl. The urinalysis reveals cellular casts and debris indicating sloughing of cells. The nurse knows these findings are consistent with:

Following a myocardial infarction, a patient develops cardio…

Following a myocardial infarction, a patient develops cardiogenic shock with fluid overload. The patient has metabolic acidosis and ECG changes characteristic of hyperkalemia in addition to azotemia and a BP of 92/48. The nurse recognizes that treatment of the patient most likely will involve:

An elderly man woke up coughing to find his apartment was on…

An elderly man woke up coughing to find his apartment was on fire. He was able to escape out of the window where the first responders transported him to the local ER. You are the nurse receiving this patient in the ER. Your assessment reveals: AAOx3, BP 102/80, HR 110, Resp 24, Temp 98.9, pulse ox 99% on RA. The patient starts coughing when trying to answer your questions and it has a seal-like sound.  What is your number one nursing diagnosis for this patient? What is your priority nursing intervention?