Under the Uniform Parentage Act (UPA):
Which of the following is the priority nursing intervention…
Which of the following is the priority nursing intervention for a patient with diabetic ketoacidosis?
A nurse is assessing a patient with type 2 diabetes who has…
A nurse is assessing a patient with type 2 diabetes who has been admitted with hyperosmolar hyperglycemic state (HHS). Which of the following laboratory tests is most consistent with this diagnosis?
A nurse is assessing a patient who sustained a burn injury t…
A nurse is assessing a patient who sustained a burn injury to the arm after contact with hot water. The burn area is red, moist and blistered. The patient reports significant pain. How should the nurse classify this burn based on depth?
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:
A client who has massive trauma is admitted to the ICU. Whic…
A client who has massive trauma is admitted to the ICU. Which pathophysiologic event associated with trauma would cause the nurse to intervene to protect the client’s immune system?
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:
A patient has full-thickness burns of the entire anterior c…
A patient has full-thickness burns of the entire anterior chest area, entire right arm, and deep partial-thickness burns. Based on the rule of nines, which estimate of total body surface area burn would the nurse record?
Cardiac monitoring is initiated for a patient with Acute Kid…
Cardiac monitoring is initiated for a patient with Acute Kidney Injury. The nurse recognizes that this measure is important to identify:
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?