On admission to the burn unit, a patient with an approximate…

On admission to the burn unit, a patient with an approximate 25% total body surface area (TBSA) burn has the following initial laboratory results: Hct 56%, Hb 18.6 mg/dl (172 g/L), serum K+ 4.8 mEq/L (4.8 mmol/L), and serum Na+ 135 mEq/L (135 mmol/L). Based on these findings, the nurse should plan to

A patient with a severe infection has developed septic shock…

A patient with a severe infection has developed septic shock. The patient’s blood pressure is 72/44, heart rate 130, respiration 22, oxygen saturation 96% on high-flow oxygen, and temperature 103.6 ‘F. The patient’s mean arterial pressure (MAP) is 53 mmHg. Based on these findings, the nurse knows that the patient is experiencing diminished tissue perfusion and needs immediate treatment to prevent organ dysfunction.  In regards to the pathophysiology of septic shock, what is occurring in the body that is leading to the decrease in tissue perfusion? Select all that apply

A 10 year old client is admitted to a treatment facility for…

A 10 year old client is admitted to a treatment facility for oppositional defiant disorder (ODD). The client  tells the nurse, “I don’t want to be here. You’re not in charge of me so stop telling me what to do.”  What is the nurse’s priority intervention?