The client has been diagnosed with acute renal failure and is to be dialyzed in the next few hours after placement of temporary access. Currently, the nurse is administering intravenous glucose (ampule of D50) and insulin IVP to correct:  

The nurse is caring for a client admitted to the intensive care unit (ICU). The client’s arterial blood gas (ABG) revealed the following: pH – 7.30, PaCO2 – 44, HCO3 – 20, PaO2 – 78.Determine the compensation status, acid-base imbalance, and the oxygenation status (hypoxemic/low, adequate/normal, overoxygenated/high) from the choices below. 

The nurse is aware that pulmonary edema will lead to an alveolar dead space VQ mismatch.  

The nurse is aware that the atelectasis associated with acute respiratory distress syndrome (ARDS) and acute lung injury (ALI) may be managed or reversed with the use of:

The nurse is doing a physical assessment of the client admitted to the ER with complaints of shortness of breath. The nurse would document the presence of atelectasis and areas of consolidation if the following was auscultated:  

The nurse is caring for a client on mechanical ventilation with 10 cmH2O of PEEP. The client suddenly becomes dyspneic. The trachea is deviated toward the left and breath sounds are absent on the right side. The nurse suspects:  

The client is mechanically ventilated on assist control (AC) mode with a respiratory rate of 18 breaths per minute. The client is very agitated and seems to be fighting the ventilator. The alarm is indicating high pressure. Which of the following actions would be most beneficial? 

A client is to be dialyzed within the next three hours. The client has an order for 20mg of propranolol (Inderal) in two hours. In order to prevent hypotension during dialysis, the nurse should:

When caring for a client in the ICU, the nurse notes an order for tolvaptan (Samsca).  The nurse identifies this medication as belonging to the Vaptan class.  The nurse knows the purpose of this medication is:  

A client is admitted to the ICU status post lung resection with a chest tube in place. Which of the following would alert the nurse to take emergency action?