A patient reports “feels like my heart is pounding” and shortness of breath. During cardiac monitoring in the emergency department (ED), the nurse obtains the following electrocardiographic (ECG) tracing. The nurse interprets this heart rhythm as

The patient you are caring for is hyperventilating from anxiety and abdominal pain. Which assessment findings should the nurse attribute to respiratory alkalosis? (Select all that apply.)

What is the most common location for a hernia?

A nurse is caring for a client with cirrhosis of the liver. To align with professional, ethical, and evidence-based nursing practices, which action should the nurse prioritize to decrease ascites while promoting client comfort?

At 4:45 p.m., a nurse assesses a client with diabetes mellitus who is recovering from an abdominal hysterectomy 2 days ago. The nurse notes that the client is confused and diaphoretic. The nurse reviews the assessment data provided in the chart below:Capillary Blood Glucose Testing (AC/HS)Dietary IntakeAt 0630: 95At 1130: 70At 1630: 47Breakfast: 10% eaten – client states she is not hungryLunch: 5% eaten – client is nauseous; vomits onceAfter reviewing the client’s assessment data, which action is appropriate at this time?

A registered nurse (RN) is delegating tasks to a licensed practical nurse (LPN) and a certified nursing assistant (CNA). Which statement by the RN demonstrates an appropriate delegation to the CNA, based on scope of practice?

The nurse understands clamping a chest tube may cause what problem?

The nurse received an aPTT report on a client receiving heparin via continuous drip infusion. According to the report, the client’s drip rate should be decreased by 100 units per hour. The heparin comes prepared as 25,000 units in 500 mL of fluid. The current rate of infusion is 26 mL per hour. At what rate should the nurse set the pump?

The nurse assigned to care for a new client with acute pancreatitis. What would the nurse anticipate finding during the assessment of this client?

An elderly client is admitted after sustaining a closed head injury in an accident. The client is alert and oriented but very lethargic, and there is clear fluid draining from the nose. Develop a plan of care to prioritize the client’s safety and minimize the risk of complications. Select the nursing actions to include in the plan of care: Select all that apply.