A nurse is assessing a client with end-stage kidney disease (ESKD) who missed their last two hemodialysis sessions. The client has gained 5 kg (11 lb.) in the past week and present with severe dyspnea, crackles in all lung fields, and 3+pitting edema. The morning laboratory results are as followings: potassium: 6.8 mEq/dL, BUN: 90 mg/dL, creatinine: 19.2 mg/dL, pH: 7.20, HCO3 (bicarbonate): 15 mEq/L. Which prescription should the nurse implement first?

The nurse is assessing a client with myasthenia gravis. Which symptom is more suggestive of a cholinergic crisis rather than a myasthenic crisis?

A client with a severe traumatic brain injury (TBI) in ICU, has a ventriculostomy catheter to the right lateral ventricle to continuously monitor intracranial pressure (ICP) and allow for drainage of cerebrospinal fluid (CSF) as needed. The ICP monitor alarm sounds continuously. The nurse notes that the client’s neck is flexed forward and the head of the bed is flat. What is the priority nursing action?

A nurse is caring for a newly admitted client with diabetic ketoacidosis (DKA) to the emergency department. The assessment findings are blood pressure 90/52, HR 102, poor skin turgor and 20 mL of urine output in the past hour. Which order from the physician should the nurse implement first?

A nurse is caring for a client with Guillain-Barré Syndrome (GBS) in the acute care unit. The client has weakness in the lower extremities but is alert and oriented. The nurse is implementing interventions to maximize respiratory function and prevent complications related to immobility. Which nursing intervention should be prioritized?

A nurse is caring for a client who is in the recovery phase of acute kidney failure. Which assessment finding would the nurse expect to observe during this phase?

A nurse is caring for a client receiving peritoneal dialysis. Which of the following findings would indicate the need to contact the healthcare provider?

After administration of IV lorazepam, the client’s seizure subsides, but respirations are shallow and O₂ saturation is 88%. Which action should the nurse take next?

The nurse is preparing a client for hemodialysis. Which assessment should the nurse perform first before initiating the treatment?

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