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.

The nurse is reviewing a rhythm strip for a patient who recently experienced a mild stroke. The strip shows no visible P waves, an irregularly irregular rhythm, and a QRS duration of 0.12 seconds. How should the nurse explain this rhythm to the patient?

A client with a diagnosis of acute coronary syndrome is on a cardiac monitor. The nurse interprets the monitor rhythm to be supraventricular tachycardia at a rate of 150 beats/min. The client is awake and coherent, and oxygen is being administered at a rate of 6 L/min via a nasal cannula. What is the first nursing action?

A patient with cirrhosis has 4+ pitting edema of the feet and legs. The data indicate that it is most important for the nurse to monitor the patient’s

A nurse is developing a care plan for a patient with a lower motor neuron lesion. Which finding would the nurse expect when assessing the patient’s legs?

A nurse is explaining neurogenic shock to a newly hired nurse. Which statement by the newly hired nurse indicates understanding of the condition?

The nurse will ask a 64-year-old patient being admitted with acute pancreatitis specifically about a history of