A nurse is working on discharge teaching for the following patients. Which patients will most likely require more teaching time and a creative teaching method? (Select all that apply.)

A patient in a hospice program is experiencing continuous, increasing amounts of pain. The nurse caring for the patient plans the scheduling of opioid pain medications to provide

The following is the nomogram used for titrating heparin infusions using AntiXa results. The patient’s AntiXa result comes back at 0.86. It is 0700, and the patient’s heparin is running at 11.5 units/kg/hr. According to the nomogram, what will the nurse do? SUGGESTED NOMOGRAM FOR HEPARIN DOSING USING ANTI-Xa MONITORING Heparin Activity (AntiXa) Level PRN Re-Bolus Change Infusion Rate Next Heparin Activity (AntiXa) Level < 0.20 units/ml 25 units/kg once, then increase by 4 units/kg/hr 6 hours after dose adjustment 0.20 - 0.29 units/ml none increase by 2 units/kg/hr 6 hours after dose adjustment 0.30 - 0.70 units/ml none No change in 6 hours x 1, then every AM 0.71 - 0.80 units/ml none decrease by 1 unit/kg/hr 6 hours after dose adjustment 0.81 - 0.99 units/ml none decrease by 2 units/kg/hr 6 hours after dose adjustment > 1.0 units/ml none Stop infusion for 1 hour,  then decrease by 3 units/kg/hr 6 hours after dose adjustment  

When an air embolism is suspected in a patient with a central venous access device, the appropriate nursing interventions include:

Which of the following signs or symptoms should pose an immediate concern for a nurse after starting a blood transfusion? (Select all that apply.)

Which statement is the evidenced based scientific rationale for infusing a unit of blood in less than four hours?

A patient is admitted to the intensive care unit for congestive heart failure. Using the situation–background–assessment–recommendation (SBAR) format, put the following statements in the order in which the nurse should report changes to the health care team.a. Mr. Martinez was admitted 2 days ago with heart failure and has been receiving 40 mg of furosemide (Lasix) IV push BID for diuresis, but his urine output remains low. He has been on O2 at 4 liters per nasal cannula, satting around 92%. b. I think Mr. Martinez needs to be evaluated immediately and may need his Lasix dose increased and intubation with mechanical ventilation. c. This is the nurse on the surgical unit. I am calling about Mr. Martinez. After assessing him, I am very concerned about his shortness of breath, O2 sats, and lung sounds. d. Today, Mr. Martinez has worsening lung sounds with crackles audible throughout the posterior chest, increased shortness of breath, and his O2 saturation drops to 86% or below on anything less than 4 liters of O2. His condition is very unstable.

A nurse has a patient with a central line which there is an order to use the SASH method on when administering medication.  Which of the following conditions would lead the nurse to question the order and contact the physician to advise?  

Your patient, Mrs. Johnson has advanced ovarian cancer.  She is expressing concern for her children who are cared for by her husband.  As her nurse, what is the most important intervention you can provide for her?

The Joint Commission mandates that the required information needed in an order for a titrated drip includes: Medication name, medication route, initial or starting rate of infusion, incremental units the rate can be increased or decreased, frequency for incremental doses, how the often dose (rate) can be increased or decreased, the maximum rate (dose) of infusion and the