A patient experiencing acute mania has disrobed in the hall three times in 2 hours. The nurse should:
36. The health care provider prescribes the following interv…
36. The health care provider prescribes the following interventions for a 67-Kg client who has septic shock with a blood pressure of 70/42 mm Hg and O2 saturation of 90% on room air. In which order will the nurse implement the actions? (Select all that apply). a. Obtain blood and urine cultures.b. Give vancomycin by IV infusion.c. Infuse normal saline 2000 mL over 30 minutes.d. Administer oxygen to keep O2 saturation above 95%.
58. A client in the emergency department reports back pain a…
58. A client in the emergency department reports back pain and difficulty breathing 15 minutes after a transfusion of packed red blood cells is started. What is the priority nursing intervention?
15. A toddler undergoes cardiac catheterization as part of a…
15. A toddler undergoes cardiac catheterization as part of a diagnostic workup for pulmonic stenosis. In which part of the cardiovascular system should the nurse expect an increase in pressure?
47. The nurse is caring for a client receiving a continuous…
47. The nurse is caring for a client receiving a continuous norepinephrine IV infusion. Which finding indicates that the infusion rate may need to be adjusted?
A client diagnosed with bipolar I disorder is exhibiting sev…
A client diagnosed with bipolar I disorder is exhibiting severe manic behaviors. A physician prescribes lithium carbonate (Eskalith) and olanzapine (Zyprexa). The client’s spouse questions the Zyprexa order. Which is the appropriate nursing reply?
19. The HCP prescribed the following medications for a clien…
19. The HCP prescribed the following medications for a client in cardiogenic shock post-MI. Which medication prescription would be contraindicated for cardiogenic shock?
Which critical information should the PT provide to clients…
Which critical information should the PT provide to clients about the use of lithium?
Which client statement would the nurse recognize as indicati…
Which client statement would the nurse recognize as indicating that the client understands dietary teaching related to lithium carbonate (Lithobid) treatment?
38. The nurse caring for hospitalized clients includes which…
38. The nurse caring for hospitalized clients includes which actions on their care plan to reduce the possibility of the patients developing shock? (Select all that apply.)