You are the nurse caring for a trauma patient who presents to the ER following an automobile accident. The primary care provider prescribes the nurse to start an IV with a large bore needle to infuse fluids rapidly. What gauge catheter is the best choice for this situation?

A 74-year old female is admitted to the Emergency Room with increasing dyspnea, productive cough, and fatigue.   Nurses’ Notes       1000: Client arrives in Emergency Department with worsening shortness of breath over the past week, strong productive cough with green-tinged sputum, and fatigue. Client has a history of  chronic obstructive pulmonary disease -emphysema; has been using their “relief” inhaler at home with no relief of symptoms. Client lives independently at home and states they smoke approximately 1 pack of cigarettes per day. Ambulatory, alert and oriented x 4. Has coarse crackles auscultated in bilateral lower lung fields with a barrel chest appearance, using accessory muscles, expiratory wheeze on auscultation. Client states they have “less room” to take a deep breath. Clubbing noted in all digits bilaterally. Vital Signs       Time  1000   Oral Temp  99.0 F (37.2C)   Pulse 104   Respiratory Rate 27   Blood Pressure 157/86   Pulse oximeter  91% Room air   Pain  0   Which condition is the client most likely experiencing?

A client who has a history of chronic lung disease is admitted to the hospital with possible pneumonia. Respirations are shallow and breath sounds are diminished. Blood gases reveal: pH – 7.25, PCO2 – 70, HCO3- 24.  What acid-base imbalance is this client experiencing?

Which clinical manifestation indicates to the nurse that the client has pneumonia?

You are caring for an 80-year old client with a cerebrovascular accident that has caused right-sided paralysis. The IV in her left arm is infiltrated. You are going to have to restart the IV. Where will the new IV site be located?

After abdominal surgery, the client experiences a decrease in blood pressure, decreased level of consciousness, abdominal distention, and a decreased urinary output.  After calling the HCP (Health Care Provider), which order has the highest priority? 

An elderly client admitted with pneumonia and dementia has attempted several times to pull out the IV and Foley catheter. The nurse obtains a prescription for bilateral soft wrist restraints. Which nursing action is most appropriate?

A patient with acute shortness of breath is admitted to the hospital. Which action will the nurse take during the initial assessment of the patient?

When making rounds the nurse identifies the following situation (refer to the attached diagram) with an  (intravenous piggy back, IVPB) infusion that is attached to a primary infusion.  The Piggyback infusion is empty. What should the nurse do first?  

The nurse is caring for a client with emphysema. Which of the following nursing interventions are appropriate? Select all that apply.