The order reads: Vancomycin 1,250mg in 250mL of NS IVPB every 12 h. Infuse over 1 ½ hours. The IV is to infuse by gravity. The primary set is macro-drop 20 gtt/mL. How many gtt/min will the nurse count?
The nurse receives a phone call from a clinic client who exp…
The nurse receives a phone call from a clinic client who experienced fever of 103.4F and a slight dyspnea for a short period of time after receiving pneumococcus vaccine one day earlier. Symptoms have subsided and no further symptoms noted. What is the nurses’ responsibility and most appropriate action?
A client with streptococcal pneumonia presents with which cl…
A client with streptococcal pneumonia presents with which clinical manifestations first?
A nurses’ history and assessment of a newly admitted client…
A nurses’ history and assessment of a newly admitted client reveal a productive cough with dark sputum, night sweats, a ten-pound weight loss in the past month and constant fatigue. Which of the following admission orders from the healthcare provider should the nurse implement first?
The client experiencing an anaphylactic reaction may experie…
The client experiencing an anaphylactic reaction may experience which of the following signs and symptoms? SELECT ALL THAT APPLY
The nurse is caring for a male client diagnosed with lung ca…
The nurse is caring for a male client diagnosed with lung cancer, scheduled to have a left lower lobectomy. Of the following pre-op assessment data from the client’s history and physical. Which of the following puts the client at highest risk of developing post-operative complications?
While assessing for circulating oxygenation status in a 54-y…
While assessing for circulating oxygenation status in a 54-year-old African American client, the nurse should also exam which anatomical area?
A client presents to the emergency department after being in…
A client presents to the emergency department after being in a boating accident about 3 hours ago. Now the client reports headache, chest pain, the feeling of not being able to breathe enough and blood tinged secretions. VS: T 98.4, P 110, RR 24, BP 156/98. Labs. Hgb 10, Hct 31, K 3.5, WBC 10. arterial blood gases pH 7.35, PaCO2 40mm/Hg, HCO3 26mEq/L. This client may be experiencing which respiratory problem?
A client who has severe rheumatoid arthritis has been receiv…
A client who has severe rheumatoid arthritis has been receiving maintenance therapy of prednisone for 6 weeks. A priority client teaching point for the nurse to stress with this client is the need to immediately report which of the following symptoms?
A client has COPD: Emphysema. Vital signs: BP 120/80, P 92,…
A client has COPD: Emphysema. Vital signs: BP 120/80, P 92, RR 28 and Pulse Ox 86%. What is the priority intervention for this client?