The nurse is caring for the client with COPD with: increasing work of breathing (WOB), RR of 26 and the following arterial blood gas (ABG): pH 7.29, PaCO2 62, PaO2 56, HCO3 30. Which of the following initial interventions would the nurse anticipate being ordered by the provider?
Ten minutes following administration of an antibiotic, the n…
Ten minutes following administration of an antibiotic, the nurse assesses a client to have edematous lips, hoarseness, and inspiratory stridor. Assessment reveal: Pulse 130 beats/min, and RR 32 breaths/min. After administration of epinephrine, the nurse would anticipate which of the following outcomes that best demonstrates effectiveness of the medication?
On admission to the burn unit, the client with an approximat…
On admission to the burn unit, the client with an approximate 25% Total Body Surface Area (TBSA) burn has the following initial laboratory results: Hct 58%, Hgb 18.2 mg/dL, serum K+ 4.9 mEq/L, serum Na+ 155 mEq/L, and serum osmolality 420 mOsmol/kg. Which provider orders will the nurse perform next?
The nurse is caring for a client with acute kidney injury wi…
The nurse is caring for a client with acute kidney injury with a potassium level of 7.1 mmol/L. Assessment of the client reveals: S3 heart sound, neck vein distension, BP 130/95 and a telemetry monitor that shows sinus rhythm of 96 beats per minute with frequent premature ventricular contractions (PVC’s). The nurse would perform which of the following interventions first?
The nurse is caring for a client with increased intracranial…
The nurse is caring for a client with increased intracranial pressure (ICP). The nurse knows that one of the earliest signs of increased ICP is which one of the following?
CASE STUDY QUESTION The following questions pertain to the c…
CASE STUDY QUESTION The following questions pertain to the client who is newly admitted in the ICU with diabetic ketoacidosis. QUESTION: Which of the following statements is true about the medical management of diabetic ketoacidosis
The nurse is caring for a client with acute pancreatitis. As…
The nurse is caring for a client with acute pancreatitis. As part of the care plan for this client, which of the following nursing interventions would be inappropriate to include?
The nurse is admitting a client with Guillain-Barre syndrome…
The nurse is admitting a client with Guillain-Barre syndrome to the nursing unit. The client has ascending paralysis to the level of the waist. Knowing the complications of this disorder, the nurse should bring which of the following most essential items into the client’s room?
For the client with acute kidney injury, which lab finding w…
For the client with acute kidney injury, which lab finding would be the most concerning to the nurse?
The nurse is caring for the client following an auto-graft t…
The nurse is caring for the client following an auto-graft to a severe burn wound on the right knee. Which of the following interventions would the nurse perform to help preserve the integrity of the graft