The nurse is caring for a client after having a Coronary Art…

The nurse is caring for a client after having a Coronary Artery Bypass Graft (CABG) surgery.  The nurse assesses the chest tubes and mediastinal tubes. The nurse assesses increasing sanguineous drainage from the tubes. The nurse is concerned about the client going to hypovolemic shock. What else should the nurse assess for in concern of hypovolemic shock? 

The appropriation to the State Library System (fiscal year s…

The appropriation to the State Library System (fiscal year starts July 1) for fiscal year 2011  was $15,000,000.  Budget reports through Dec. 31, 2010 showed expenditures of $7,500,000 and encumbrances outstanding of $1,000,000.  Quarterly allotments were as follows: Q1(July-Sept)—$3,750,000; Q2(Oct-Dec)–$4,500,000; Q3(Jan-Mar)–$3,750,000; and Q4(Apr-June)–$3,000,000.  In terms of committed vs. planned expenditures/spending,  what is the overall budget status of the library system through Dec 31, 2010?

The nurse is caring for a client reporting dizziness and the…

The nurse is caring for a client reporting dizziness and their heart is racing.  The nurse connects the client to the cardiac monitor and review the rhythm strip below.  The nurse identifies it is fast, around 250 beats per minute and regular.  The client’s blood pressure is 125/75 mmHg, SpO2 97% on Room Air.  The nurse should first implement:  

A client is admitted with Acute Respiratory Failure due to P…

A client is admitted with Acute Respiratory Failure due to Pneumonia.  On assessment, the nurse notes: BP 80/55 mmHg, Heart rate 120 beats per minute, Respiratory rate 35 breaths per minute, SpO2 84%.   Which of the following nursing interventions will you provide to this based on your assessment findings? (Directions: Prioritize the order of nursing interventions, what would come first, second, third, and fourth.  Also, there are additional distractors/wrong answers).