Author: Anonymous

A first grade teacher wants to play the Guess My Object! game in class to provide their students with oral language opportunities. This will be the first time the students have tried this game.  Write an ABCD objective that this teacher could use with this lesson. (There are many different possible objectives that can work here. You can choose, just make sure you follow the ABCD format)

Who can initiate a request or official order for an imaging examination?

The nurse knows that all the following are potential indications for continuous renal replacement therapy (CRRT) except:

A client is admitted to the ICU in status asthmatics. Upon reviewing the orders for the client, the nurse notes that all the following are potential treatment options for this client except:

The nurse is suctioning a client through the endotracheal tube. During suctioning, the nurse notes cardiac irregularities on the monitor. Which of the following is the most appropriate nursing intervention?

The client has been diagnosed with acute renal failure and is to be dialyzed in the next few hours after placement of temporary access. Currently, the nurse is administering intravenous glucose (ampule of D50) and insulin IVP to correct:  

While reviewing the medications ordered for a client with acute renal failure who has been admitted to the ICU, the nurse notes an order for Mannitol, which is used to:

Which client data points support the need for the chosen therapy?  (Select all that apply)

The nurse receives a 72-year old female who is admitted to the medical intensive care unit (MICU) from the general medicine floor in respiratory distress. The MICU nurse learns from the floor nurse that the client was admitted two days prior for aspiration pneumonia from a nursing home and has been receiving antibiotic treatment since admission.MICU Nursing notes:0800: Client arrives to the ICU in respiratory distress on 15L oxygen via a non-rebreather mask after no improvement in oxygenation status on 12L high-flow nasal cannula on the general medicine floor. Client appears to have labored breathing and accessory muscle use. Fine crackles are auscultated bilaterally in the upper and lower lobes. Client is diaphoretic, restless, and minimally following commands. Vital signs taken, Labs drawn, EKG, and Chest x-ray done at bedside.Vital Signs upon arrival to MICU: T – 100.4’FHR – 125 – sinus tachycardiaRR – 38BP – 165/78 (MAP 110)SpO2 – 87% on 15L non-rebreather mask.Pertinent Laboratory Results:WBC11,500 mcL (5,000-10,000 mcL)Hgb11.5 g/dL (14-18 g/dL in men and 12-16 g/dL in women)K+4.1 mEq/L (3.5-4.5 mEq/L)Na+138 mEq/L (135–145 mEq/L)Mg1.6 mEq/L (1.5-2.0 mEq/L)ABG Results on 15L Non-Rebreather Mask:pH7.28PaO255 mmHgPaCO265 mmHgHCO3-30 mEq/LLactic acid3.0 mmol/L (0.5-2.2 mmol/L)Imaging:Electrocardiogram: Sinus TachycardiaCXR: Bilateral diffuse pulmonary ground glass opacities consistent with pulmonary edema

The nurse is aware that renal failure clients typically have: