During a routine assessment, a nurse caring for a postoperat…

During a routine assessment, a nurse caring for a postoperative patient observes that the patient is increasingly confused and has produced 15 mL of urine over the past hour. Which nursing action best represents the Noticing phase of Tanner’s Clinical Judgment Model?

A patient is being treated for fluid volume excess and is re…

A patient is being treated for fluid volume excess and is receiving scheduled furosemide. Morning laboratory results show a serum potassium level of 3.1 mEq/L. Assessment findings include mild peripheral edema and crackles at the lung bases. The next dose of furosemide is due. Which nursing action best demonstrates safe medication administration and clinical judgment?

A 79-year-old woman is admitted with new-onset anxiety, rest…

A 79-year-old woman is admitted with new-onset anxiety, restlessness, and insomnia. Her history includes hypertension, atrial fibrillation, and type 2 diabetes. The nurse notes tremors, palpitations, and diaphoresis. What is the most appropriate nursing action?