Which provider order should the nurse anticipate?
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A patient with acute kidney injury is found to have a serum…
A patient with acute kidney injury is found to have a serum potassium level of 6.2 mEq/L. While reviewing the continuous cardiac monitor, the nurse anticipates which electrocardiographic finding related to this electrolyte abnormality?
A hospitalized patient has a serum sodium level of 118 mEq/L…
A hospitalized patient has a serum sodium level of 118 mEq/L. While completing the assessment, which finding represents the most concerning manifestation of this electrolyte imbalance and requires immediate nursing intervention?
A nurse prepares to enter the room of a patient with a confi…
A nurse prepares to enter the room of a patient with a confirmed contact-transmitted infection to perform a focused respiratory assessment. Which action best demonstrates appropriate infection-prevention practice?
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 nurse administers IV fluids to a patient with suspected fl…
A nurse administers IV fluids to a patient with suspected fluid volume deficit and notes improvement in blood pressure and urine output. Which nurse action best represents the Reflecting 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 78‑year‑old woman weighs 70 kg and is recovering from a re…
A 78‑year‑old woman weighs 70 kg and is recovering from a recent hospitalization. The nurse notes she has decreased muscle mass and low protein intake. According to recommended guidelines for older adults, how much protein should this patient consume per day?
82‑year‑old male: dribbling, hesitancy, weak stream, “still…
82‑year‑old male: dribbling, hesitancy, weak stream, “still feels full,” PVR 400 mL, ambulates independently.Priority action?
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?