Blog

A nurse caring for a postoperative patient notes increasing incisional pain, tachycardia, cool clammy skin, and a sudden decrease in blood pressure. Which nursing action best demonstrates the Responding phase of Tanner’s Clinical Judgment Model?

A nurse is assisting a patient to transfer from the bed to a chair when the patient suddenly reports dizziness and begins to sway. Which nursing actions most effectively promote immediate patient safety? Select all that apply.

A nurse is assessing an older adult admitted with worsening shortness of breath and a history of heart failure. The patient reports needing to sleep on two pillows and has gained 2.5 kg over the past week. Which assessment finding most strongly supports a diagnosis of fluid volume excess?

A nurse is caring for a patient 6 hours after abdominal surgery. The patient has received 2,000 mL of IV fluids since surgery. Which finding related to urine output is most concerning and requires prompt nursing intervention?

A nurse is preparing a postoperative patient who will continue daily weight monitoring at home following bowel surgery. Which instruction is most important for the nurse to include to ensure accurate monitoring of fluid status?

A nurse is completing the preoperative checklist for a patient scheduled for surgery. Which conditions must be present for the patient’s informed consent to be considered valid? Select all that apply

A patient is prescribed 1400 mL of normal saline to infuse over 16 hours. How many mL/hr should the IV pump be set to? (Put the number only. Round to the whole number) mL/hr

A nurse is reviewing morning laboratory results for a patient admitted with generalized weakness and palpitations. The patient’s potassium level is 2.9 mEq/L. Based on the nurse’s understanding of potassium’s primary physiologic role, which potential complication is the priority concern?

Which provider order should the nurse anticipate?

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?