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Which change in a client’s assessment has the greatest urgency?

A client is seen in the emergency department for a sprained ankle. Which interventions would the nurse include in the plan of care?

The nurse assesses an older male client in an ambulatory surgical center after a laparoscopic cholecystectomy. Which assessment finding indicates the client may not be ready for discharge?

Initial fluid management for a term infant with hydrops fetalis includes:

A 29 week mother has a fundal height measuring greater than dates. An ultrasound is performed and the infant is found to have ascites and pleural effusions with an estimated fetal weight of 2.45 kg. What is the most likely cause for these findings?

Why do preterm infants require increased maintenance sodium compared to term infants?

A 38 week hydropic infant is admitted to the NICU. Initial vital signs are HR 197, RR 45, BP 42/20 (29). What is the first treatment you would order to manage the infant until the cause of the shock is identified?

A 38 week infant is 225 grams above birthweight on DOL 3 and remains on the ventilator support for management of congenital pneumonia. His urine output is 1 ml/kg/hr for the last 24 hours. He is on TPN and has a UAC with normal saline infusing. Total fluids are 75 ml/kg/day. His sodium today is 131. How will you manage his sodium level?

A 4 week old former 35 week infant is diagnosed with bronchiolitis. The best treatment for bronchiolitis is:

When calculating fluids for a hydropic infant, which weight do you use?