For each body system, select the potential nursing actions t…

For each body system, select the potential nursing actions that would be appropriate for this client. More than 1 action may be selected for each body system.  Explain your selection and how you will use these interventions to manage the patients care: Body System Potential Nursing Actions Cardiovascular [answer1] Apply continuous cardiac monitoringTake vital signs every 15 minutesInitiate lactated Ringer’s infusion at 250 mL/hr Pulmonary [answer2] Draw blood sample for arterial blood gases (ABGs)Teach client breathing techniques to slow RRIncrease supplemental oxygen to 6 L/min via NC Neurologic [answer3] Encourage client to ambulate in the hallwaysPlace seizure pads on the bed and floorInitiate fall precautions and bed alarm

For each client finding listed below, determine if the findi…

For each client finding listed below, determine if the finding is consistent with the health condition of dehydration or metabolic acidosis. Answer each finding with Dehydration, Metabolic Acidosis or Both Client Findings                                                                                      HR 45 beats/min [answer1]BP 85/55 mm Hg   [answer2]     RR 28 breaths/min and deep [answer3]       Glasgow Coma Scale (GCS) score = 12 [answer4]       Thready, weak pulses   [answer5]     Capillary refill = 4 sec [answer6]

Determine the IV infusion rate in milliliters per hour. Pres…

Determine the IV infusion rate in milliliters per hour. Prescription: Rocephin (ceftriaxone sodium) 0.5 g IV 30 minutes before surgery (pharmacy label solution volume 100 mL, rate 30 minutes) How many mL/hour will your infuse? __________ mL/hr Answer format example: X mL/hr