A nurse in the emergency department is caring for a client with a sucking chest wound resulting from a gunshot. The client’s vital signs include a blood pressure of 100/60 mm Hg, a weak pulse rate of 118/min, and a respiratory rate of 40/min. Which of the following actions is most important for the nurse to take first?
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A nurse manager is addressing a conflict between staff membe…
A nurse manager is addressing a conflict between staff members that has not yet become apparent to the team but is creating tension among a few individuals. Which stage of conflict does this situation represent?
A nurse responds to a ventilator alarm and finds the client…
A nurse responds to a ventilator alarm and finds the client lying in bed gasping, with the endotracheal (ET) tube on the floor. Which priority action should the nurse take?
A nurse admits a new client 18 hours post-abdominal surgery…
A nurse admits a new client 18 hours post-abdominal surgery with a nasogastric tube to low suction. The client reports increased anxiety and exhibits dizziness, tingling in the extremities, and a decreased level of consciousness. The client’s respiratory rate is 32 breaths/min, and the latest arterial blood gases (ABGs) reveal:pH: 7.48PaCO₂: 28 mm HgHCO₃⁻: 22 mEq/LWhich action should the nurse take first?
A nurse receives a newly admitted client with uncontrolled D…
A nurse receives a newly admitted client with uncontrolled Diabetes Mellitus. The nurse notes deep and rapid respirations (Kussmaul respirations), confusion, and a blood glucose level of 400 mg/dL. Arterial blood gas results reveal:pH: 7.25PaCO₂: 30 mm HgHCO₃⁻: 15 mEq/LWhich priority action should the nurse take?
A nurse is caring for a client with acute respiratory failur…
A nurse is caring for a client with acute respiratory failure. Which of the following signs should the nurse identify as early indicators of respiratory failure? Select all that apply
The glow of Earth’s albedo, or the sunshine reflected off Ea…
The glow of Earth’s albedo, or the sunshine reflected off Earth is called __________.
A nurse is assessing a client who is 1 day postoperative fol…
A nurse is assessing a client who is 1 day postoperative following a lobectomy and has a chest tube drainage system in place. Which finding requires the nurse to take immediate action?
A nurse noted a high-pressure alarm sound on a client’s mech…
A nurse noted a high-pressure alarm sound on a client’s mechanical ventilation. Which of the following conditions can cause this to occur? Select all that apply
The nurse is caring for a client at risk of ARDS. Which sequ…
The nurse is caring for a client at risk of ARDS. Which sequence of findings indicates the client is progressing from acute respiratory failure to ARDS?