A 2-year-old child with acute laryngotracheobronchitis (LTB) received one dose of nebulized racemic epinephrine. Which finding, if observed 1 hour after treatment, requires the most immediate nursing action?
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A nurse is caring for four patients, each requiring oxygen t…
A nurse is caring for four patients, each requiring oxygen therapy. Which oxygen delivery device is most appropriate for each patient?
The nurse assesses an adult patient in the ER with complaint…
The nurse assesses an adult patient in the ER with complaints of dyspnea and chest tightness. Which assessment finding indicates the nurse should take immediate action to address the concept of gas exchange?
Which assessment finding indicates a worsening COPD exacerba…
Which assessment finding indicates a worsening COPD exacerbation?
A patient reports he hasn’t had a bowel movement or passed…
A patient reports he hasn’t had a bowel movement or passed gas since surgery. On assessment, you note the abdomen is distended and no bowel sounds are noted in the four quadrants. You notify the MD. What non-invasive nursing interventions can you perform without a MD order? Select all that apply
On postoperative day 1, a client refuses to ambulate due to…
On postoperative day 1, a client refuses to ambulate due to pain. Which nursing action is most appropriate?
Which action by the circulating nurse best supports the Join…
Which action by the circulating nurse best supports the Joint Commission’s National Patient Safety Goals during the intraoperative “time‑out”?
During a surgical procedure, a sterile team member brushes a…
During a surgical procedure, a sterile team member brushes against a nonsterile IV pole with a sleeve above the waist. What is the best nursing action?
Which action by the circulating nurse best supports the Join…
Which action by the circulating nurse best supports the Joint Commission’s National Patient Safety Goals during the intraoperative “time‑out”?
A postoperative patient on opioids is increasingly somnolent…
A postoperative patient on opioids is increasingly somnolent with respiratory rate 8/min and oxygen saturation 86% on room air. What are the priority nursing actions? Select all that apply