A client with acute respiratory distress syndrome (ARDS) is intubated and mechanically ventilated. The healthcare provider prescribes a continuous infusion of a neuromuscular blocking agent (NMBA). Which of the following additional medications should the nurse anticipate and notify the provider to order if not already prescribed?
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During a trial to wean a client off mechanical ventilation,…
During a trial to wean a client off mechanical ventilation, the nurse notes the following changes: blood pressure increases to 160/90 mmHg, respiratory rate increases to 32 breaths per minute, oxygen saturation drops to 90%, and the client appears restless. What is the nurse’s priority action?
The nurse assesses an adult client who sustained burns to th…
The nurse assesses an adult client who sustained burns to the anterior portions of both legs. According to the Rule of Nines, what percentage of TBSA is burned?
While preparing to give adenosine for PSVT, which action by…
While preparing to give adenosine for PSVT, which action by the nurse indicates proper administration technique?
A nurse is caring for a patient with suspected Ebola. Which…
A nurse is caring for a patient with suspected Ebola. Which action best protects the nurse from infection?
A client is post-cardiac arrest, and the electrocardiogram (…
A client is post-cardiac arrest, and the electrocardiogram (ECG) monitor shows pulseless electrical activity (PEA). The client is unresponsive, apneic, and without a palpable pulse. Which action should the nurse take first?
A client is admitted with an acute anterior myocardial infar…
A client is admitted with an acute anterior myocardial infarction. Two hours post-MI, the client develops cardiogenic shock due to reduced cardiac output. The client is stabilized on inotropic support.Which intervention should the nurse anticipate to definitively restore myocardial perfusion?
After confirming that a patient in ventricular tachycardia…
After confirming that a patient in ventricular tachycardia is unresponsive and pulseless, what is the next priority action?
A client arrives to the emergency department with fever, sev…
A client arrives to the emergency department with fever, severe headache, photophobia, nuchal rigidity, and nausea. The nurse suspects bacterial meningitis based on these assessment cues. Which action should the nurse take next?
A nurse receives a phone call informing them of a bomb threa…
A nurse receives a phone call informing them of a bomb threat at the hospital. The caller is vague and does not provide clear details. Which of the following actions should the nurse take first?