Client: Henry Lewis, 64, admitted with pneumonia and receivi…

Client: Henry Lewis, 64, admitted with pneumonia and receiving oxygen at 2 L/min via nasal cannula. During a respiratory assessment, the nurse notes: RR 22/min, shallow SpO₂ 92% on 2 L Crackles heard in both lower lobes Skin warm and dry Reports mild shortness of breath when walking to the bathroom While the nurse is listening to lung sounds, Henry begins coughing forcefully, becomes pale, and his SpO₂ drops to 84%. He states, “I can’t catch my breath.” Question: What should the nurse do first?

Client: Linda Perez, 72, admitted with worsening shortness o…

Client: Linda Perez, 72, admitted with worsening shortness of breath from chronic obstructive pulmonary disease (COPD). During morning rounds, the nurse notes: Sitting upright, leaning forward, appears anxious Respirations 28/min, labored SpO₂ 88% on 2 L nasal cannula Productive cough with thick sputum Skin pale with bluish lips Breakfast tray untouched; states she’s “too tired to eat” Question: Which nursing action should the nurse first prioritize?

Marcus is a 19-year-old college student with Type 1 diabetes…

Marcus is a 19-year-old college student with Type 1 diabetes. He is learning carbohydrate counting to match his insulin doses. He plans to eat a meal containing 45g of carbohydrate. His insulin-to-carb ratio is 1:15, and his correction factor is 1 unit per 50 mg/dL over his target of 120 mg/dL. His pre-meal blood glucose is 220 mg/dL. How many units of rapid-acting insulin should Marcus administer before his meal?