A 70-year-old male with a history of CHF and hypertension ar…

A 70-year-old male with a history of CHF and hypertension arrives in the ER due to acute onset of dyspnea. The patient is on a nonrebreather and your assessment reveals the following:HR 135 beats/min    RR 36 BPM and labored    BP 72/50 mmHg   BS with coarse crackles throughout27   PaCO2 60 mmHg   PaO2 50 mmHg   HCO3- 27 mEq/L   SaO2 74%The most appropriate recommendation is:

A nurse is caring for a client with hyponatremia. The client…

A nurse is caring for a client with hyponatremia. The client’s sodium level is 124 mEq/L and they are experiencing headache, irritability, and difficulty concentrating. The healthcare provider has prescribed several interventions. Which action should the nurse complete first?

A client with acute respiratory failure is admitted to the e…

A client with acute respiratory failure is admitted to the emergency department. The nurse observes restlessness, tachypnea, use of accessory muscles, and an SpO₂ of 88%. The healthcare provider has prescribed several interventions. Which action should the nurse prioritize first?

The nurse receives shift report for four patients on a medic…

The nurse receives shift report for four patients on a medical-surgical unit:F.T., 70-year-old man with COPD, admitted 2 days ago with bilateral lower lobe pneumonia. Receiving IV antibiotics.Vital signs: 150/70, HR 94, RR 24, Temp 99.4°F (37.4°C), SpO₂ 96% on 3 L O₂ via nasal cannula M.R., 69-year-old man, 6 days postoperative total laryngectomy with tracheostomy, developed postoperative pneumonia. Transferred from ICU at 0200. Awake, alert, slightly confused.Vital signs: 168/94, HR 84, RR 22, SpO₂ 96% on O₂ via tracheal mask J.H., 52-year-old man with right lower lobe pneumonia and small cell lung cancer. Intermittently confused and anxious.Vital signs: 118/62, HR 106, RR 28, Temp 102.6°F (39.2°C), SpO₂ 92% on 4 L O₂ via nasal cannulaH.M., 68-year-old woman admitted 6 days ago with COPD exacerbation. Being discharged today. On oral prednisone, ipratropium, starting Advair Diskus and O₂ therapy at home. Vital signs stable.Which client should the nurse assess first?