Blog

A client in the immediate postoperative period has the following arterial blood gas (ABG) values: pH: 7.30 PaCO2: 52 mm Hg PaO2: 98 mm Hg HCO3: 22 mEq/L (22 mmol/L) As the nurse, develop a comprehensive plan of care to address the client’s ABG findings and prevent further complications. Prioritize the actions to be implemented immediately. Select all that apply:

A client with a diagnosis of acute coronary syndrome is on a cardiac monitor. The nurse interprets the monitor rhythm to be supraventricular tachycardia at a rate of 150 beats/min. The client is awake and coherent, and oxygen is being administered at a rate of 6 L/min via a nasal cannula. What is the first nursing action?

The nurse understands clamping a chest tube may cause what problem?

A patient reports “feels like my heart is pounding” and shortness of breath. During cardiac monitoring in the emergency department (ED), the nurse obtains the following electrocardiographic (ECG) tracing. The nurse interprets this heart rhythm as

Scenario:A 62-year-old malnourished patient is receiving total parenteral nutrition (TPN) via a central line. During the nurse’s assessment, the following findings are noted: Assessment Findings: Vital Signs: BP: 128/76 mmHg HR: 92 bpm RR: 20 breaths/min Temp: 99.1°F (37.3°C) Laboratory Results: Serum glucose: 280 mg/dL (elevated) Serum potassium: 3.2 mmol/L (low) Serum sodium: 136 mmol/L (normal) Patient Complaints: “I feel really thirsty.” “My mouth feels dry, and my hands are tingling.” Other Findings: TPN is infusing as prescribed at 75 mL/hr. Question Type: Select All That Apply (SATA)Question:Based on the assessment findings, which nursing actions are appropriate to address the patient’s condition?

A malnourished patient is receiving parenteral nutrition (PN) containing amino acids and dextrose. The PN container was hung 24 hours ago with new tubing and a filter. Upon assessment, the nurse finds that about 50 mL remain in the current PN container. How should the nurse proceed to ensure patient safety and prevent infection?

A 45-year-old patient has been receiving total parenteral nutrition (TPN) for 5 days due to severe malabsorption. The nurse is educating the patient about the therapy and potential complications. Which statement by the patient indicates a correct understanding of TPN therapy? 

A 44-year-old female patient with Cushing syndrome expresses distress about her physical appearance and is scheduled for an adrenalectomy. Which intervention by the nurse best addresses the patient’s psychosocial needs related to disturbed body image?

Scenario: A patient arrives at the emergency department actively vomiting blood. The nurse is tasked with determining the most appropriate initial actions to prioritize care and ensure patient safety. Question:Which actions should the nurse take first to effectively manage care for this patient? Select all that apply.

A nurse is developing a care plan for a patient with a lower motor neuron lesion. Which finding would the nurse expect when assessing the patient’s legs?