A client with acute anxiety and hyperventilation is breathing rapidly and reports tingling in their fingers and the following ABGs. ABGs pH 7.50 PaCO₂ 30 mmHg HCO₃⁻ 24 mEq/L Which acid-base imbalance is this client experiencing?
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A client with a known thoracic aortic aneurysm suddenly repo…
A client with a known thoracic aortic aneurysm suddenly reports intense chest pain described as “ripping,” becomes pale and sweaty, and their blood pressure drops from 138/82 to 84/50 mmHg. What is the nurse’s priority action?
The provider orders D5W IV for several clients. For which cl…
The provider orders D5W IV for several clients. For which client should the nurse question this order?
A client presents to the clinic with a blood pressure of 168…
A client presents to the clinic with a blood pressure of 168/94 mmHg and reports no acute symptoms. The provider diagnoses uncontrolled hypertension. Which medication would the nurse anticipate administering to treat the client’s elevated blood pressure?
A client tells the nurse, “My legs start hurting and feeling…
A client tells the nurse, “My legs start hurting and feeling tight when I walk, but the pain stops when I sit down.” Which interpretation should the nurse use when assessing this finding?
The nurse notes that a client with COPD is in their usual tr…
The nurse notes that a client with COPD is in their usual tripod position, speaking in full sentences, and denies increased dyspnea or sputum changes. The client’s SpO₂ is 88% on 2 L/min, which is unchanged from the past 24 hours of vital signs. Which action by the nurse is most appropriate
A client receiving high-dose opioids for postoperative pain…
A client receiving high-dose opioids for postoperative pain becomes increasingly drowsy and reports a headache. The nurse notes shallow, slow respirations and decreased responsiveness. Which acid–base imbalance is this client most likely experiencing?
Which assessment finding indicates respiratory failure, not…
Which assessment finding indicates respiratory failure, not just respiratory distress?
A nurse is reviewing the health history of a client recently…
A nurse is reviewing the health history of a client recently diagnosed with hypertension. Which finding reflects a modifiable risk factor the nurse should prioritize in the plan of care?
A client with severe vomiting for 48 hours presents with diz…
A client with severe vomiting for 48 hours presents with dizziness and muscle cramps. The blood pressure is 88/45, HR is 102 bpm. ABG results are: ABGs pH 7.48 PaCO₂ 47 mmHg HCO₃⁻ 30 mEq/L What nursing interventions does the nurse anticipate?