The nurse is discussing organ donation with the family of a patient who is near death. Which statement by the nurse is most appropriate to ensure ethical communication?
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The nurse is caring for a client with type 1 diabetes with a…
The nurse is caring for a client with type 1 diabetes with a history of kidney disease. The client blood glucose level is 450 mg/dL., and the healthcare provider ordered a new prescription to begin IV insulin per the protocol scale. Which action should the nurse complete first?
A client with a history of myasthenia gravis is admitted to…
A client with a history of myasthenia gravis is admitted to the emergency department with severe muscle weakness, difficulty breathing, and respiratory distress. What is the priority nursing action?
A client with diabetic ketoacidosis (DKA) was admitted to th…
A client with diabetic ketoacidosis (DKA) was admitted to the intensive care unit 4 hours ago and has two IV lines infusing normal saline solution. The client’s blood glucose level has now decreased to 250 mg/dL. Which intervention should the nurse implement next?
A client with Guillain-Barré Syndrome (GBS) is admitted to t…
A client with Guillain-Barré Syndrome (GBS) is admitted to the ICU with progressive weakness and numbness in the limbs. Which priority intervention should the nurse anticipate the healthcare provider will prescribe?
A client is brought to the emergency department after fallin…
A client is brought to the emergency department after falling down a flight of stairs. Assessment reveals:GCS score: 8 (Eye Opening 3, Verbal Response 3, Motor Response 2)Vital signs: BP 145/90 mm Hg, HR 102 bpm, RR 18/min, SpO₂ 94% on room airThe client is somnolent and responding only to verbal and painful stimuli.Given the client’s GCS of 8, what is the priority nursing intervention?
A client with a severe traumatic brain injury (TBI) is trans…
A client with a severe traumatic brain injury (TBI) is transferred to the ICU. A ventriculostomy catheter has been inserted into the right lateral ventricle to continuously monitor intracranial pressure (ICP) and allow for drainage of cerebrospinal fluid (CSF) as needed.Normal ICP = 5–15 mm Hg. Upon admission to the ICU, the nurse notes that the ventriculostomy drainage system is open to drainage and the ICP monitor reads 25 mm Hg. Which action should the nurse take first?
The nurse is preparing to administer an acetylcholinesterase…
The nurse is preparing to administer an acetylcholinesterase inhibitor test to a client to rule out myasthenia gravis. Which priority action should the nurse include in the plan of care?
A nurse is caring for a client with pre-renal acute kidney i…
A nurse is caring for a client with pre-renal acute kidney injury (AKI) following major abdominal surgery. The nurse notes the following assessment findings: The client’s urine output over the past 2 hours is 50 mL, blood pressure is 90/58 mmHg, and heart rate is 114 beats per minute with sinus tachycardia. Which provider order should the nurse initiate first?
The nurse is assessing a client with myasthenia gravis. Whic…
The nurse is assessing a client with myasthenia gravis. Which symptom is more suggestive of a cholinergic crisis rather than a myasthenic crisis?