A 78-year-old female client in the skilled nursing facility has had heart failure and chronic kidney disease. She is receiving furosemide by mouth twice daily, as well as lisinopril. This morning, the nurse notes the following;* weight has increased by 3 pounds (1.4kg) since yesterday*blood pressure is 158/92mmHg* Respiratory rate is 22, lungs have bilateral crackles at the bases*urine output in the past 8 hours is 240mL* the client reports mild shortness of breath and swelling in her anklesUSING CLINICAL REASONING, WHAT IS THE MOST APPROPRIATE NURSING ACTION?
Blog
A nurse manager is leading the unit of a large long term car…
A nurse manager is leading the unit of a large long term care facility. Which situation should warrant the application of authoritarian leadership principles?
The nurse is coordinating care for a client who is scheduled…
The nurse is coordinating care for a client who is scheduled for surgery. Which action by the nurse best supports the client’s rights in the healthcare setting?
Who can file a complaint with the LSBPNE?
Who can file a complaint with the LSBPNE?
Poor time management can do all of the following except:
Poor time management can do all of the following except:
A nurse posts a photo of a clients open wound on a private s…
A nurse posts a photo of a clients open wound on a private social media page for educational purposes. Which action is most appropriate for the nurse’s manager to take?
A PN is caring for a client post-operatively who has been on…
A PN is caring for a client post-operatively who has been on bed rest for 48 hours. The nurse notices the client is complaining of shortness of breath(SOB), but the vital signs are stable, there is no fever, lung sounds are clear, and oxygen saturation is 96% on room air. The usual treatments have not alleviated the complaint. Which action demonstrates the nurse using critical thinking and cognitive skills to determine the most appropriate action?
A charge nurse is assigning tasks to LPNs and nursing assist…
A charge nurse is assigning tasks to LPNs and nursing assistants on a med-surg unit. Which assignment is the most appropriate for the LPN?
A nurse enters the room of a client and finds the client lyi…
A nurse enters the room of a client and finds the client lying on the floor. Which of the following actions should the nurse take First?
A client is being discharged home after surgery. Which of th…
A client is being discharged home after surgery. Which of the following actions by the nurse ensures continuity of care?