A client with increased intracranial pressure (ICP) and a medical history of renal disease has a serum osmolality of 320 mOsm/kg. The healthcare provider prescribes several interventions. Which order should the nurse question?
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The nurse is caring for a client diagnosed with End-Stage Re…
The nurse is caring for a client diagnosed with End-Stage Renal Disease (ESRD). Recent laboratory results show elevated phosphorus levels. Which provider order is most important for the nurse to administer?
A client arrives at the emergency department with symptoms o…
A client arrives at the emergency department with symptoms of a stroke with a medical history of hypertension, and a CT scan confirms a hemorrhagic stroke. The client’s systolic blood pressure is 180 mm Hg. Which intervention should be the priority?
The nurse is caring for a client with pre-renal acute kidney…
The nurse is caring for a client with pre-renal acute kidney injury (AKI) following major abdominal surgery. 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 is most important for the nurse to initiate first?
The nurse is caring for a client status post craniotomy who…
The nurse is caring for a client status post craniotomy who has a respiratory rate of 10 breaths per minute, heart rate of 77 beats per minute, and blood pressure of 112/67 mmHg. Which post-operative prescription should the nurse question?
The nurse arrived to find 150 mL of 0.9% NS left in an IV. T…
The nurse arrived to find 150 mL of 0.9% NS left in an IV. The IV is infusing at 60 mL/hr. How long will the IV last? What is the duration of the infusion Round to the nearest whole number [BLANK-1]
A nurse is preparing to administer PO medication to a client…
A nurse is preparing to administer PO medication to a client who has myasthenia gravis. Which priority actions should the nurse take prior to administering the client medication?
A nurse admitted a client to the emergency department. Which…
A nurse admitted a client to the emergency department. Which manifestations indicates the client experiencing diabetic ketoacidosis (DKA). Select all that applySee case study below to answer the questionNurses Notes:Situation: A client arrived in the emergency department after his wife found him unconscious in the barn. They live 40 miles from the nearest hospital. Background: He has a medical history of type 1 DM, hypertension, and DM-related neuropathy. Patient has been a farmer for 15 years. The information provided by client wife: • Diagnosed with type 1 DM 15 years ago• Takes 40 Unit/day of insulin via insulin pump: 5 U of lispro insulin bolus with breakfast, 5 Unit bolus with lunch, and 10 U bolus with dinner plus 20 U of basal insulin• Has history of gastroenteritis for 1 week with vomiting and anorexia• Stopped taking mealtime boluses 2 days ago when he was unable to eat• Has not changed his infusion set in 5 dayAssessment: • Respirations deep with rate 36 breaths/min• Fruity acetone smell on breath• Skin flushed and dry• Heart rate 118 beats/min; BP 98/60 mm HgVital Signs: 10/22/2024 Temperature:110.8 F, Pulse: 120 bpm, Resp.: 32 bpm, Blood pressure: 100/50 mgHg Labs and Diagnostics:Blood glucose (fingerstick) 730 mg/dL Arterial blood gasespH —7.26PaO2———97 mm HgPaco2——-25 mm Hg HCO3——–19 mEq/L
A client has an order for insulin infusion to begin at 0.1 u…
A client has an order for insulin infusion to begin at 0.1 units/kg/hr, the client’s weight is 155 lb. The pharmacy delivers a premixed bag of 100 units of regular insulin in 100 mL of normal saline. The primary nurse calculated the infusion pump setting as 10 mL/hr. What action would the charge nurse take next?
The nurse is caring for a client with a recent diagnosis of…
The nurse is caring for a client with a recent diagnosis of myasthenia gravis and begins treatment with pyridostigmine bromide. Which assessment findings indicate to the nurse the treatment is effective? Select all that apply