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A client with sepsis has had a urine output of 12 mL/hr over the past 2 hours. Vital signs are BP 88/52 mm Hg, HR 112/min, and the client appears slightly confused. What is the nurse’s best immediate action? 

A nurse is caring for clients in the medical-surgical unit. The nurse understands which client is most at risk for developing a pulmonary embolism.  

A 58-year-old female in a severe motor vehicle accident is admitted to the ICU with fractured ribs. Muffled heart sounds, tracheal deviation, and absent breath sounds on anterior and posterior left lower chest wall are noted. The client is most likely experiencing which condition? 

Jungmin is an active 23-year-old college student. She was brought into the ER after being hit by a car. Jungmin suffered extensive blood loss, and the ER doctors felt she might need a transfusion. You, as the nurse on duty that day, should start typing her blood. Jungmin’s blood typing has been completed, as shown in the image. This meant she should be transfused with which type of blood? Select all that apply.

A patient’s ECG shows a normal P wave followed by a QRS complex and then a T wave. What mechanical event corresponds to the QRS complex?  

Which social determinant of health relates to inadequate access to nutritious and sufficient food?

To meet CNO documentation standards, documentation must be all of the following EXCEPT:

What is the purpose of data validation in the assessment process?

Which social determinant of health considers the location and environment in which individuals live?

What does a nurse’s signature on a record entry signify?