34. A client with suspected neurogenic shock after a diving accident has arrived in the emergency department with a cervical collar is in place. Which actions should the nurse take? (Select all that apply.)
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A client is admitted in a manic episode of bipolar I disorde…
A client is admitted in a manic episode of bipolar I disorder. Which nursing intervention should be most therapeutic for this client?
A client diagnosed with bipolar disorder, who has taken lith…
A client diagnosed with bipolar disorder, who has taken lithium carbonate (Lithane) for 1 year, presents in an emergency department with severe diarrhea, blurred vision, and tinnitus. How should the nurse interpret these symptoms?
31. A patient is receiving vasopressin to treat septic shock…
31. A patient is receiving vasopressin to treat septic shock. Which assessment finding would indicate a need to immediately contact the health care provider?
40. Which hemodynamic parameter best reflects the effective…
40. Which hemodynamic parameter best reflects the effectiveness of drugs that the nurse administered to reduce a client’s left ventricular afterload?
56. A client who has a history of transfusion-related acute…
56. A client who has a history of transfusion-related acute lung injury (TRALI) is to receive a transfusion of packed red blood cells (PRBCs). Which action by the nurse will decrease the risk for TRALI for this patient?
49. After surgery for an abdominal aortic aneurysm, a client…
49. After surgery for an abdominal aortic aneurysm, a client’s central venous pressure is 2 mm/Hg. Which action should the nurse take?
46. While waiting for heart transplantation, a client with s…
46. While waiting for heart transplantation, a client with severe cardiomyopathy has a ventricular assist device (VAD) implanted. What should be included in the plan of care for this client?
This nursing diagnosis applies to a patient experiencing man…
This nursing diagnosis applies to a patient experiencing mania: Imbalanced nutrition: less than body requirements, related to insufficient caloric intake and hyperactivity as evidenced by 5-pound weight loss in 4 days. Select the most appropriate outcome. The patient will:
9. While the nurse is taking routine vital signs, she notice…
9. While the nurse is taking routine vital signs, she notices that the infant is having a hypercyanotic episode. What should the nurse do first?