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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 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 notices that the infant is having a hypercyanotic episode. What should the nurse do first?

58. A client in the emergency department reports back pain and difficulty breathing 15 minutes after a transfusion of packed red blood cells is started. What is the priority nursing intervention?

After teaching a client about lithium carbonate (Lithane), a nurse would consider the teaching successful on the basis of which client statement?

21. Norepinephrine has been prescribed for a client who was admitted with dehydration and hypotension. Which hemodynamic data indicate that the nurse should consult with the health care provider before starting the norepinephrine?

A client on an inpatient unit is diagnosed with bipolar disorder: manic episode. During a discussion in the dayroom about weekend activities, the client raises his voice, becomes irritable, and insists that plans change. What should be the nurse’s initial intervention?

A newly admitted client is diagnosed with bipolar disorder: manic episode. Which symptom related to altered thought is the nurse most likely to assess?

At a unit meeting, staff members discuss the decor for a special room for patients experiencing mania. Select the best option.

30. A client who has been involved in a motor vehicle crash arrives in the emergency department (ED) with cool, clammy skin tachycardia, and hypotension. Which intervention prescribed by the health care provider should the nurse implement first?