The nurse assesses the pain of a patient with cholelithiasis. The patient is tearful, hesitant to move, grimacing, and rates pain as a 2 at this time using a 0-to-10 pain scale. Which is the best action by the nurse in response to this assessment finding?
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An emergency department nurse is caring for a trauma patient…
An emergency department nurse is caring for a trauma patient with arterial blood gas (ABG) results of pH 7.26, PaCO2 28, HCO3 11 mEq/L. How would the nurse interpret these results?
A client is admitted to the burn unit with burns over 49% of…
A client is admitted to the burn unit with burns over 49% of the body surface area, including the face and neck. Carbon particles are noted around the nose and mouth. The client is slightly confused and reports minor pain. When assessing the client, which is an immediate priority for the nurse to evaluate?
Which is the preferred route administration for potassium?
Which is the preferred route administration for potassium?
The nurse is caring for a patient with chronic fatigue and p…
The nurse is caring for a patient with chronic fatigue and poorly controlled back pain that impacts the patient’s ability to walk. Which complications related to these diagnoses will the nurse closely monitor the patient for? Select all that apply.
A patient has been admitted with a diagnosis of hypokalemia….
A patient has been admitted with a diagnosis of hypokalemia. The most recent laboratory reports confirm that the patient is not adequately responding to treatment. What assessment finding would be most relevant to providing appropriate treatment for this patient?
The nurse is caring for a patient who has a diagnosis of syn…
The nurse is caring for a patient who has a diagnosis of syndrome of inappropriate antidiuretic hormone secretion (SIADH). The patient’s plan of care includes assessment of urine with emphasis placed on what characteristic of the urinalysis? Select all that apply.
A patient has sustained a severe burn injury and is thought…
A patient has sustained a severe burn injury and is thought to have an impaired intestinal mucosal barrier. Since this patient is considered at an increased risk for infection, what intervention will best assist in avoiding increased intestinal permeability and prevent early endotoxin translocation?
The nurse provides care for a client who presents to the eme…
The nurse provides care for a client who presents to the emergency department (ED) with blunt chest trauma. The client’s vital signs are as follows: blood pressure is 72/52 mm Hg; heart rate is 124 beats/minute; respirations are 9 breaths/minute; and current oxygen saturation is 86% on 4 L/min oxygen via nasal cannula. Which diagnostic test should the nurse anticipate will be prescribed by the health care provider (HCP) as the best way to evaluate the efficiency of the client’s gas exchange?
A nurse in the neurologic ICU has orders to infuse a hyperto…
A nurse in the neurologic ICU has orders to infuse a hypertonic saline solution to a patient diagnosed with increased intracranial pressure. What process will be responsible in bringing about the expected therapeutic outcome?