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The nursing assistant reports to you that the patient with acute renal failure (ARF) has had a urine output of 350 ml for the past 24 hours (hrs) after receiving furosemide 40 mg intravenous push. The nursing assistant asks you how this can happen. What is the best response?

A nurse begins to hear high pressure alarms in the room of a client requiring respiratory assistance with a ventilator.  Which is the best action by the nurse?

A client is having peritoneal dialysis. During the exchange, the nurse observes that the solution draining from the client’s abdomen is consistently blood tinged. The client has a permanent peritoneal catheter in place. What clinical judgment should the nurse make about the blood-tinged drainage?

The client with type 2 insulin-requiring diabetes asks the nurse about having alcoholic beverages. Which is the best response by the nurse?

The nurse is planning care for a client who has just returned to the medical-surgical unit following repair of an aortic aneurysm. The nurse should assess which effect of the surgery first?

Identify the following recording:                  

The nurse is planning the care for a patient admitted with diabetic ketoacidosis. How does the nurse anticipate this condition will be medically managed? 

A client is receiving intravenous doses of gentamicin every 12 hours. What measurement is a priority for the nurse to monitor during the period that the patient is receiving this drug?

The patient has had an elevated temperature for the past 24 hours. Nurse Jamie is concerned about the potential effects of the fever on the patient’s electrolyte balance. Given the patient’s elevated temperature, which electrolyte should Nurse Jamie monitor closely?

A nurse is evaluating a client’s outcome.  The client’s nursing care plan includes nursing diagnosis of fluid volume deficit related to hyperosmolar hyperglycemia nonketotic syndrome (HHNS).  The nurse knows that the client has a positive outcome when which serum laboratory value has decreased to a normal range?