The nurse is developing plan of care for a client with renal…

The nurse is developing plan of care for a client with renal failure for whom a nursing diagnosis of Excess Fluid Volume related to compromised regulatory mechanisms has been identified. Which actions should the nurse delegate to the nursing assistant? SELECT ALL THAT APPLY  

A client in a hypertensive emergency is admitted to the crit…

A client in a hypertensive emergency is admitted to the critical care unit. In the emergency room the vital signs are: Temperature: 97.9°Farenheit, Pulse: 88 beats/min, Respirations: 20, Blood pressure: 230/108, O2 Saturation: 95%.  At 1000 the client is started on prescribed intravenous nitroprusside at 5 mcg/kg/min.  The nurse applies evidence based practice guidelines and determines the intervention was effective, if at 1100am the reassessment reveals which of the following patient data?