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A patient recovering from 25% total body surface area burns has a low-grade fever. What should the nurse do to reduce this patient’s risk of developing an infection?

The nurse is assessing a patient who had a liver transplant three days ago. During the assessment, the nurse obtains the following data. Which finding is most important to communicate to the health care provider?

A patient with type 2 diabetes is scheduled for an outpatient left heart catheterization. Which information obtained by the nurse when admitting the patient indicates a need for a change in the patient’s medication regimen?

A patient diagnosed with acquired immune deficiency syndrome (AIDS) is admitted to the acute care floor. Which stance regarding the care for this patient is supported by the American Nurses Association (ANA) Code of Ethics?

Which of these nursing actions in the plan of care for a patient who has diabetes insipidus will be most appropriate for the RN to delegate to an experienced LPN/LVN?

A patient with cirrhosis is experiencing an acute hemorrhage from esophageal varices. What is the nurse’s priority intervention?

A patient with cirrhosis and esophageal varices has a new prescription for propranolol (Inderal). Which assessment finding is the best indicator that the medication has been effective?

A patient is prescribed epinephrine for the prevention of anaphylactic shock. The patient states, “I thought shock was about heart failure.” Which response by the nurse is most appropriate?

A nurse is assessing a patient with a recent intracranial hemorrhage. The patient opens his eyes to pain only, displays decorticate posturing, and has incomprehensible speech. Based on the Glascow Coma Scale (GCS) the patient has a score of seven. What is the patient’s neurologic status?

A 78 year old female patient presents to the ED from a local long term care facility with complaints of altered level of consciousness. She is normally awake, alert and oriented to person, place and time and has had no prior episodes of confusion. What laboratory value would signify this patient may have early sepsis?Normal lab levels Sodium (Na)135-145 mEq/LChloride (Cl)97-107 mEq/LPotassium (K)3.5-5.0 mEq/LMagnesium1.6-2.2 mg/dLCalcium (Ca)8.2-10.2 mg/dLPhosphorus2.5-4.5 mg/dLIonized calcium4.6-5.3 mg/dLSerum osmolality275-295 mOsm/kgUrine osmolality250-900 mOsm/kgCreatinine0.5-1.2 mg/dLBUN8-21 mg/dLHemoglobin12-18 G/dLHematocrit36%-50%Lactic acid