A nurse is performing a respiratory assessment on a 4-hour-o…

A nurse is performing a respiratory assessment on a 4-hour-old newborn delivered via cesarean section at 38 weeks gestation. The nurse observes the following findings: respiratory rate of 72 breaths/min, nasal flaring, intercostal retractions, and grunting sounds with expiration. The newborn’s oxygen saturation is 88% on room air. What is the priority nursing action?  

A 72-year-old male patient underwent a transurethral resecti…

A 72-year-old male patient underwent a transurethral resection of the prostate (TURP) and has continuous bladder irrigation (CBI) running. You are calculating the patient’s intake and output for your 12-hour shift (7 AM – 7 PM). His IV of D5W ran at 75 mL/hr for the shift.  His breakfast intake is 8 oz orange juice and 6 oz coffee. At lunch he drinks 12 oz water and eats 4 oz of gelatin. At dinner he drinks 6 oz tea. His CBI irrigation is 3000 mL normal saline. His urinary drainage bag was emptied at 3 PM and had 1500 mL of  light pink urine in it. And the urinary drainage bag was emptied at 7 PM with 2400 mL of light pink urine. The patient had one episode of 150 mL of emesis. Calculate the patient’s total intake [intake1], urine output [output2] and fluid balance [fluidbalance3] for the shift.  Enter numerical values only  

A nurse is reviewing laboratory results for a patient with s…

A nurse is reviewing laboratory results for a patient with severe malnutrition and notes a serum albumin level of 2.0 g/dL (normal: 3.5-5.0 g/dL). The patient has significant peripheral edema in both legs. The nurse understands that which physiological process explains the development of edema in this patient?  

A nurse is caring for a patient receiving continuous intrave…

A nurse is caring for a patient receiving continuous intravenous magnesium sulfate infusion for a pregnancy related complication. During the hourly assessment, the nurse notes that the patient’s patellar deep tendon reflexes are absent. What is the nurse’s priority action?