A patient admitted with sepsis has had several episodes of severe hypotension. Lab results indicate a BUN of 30 mg/dl and serum creatinine of 2.0 mg/dl. The urinalysis reveals cellular casts and debris indicating sloughing of cells. The nurse knows these findings are consistent with:
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A patient sustained electrical burns after an industrial acc…
A patient sustained electrical burns after an industrial accident 12 hours ago. The RN caring for the patient evaluates he is experiencing further complications when she identifies: SELECT ALL THAT APPLY:
Cardiac monitoring is initiated for a patient with Acute Kid…
Cardiac monitoring is initiated for a patient with Acute Kidney Injury. The nurse recognizes that this measure is important to identify:
Which of the following is the priority nursing intervention…
Which of the following is the priority nursing intervention for a patient with diabetic ketoacidosis?
A client who has massive trauma is admitted to the ICU. Whic…
A client who has massive trauma is admitted to the ICU. Which pathophysiologic event associated with trauma would cause the nurse to intervene to protect the client’s immune system?
A construction worker who had been working in the heat for 3…
A construction worker who had been working in the heat for 3 days presents to the ER with a complaint of weakness and states, “I think I am dehydrated.” VS reveal: BP 106/58, HR 105, Resp 18, Temp 99.0, O2 sats 98% RA. Labs were drawn and reveal the following: BUN 59, Crea 2.3, K 4.2, Na 133, CPK 1020. Urinalysis reveals dark, tea-colored urine. What collaborative interventions are appropriate for this patient? SELECT ALL THAT APPLY
A patient with hyperosmolar hyperglycemic state (HHS) is rec…
A patient with hyperosmolar hyperglycemic state (HHS) is receiving intravenous fluids. Which of the following is the primary goal of fluid therapy in this patient?
A nurse is caring for a patient with type 1 diabetes who has…
A nurse is caring for a patient with type 1 diabetes who has been admitted for DKA. Which of the following laboratory findings should the nurse expect? Glucose 70-99 mg/dL Potassium 3.5-5.3 mEq/L Bicarbonate 22-26 Blood pH 7.35 to 7.45
An elderly man woke up coughing to find his apartment was on…
An elderly man woke up coughing to find his apartment was on fire. He was able to escape out of the window where the first responders transported him to the local ER. You are the nurse receiving this patient in the ER. Your assessment reveals: AAOx3, BP 102/80, HR 110, Resp 24, Temp 98.9, pulse ox 99% on RA. The patient starts coughing when trying to answer your questions and it has a seal-like sound. What is your number one nursing diagnosis for this patient? What is your priority nursing intervention?
Which electrolyte imbalance should be the priority for the n…
Which electrolyte imbalance should be the priority for the nurse to contact the doctor when assessing a patient with acute kidney injury?