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A nurse is caring for a patient diagnosed with a pulmonary embolism. The healthcare provider has prescribed anticoagulant therapy with enoxaparin and warfarin. Which nursing interventions should be implemented to ensure safe and effective anticoagulant therapy? Choose the (3) correct answers

A client in the emergency department was injured in a motor-vehicle crash and presents with dyspnea and pain over the chest wall. The client’s chest is tender and he is having difficulty maintaining a regular respiratory rhythm. The nurse suspects the client has a flail chest. Identify the symptoms that would help confirm this suspicion. Select all that apply.

A client with a traumatic pneumothorax has had a chest tube inserted. While monitoring the chest tube, the nurse notices continuous and excessive bubbling in the water seal chamber. What is the nurse’s priority action in response to this observation?

The nurse is caring for a client with nephrotic syndrome. Which of the following is the greatest complication that the nurse should observe for?

A nurse is caring for a patient with a suspected pulmonary embolism (PE). Which diagnostic test is considered the most accurate and reliable for confirming a PE?

A client who is receiving total parenteral nutrition (TPN) through a peripherally inserted central catheter (PICC) expresses concerns to the nurse about bacteria entering the blood through the catheter. The nurse explains that the risk of catheter-related infections can be decreased by taking which action?

A nurse is providing dietary teaching to a client who has an acute kidney injury (AKI).The nurse should instruct the client to limit and/or avoid which of the following? Select all that apply.

The nurse is caring for a client admitted with a diagnosis of acute kidney injury. The client asks the nurse, “Are my kidneys failing? Will I need a kidney transplant?” Which response by the nurse is the most appropriate?

A nurse is teaching a client who has acute kidney injury about the diuretic phase. Which of the following information should the nurse include in the teaching?

The nurse is completing an admission assessment on a client with a history of a duodenal ulcer. To determine whether the problem is currently active, the nurse should assess the client for which symptom of a duodenal ulcer?