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The RN working at a long-term-care facility places priority on providing interventions for which resident?

Which of the following are treatments for DKA with hyperkalemia? Choose ALL that apply.

A patient with acute kidney injury (AKI) has an arterial blood pH of 7.30, HC03 20, PaO2 90, PaCO2 39. The nurse will assess the patient for

A patient needing vascular access for hemodialysis asks the nurse what the differences are between an arteriovenous (AV) fistula and a graft. The nurse explains that one advantage of the fistula is that it

A nurse reviews these laboratory values of a patient who returned from kidney transplantation 12 hours ago:Sodium136 mEq/L (135 mmol/L)Potassium5 mEq/L (5 mmol/L)Blood urea nitrogen (BUN)44 mg/dL (15.7 mmol/L)Serum creatinine2.5 mg/dL (221 mcmol/L)What initial intervention would the nurse anticipate?

The nursing assistant asks the nurse if respiratory isolation is needed for the client with Pneumocystis carinii pneumonia (PCP). What is the nurse’s best response?

T.A., a 54-year-old Hispanic man, presented to the emergency department with shortness of breath, fever, and a cough that has lasted several days. T.A. is being admitted to the medical unit for treatment of pneumonia and hyperglycemia. He has a history of hypertension and type 2 diabetes (T2DM). He has been taking the following medications: Metformin 500 mg PO BID; last dose last night Lisinopril 20 mg PO daily; last dose yesterday morning  Subjective Data Reports that his home glucometer was lost recently. Reports frequent urination and thirst. Smokes one pack of cigarettes a day. Has sharp pain in the right lower chest upon inspiration. Rates pain as a 6 on a scale of 1 to 10. Objective Data Physical Examination Temperature 38.5˚C, pulse 118, respirations 26, blood pressure 136/92 Oxygen saturation 91% on room air Awake and alert, oriented x 4 Weight 86 KG Respirations symmetrical, slightly labored on any exertion, coarse crackles right lower lobes Cough productive of thick yellow sputum Diagnostic Studies Lab values Glucose 788 mg/dL ABG- Ph 7.36, CO2 35, HCO3 18 Hemoglobin A1C 9.2% NA 150 (135-145 meq/L), K 5.4 (3.5-5.2 meq/L), Cl 110 (96-106 meq/L), Mag 1.5 (1.7-2.2 mg/dl) Chest radiography: infiltrates- right lower lobe Which of the following orders will you implement? Choose ALL that apply.

A client has newly diagnosed systemic lupus erythematosus (SLE). What instruction by the nurse is most important?

A patient in the ICU presents with wheezing, stridor, flushing, pruitis, angioedema and anxiety and a blood pressure of 76/50, Which of the following medications would be anticipated in the treatment of this patient? (Select all that apply)

R.B. is a 55-year-old woman who presented to the emergency department (ED) via ambulance for acute shortness of breath. Her daughter called an ambulance after finding her mother with an increased respiratory rate and shortness of breath. Upon arrival to the ED, R.B.’s respirations were 40 and shallow with wheezing in the lower lobes and rhonchi in the upper lobes bilaterally. She had positive jugular vein distention and a heart rate of 128. After treatment with albuterol nebulizer via mask, her vital signs were temperature 96.8˚F, pulse 98, respirations 28, blood pressure 148/84, and O2 saturation 94% with 15 LPM via mask. Arterial blood gasses showed her pH 7.19, pCO2 90, PO2 92%, HCO3 38. R.B. was intubated for hypercapnia. After an echocardiogram showed an ejection fraction less than 50%, she had an emergency left heart catheterization done with 2 stent placements into the left anterior descending artery. A pulmonary artery catheter was placed, and the initial hemodynamic readings show elevated left ventricular preload. R.B. is now being transferred to the intensive care unit (ICU).  Subjective Data Lives with her single daughter, who cares for D.B. full time Daughter is not present at bedside Smokes 1 pack of cigarettes per day No longer active outside of the home because of her chronic illness Does not drink alcohol  Objective Data Physical Assessment Orally intubated #8 endotracheal (ET) tube taped at 26 cm to lip Ventilator settings: FIO2 60%, tidal volume 600, assist control (A/C), rate 16, PEEP of 5 Height 5’5″, weight 117 kg Alert and oriented to person, place, and time Fine crackles and wheezes bilateral lower lobes 2+ pitting edema bilateral lower extremities Diagnostic Studies Chest x-ray postintubation: ET tube 4 cm from carina. Infiltrates in both bases; left base is worse than right 12-lead ECG: ST elevation Troponin: 41.94 Lung V/Q scan negative for pulmonary embolism Urinalysis: dark yellow and cloudy, protein 28 mg/dL, positive for casts, positive for red blood cells and white blood cells, positive for glucose and ketones Question; what nursing interventions are needed to prevent ventilator associated pneumonia (VAP)? Choose ALL that apply.