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A 83 y/o patient with a history of CHF, Atrial fibrillation, hypertension, and Diabetes arrives at the ER with complaints of dyspnea on exertion, swelling of his extremities, and fewer “trips to the bathroom”. Assessment reveals BP 174/96, HR 112 A.fib, RR 22, Temp. 100.4 and breath sounds reveal crackles throughout all fields. After initial treatment of IV Furosemide 80 mg, the nurse evaluates treatment is effective when she notes:

An elderly patient is scheduled for a CT scan with contrast. The nurse would anticipate the following to help prevent renal damage? (Select All that Apply)

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:

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 Kidney Injury. The nurse recognizes that this measure is important to identify:

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. 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 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 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 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