The client is admitted with a potassium level of 6.5 mEq/L. The client complains of chest palpitations. What does the nurse expect to administer?
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The client is admitted for nausea and vomiting. An arterial…
The client is admitted for nausea and vomiting. An arterial blood gas (ABG) has been drawn: pH 7.50 CO2 50 and HCO3 34. The nurse interprets the ABG as (Hint: Use the arrows, ROME acronym: Respiratory Opposite, Metabolic Equal):
The nurse assesses a client postoperative day 4 with a tempe…
The nurse assesses a client postoperative day 4 with a temperature of 101.5 F. The client is on a nasal cannula, has a foley catheter, and a midline abdominal surgical wound. Before calling the provider, what is a priority assessment of the nurse?
On admission to the post anesthesia care unit (PACU), the cl…
On admission to the post anesthesia care unit (PACU), the client’s blood pressure was 128/75 mmHg, Heart Rate 80 beats per minute, alert and oriented. Thirty minutes later, the blood pressure decreases to 82/55 mmHg with a pulse of 125 beats per minute. The nurse assesses the client drowsy, confused, restless, clammy and diaphoretic skin. Which intervention should the nurse implement first?
The nurse is a caring for a client postoperatively. The clie…
The nurse is a caring for a client postoperatively. The client reports nausea and begins to vomit a large amount of fluid. What should the nurse do next in safety of the client?
After an ordered removal of a client’s chest tube due to lun…
After an ordered removal of a client’s chest tube due to lung re-expansion, the nurse anticipates the health care provider to apply which type of dressing to the wound site?
The nurse assesses a client with a positive Chvostek’s sign….
The nurse assesses a client with a positive Chvostek’s sign. The patient reports numbness and tingling in their extremities. What should the nurse recommend an order of?
A client with Type 2 Diabetes Mellitus has been well control…
A client with Type 2 Diabetes Mellitus has been well controlled with insulin injections and has been NPO since midnight before having a mastectomy. The client is receiving intravenous fluids with dextrose. The nurse has an order to give insulin per correctional sliding scale. What is the next best action of the nurse?
What would the nurse expect to initially assess in a client…
What would the nurse expect to initially assess in a client experiencing acute respiratory failure?
The nurse is obtaining a daily weight on a client who was ad…
The nurse is obtaining a daily weight on a client who was admitted 3 days earlier and notices that the client has gained 5 pounds since admission. What is the priority action of the nurse?