A patient who is intubated and on the ventilator is exhibiting restlessness and tachycardia secondary to an inability to communicate and loss of control. What nursing interventions are appropriate?
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A client has been admitted with fluid volume excess related…
A client has been admitted with fluid volume excess related to right-sided heart failure. Which assessment data would the nurse expect related to the fluid volume excess? Select all that apply.
A patient with acute kidney injury being assessed to determi…
A patient with acute kidney injury being assessed to determine etiology alteration in kidney function. If the cause is prerenal, which condition most likely caused it?
A patient is admitted into the emergency room comatose relat…
A patient is admitted into the emergency room comatose related to a drug overdose. The arterial blood gas (ABGs) results are: pH of 7.15, PaO2 of 65, PaCO2 of 60, and HCO3 of 26. Based on this data, what is the priority nursing intervention?
The nursing instructor when teaching about disorders of card…
The nursing instructor when teaching about disorders of cardiac function informs the students that all people presenting with ST-segment elevation myocardial infarction (STEMI) should be assessed for reperfusion therapy as quickly as possible. Reperfusion therapy includes which of the following? Select all that apply.
On a telemetry unit, the cardiac alarm sounds on a client di…
On a telemetry unit, the cardiac alarm sounds on a client diagnosed with a myocardial infarction when the following rhythm is displayed. The client is unconscious, cyanotic, and not breathing. What nursing actions have the highest priority at this time? Place the following action in the order in which they should be performed. Not all items will be used.
A 56-year-old patient in the emergency room is complaining o…
A 56-year-old patient in the emergency room is complaining of severe chest pain with a history of hypertension and diabetes. The nurse should anticipate administering which treatments? SELECT ALL THAT APPLY
A client is scheduled for a percutaneous coronary interventi…
A client is scheduled for a percutaneous coronary intervention. During the preoperative teaching, which statement by the nurse informs the client of the purpose of this procedure?
A patient is admitted to the Emergency Department (ED) with…
A patient is admitted to the Emergency Department (ED) with a fever, shortness of breath, and hypotension. The ABG findings are pH of 7.35, PaCO2 of 66, PaO2 of 70, and HCO3 of 38. The nurse documents that the ABG findings are:
In caring for a patient on a Positive Pressure Ventilator th…
In caring for a patient on a Positive Pressure Ventilator the nurse knows that the complications include all of the following: Select All That Apply.