A 55-year-old patient with a history of diabetes presents to…

A 55-year-old patient with a history of diabetes presents to the emergency department with signs and symptoms of septic shock, including fever, hypotension, tachycardia, and confusion. Blood cultures were just drawn, and recent laboratory results show elevated white blood cell count, elevated lactate, and renal impairment (elevated creatinine). The patient is not responding to the initial fluid resuscitation. Vital Signs: BP: 80/50 mmHg HR: 115 bpm RR: 28 SpO₂: 88% Lab Results: White Blood Cell Count: 18,000/µL Lactate: 4.2 mmol/L Creatinine: 2.1 mg/dL Arterial blood gas: pH 7.29, PaCO2 32 mmHg, HCO3 18 mEq/L    Which of the following interventions should the nurse prioritize as an immediate action and which should be delayed?

A patient with central diabetes insipidus is admitted with c…

A patient with central diabetes insipidus is admitted with complaints of excessive thirst and frequent urination. Morning labs show a serum sodium level of 155 mEq/L, dry mucous membranes, and a urine specific gravity of 1.001. The provider writes multiple orders for this patient. Which is the priority nursing intervention?

A nurse is reviewing discharge teaching with a 68-year-old c…

A nurse is reviewing discharge teaching with a 68-year-old client newly diagnosed with COPD (GOLD Stage III). The client is being discharged on fluticasone-salmeterol (Advair) 250/50 mcg one inhalation twice daily, albuterol MDI PRN, and home oxygen at 2 L/min via nasal cannula continuously. For each client statement, click to indicate whether it demonstrates understanding or requires follow-up teaching.

A 76-year-old client is admitted to the telemetry unit for e…

A 76-year-old client is admitted to the telemetry unit for evaluation of a single syncopal episode that occurred yesterday at home. The client has since remained asymptomatic. On admission, the cardiac monitor displays: Regular rhythm HR: 48 bpm One P wave before each QRS complex PR interval: 0.18 seconds  QRS duration: 0.08 seconds  Current assessment: BP: 110/70 mm Hg RR: 16 SpO₂: 97% on room air Alert and oriented ×3 Denies dizziness, lightheadedness, chest pain, shortness of breath Warm, dry skin; no edema Medication list includes metoprolol 50 mg PO BID for hypertension Which action should the nurse take next?