A nurse assesses bilateral wheezes in a client with burn injuries inside the mouth. Four hours later the wheezing is no longer heard. Which action should the nurse take?
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The nurse is caring for an older adult patient who had surge…
The nurse is caring for an older adult patient who had surgery to repair a fractured hip. The patient needs continued nursing care and physical therapy to improve mobility before returning home. The nurse will help to arrange for transfer of this patient to which facility?
Following an earthquake, patients are triaged by emergency m…
Following an earthquake, patients are triaged by emergency medical personnel and transported to the emergency department (ED). Which patient will the nurse need to assess first?
An emergency department nurse is caring for a client who has…
An emergency department nurse is caring for a client who has died from a suspected homicide. Which action should the nurse take?
A client has a traumatic brain injury and a positive halo si…
A client has a traumatic brain injury and a positive halo sign. The client is in the intensive care unit, sedated and on a ventilator, and is in critical but stable condition. What collaborative problem takes priority at this time?
A hospice nurse is caring for a variety of clients who are d…
A hospice nurse is caring for a variety of clients who are dying. Which end-of-life and death ritual is paired with the correct religion?
A nurse prepares to administer intravenous cimetidine (Tagam…
A nurse prepares to administer intravenous cimetidine (Tagamet) to a client who has a new burn injury. The client asks, “Why am I taking this medication?” How should the nurse respond?
A nurse receives new prescriptions for a client with severe…
A nurse receives new prescriptions for a client with severe burn injuries who is receiving fluid resuscitation per the Parkland formula. The client’s urine output continues to range from 0.2 to 0.25 mL/kg/hr. Which prescription should the nurse question?
An emergency room nurse is triaging victims of a multi-casua…
An emergency room nurse is triaging victims of a multi-casualty event. Which client should receive care first?
A nurse is caring for a terminally ill client who has just d…
A nurse is caring for a terminally ill client who has just died in a hospital setting with family members at the bedside. Which action should the nurse take first?