49. After surgery for an abdominal aortic aneurysm, a client’s central venous pressure is 2 mm/Hg. Which action should the nurse take?
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This nursing diagnosis applies to a patient experiencing man…
This nursing diagnosis applies to a patient experiencing mania: Imbalanced nutrition: less than body requirements, related to insufficient caloric intake and hyperactivity as evidenced by 5-pound weight loss in 4 days. Select the most appropriate outcome. The patient will:
46. While waiting for heart transplantation, a client with s…
46. While waiting for heart transplantation, a client with severe cardiomyopathy has a ventricular assist device (VAD) implanted. What should be included in the plan of care for this client?
58. A client in the emergency department reports back pain a…
58. A client in the emergency department reports back pain and difficulty breathing 15 minutes after a transfusion of packed red blood cells is started. What is the priority nursing intervention?
9. While the nurse is taking routine vital signs, she notice…
9. While the nurse is taking routine vital signs, she notices that the infant is having a hypercyanotic episode. What should the nurse do first?
After teaching a client about lithium carbonate (Lithane), a…
After teaching a client about lithium carbonate (Lithane), a nurse would consider the teaching successful on the basis of which client statement?
21. Norepinephrine has been prescribed for a client who was…
21. Norepinephrine has been prescribed for a client who was admitted with dehydration and hypotension. Which hemodynamic data indicate that the nurse should consult with the health care provider before starting the norepinephrine?
A client on an inpatient unit is diagnosed with bipolar diso…
A client on an inpatient unit is diagnosed with bipolar disorder: manic episode. During a discussion in the dayroom about weekend activities, the client raises his voice, becomes irritable, and insists that plans change. What should be the nurse’s initial intervention?
A newly admitted client is diagnosed with bipolar disorder:…
A newly admitted client is diagnosed with bipolar disorder: manic episode. Which symptom related to altered thought is the nurse most likely to assess?
At a unit meeting, staff members discuss the decor for a spe…
At a unit meeting, staff members discuss the decor for a special room for patients experiencing mania. Select the best option.