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What is Label #2?

What is Label #11?

An older adult hospitalized attempts to get out of bed without assistance. The bed alarm is sounding, and the patient appears anxious but uninjured. Which nursing action best demonstrates prioritization to prevent a fall?

A nurse prepares to administer potassium chloride intravenously to a patient with hypokalemia. Which action is essential to ensure patient safety during administration?

A 68-year-old patient is admitted with vomiting and diarrhea for the past 24 hours. Vital signs show mild tachycardia and dry mucous membranes. The provider orders an IV fluid to restore intravascular volume without causing fluid shifts between compartments. Which IV fluid is most appropriate?

Ms. Angela Morris, a 71-year-old female, is admitted for a scheduled partial colectomy. History: hypertension, type 2 diabetes. Lives independently. Preoperative Data: ·        NPO since midnight ·        IV access established Vital Signs: BP 136/82 HR 86 RR 18 SpO2 97% on RA Temp 98.6F Labs: Sodium: 138 mEq/L Potassium: 3.0 mEq/L Before administering prescribed preoperative sedation, what must the nurse verify?

A nurse caring for a postoperative patient notes increasing incisional pain, tachycardia, cool clammy skin, and a sudden decrease in blood pressure. Which nursing action best demonstrates the Responding phase of Tanner’s Clinical Judgment Model?

A nurse is assisting a patient to transfer from the bed to a chair when the patient suddenly reports dizziness and begins to sway. Which nursing actions most effectively promote immediate patient safety? Select all that apply.

A nurse is assessing an older adult admitted with worsening shortness of breath and a history of heart failure. The patient reports needing to sleep on two pillows and has gained 2.5 kg over the past week. Which assessment finding most strongly supports a diagnosis of fluid volume excess?

A nurse is caring for a patient 6 hours after abdominal surgery. The patient has received 2,000 mL of IV fluids since surgery. Which finding related to urine output is most concerning and requires prompt nursing intervention?