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The nurse is caring for a client with an active GI bleed with a nasogastric (NG) tube output of 1,000 mL bright, red blood. Which of the following assessments would the nurse be most concerned with based upon this gastric output?

The client was admitted with 2nd degree partial thickness and third degree burns to the left leg, left arm, and left torso area. The burns were obtained from a gas grill propane explosion, and the paramedics have initiated burn treatment. Which of the following should the nurse do first when the client arrives to the emergency department?

The client is admitted with pancreatitis. The client asks the nurse, “What causes this?” The nurse should provide which of the following answers?”

Which of the following clients is at highest risk for hyperosmolar hyperglycemic syndrome (HHS)?

An older adult who uses a propane heater to warm their apartment has been admitted to the emergency department with suspected carbon monoxide poisoning. Which one of the follow interventions will the nurse perform first? 

The nurse is caring for a client with late stage cirrhosis. The nurse should identify which findings as indicators of hepatic encephalopathy? Select all that apply.

  Glucose 648 mg/dL pH 7.10 PaCO2 20 mm Hg PaO2 95 mm Hg HCO3- 5 Na+ 127 mEq/L K+ 3.4 mEq/L BUN 35 Creatinine 1.8 mg/dL The client with a history of type 1 diabetes is found unconscious. The client has the listed labs above. QUESTION: After the client’s airway and ventilation have been established, the next priority for this client is administration of which of the following treatments?

The client is admitted with increased ascites associated with chronic liver failure. Which nursing diagnosis should receive top priority?

An older adult who uses a propane heater to warm their apartment has been admitted to the emergency department with suspected carbon monoxide poisoning. Which one of the follow interventions will the nurse perform first? 

 Which of the following factors increases the burn client’s risk for deep vein thrombosis (DVT)? Select all that apply.