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A 70 year old patient is diagnosed with an abdominal aortic aneurysm measuring 3.5 cm, which was discovered on a routine health physical. The client has  30 pack year history of cigarette smoking. Which learning need should a nurse identify as most important for the patient?

The patient is receiving IV piggyback doses of gentamicin every 12 hours. Which would be the nurse’s priority for monitoring during the period that the patient is receiving this drug?

A nurse is caring for a patient following a coronary artery bypass graft. Which assessment finding in the immediate postoperative period should be most concerning to the nurse? 

Use the following Case Study to answer Questions 1 – 3: Ms. Nightingale is a 20 year old nursing student, has been brought to the emergency room (ER) by her roommate, who is a pharmacy student and a family friend.  Ms. Nightingale reports abdominal pain, polyuria, vomiting, and thirst.  She appears flushed and her lips and mucous membranes are dry and cracked.  Her skin turgor is poor, respirations are deep and rapid.  There is a fruity odor to her breath.  She has type 1 diabetes and “may have skipped a few doses of insulin because of cramming for complex care finals.” She is alert and conversant but is having trouble focusing on the nurse’s questions. Ms. Nightingale vital signs and blood glucose are as follows: Blood glucose level                                       685mg/dL Blood pressure                                              100/60 mmHg Heart rate                                                      120 beats/min Respiratory rate                                              32 breaths/min Temperature                                                   100.8F (38.2C)

Which risk factors in Ms. Atlantic history indicate increased risk for chronic kidney disease (CKD).

The nurse has just finished assisting the health care provider (HCP) with a thoracentesis for a patient with recurrent left pleural effusion caused by lung cancer. The thoracentesis removed 1800ml of fluid. Which patient assessment information is most important to report to the HCP?

The nurse is providing orientation for a new registered nurse who is preparing to administer packed red blood cells (PRBCs) to a patient who had blood loss during surgery. Which action by the new nurse requires that the nurse intervene immediately? 

A diabetic patient is admitted for hypoglycemia. Which of the following information should the nurse include in the patient teaching? Select all that apply.

A transfusion of packed red blood cells transfusion has been infusion for 5 minutes when the patient becomes flushed and tachypneic and says, “I’m having chills. Please get me a blanket.” Which action should the nurse take first?

A nurse notes that a patient who experienced a myocardial infarction (MI) 3 days ago, seems unusually fatigued. Upon assessment, the nurse finds that the patient is dyspneic with activity, has a heart rate of 110 beats per minute, and has generalized edema. Which action by the nurse is appropriate?