This is a multiple response item. The nurse is preparing to…

This is a multiple response item. The nurse is preparing to assess a client with a pulmonary embolism. Which of the following assessment findings indicate a pulmonary embolism? (Select all that apply by listing the letter(s) to the  answer in alphabetical order using no spaces, commas or periods) A. bradycardia B. tachypnea C. hypoxemia D. anemia E. hypoglycemia

A client has been admitted to your unit.  Physical assessmen…

A client has been admitted to your unit.  Physical assessment data is as follows:  B/P 130/80, Pulse 90, Resp 32, O2 sat 88; Mental status:  Alert and oriented but anxiousBreath sounds:  Expiratory wheezing throughout; difficulty completing full sentence without taking breathHeart:  apical pulse 90 regularAbdomen:  soft, Nontender, +bowel sounds;  Peripheral pulses:  Pedal pulses 1+, Femoral 2+; Mild edema feet/ankles bilaterally.Labs:   Na 138, K 4.5, BUN 20, Creatinine 1; glucose 150What would you identify as the Priority Concept problem for this patient?     

This is a Multiple Response Item A client has been diagnosed…

This is a Multiple Response Item A client has been diagnosed with sepsis and the nurse is administering the rapid IV fluids.  How would the nurse best evaluate the effectiveness of this treatment? (Select all that apply by putting the letter(s) to the correct answer in alphabetical order in the answer box without commas or spaces) A. monitor blood pressure B. monitor pain level C. monitor temperature D. monitor urine output E. monitor serum lactate level