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For the client with acute kidney injury, which lab finding would be the most concerning to the nurse?

The nurse is caring for a client admitted to the critical care unit 48 hours ago with a diagnosis of severe sepsis. As part of this client’s care plan, which of the following interventions is most important for the nurse to discuss with the multidisciplinary care team?

The client has acute shortness of breath, cough and is sweating profusely. Admission assessment  reveals: blood tinged sputum, a BP of 85/46 mmHg, a HR of 122 BPM, and a respiratory rate of 33 breaths/minute. The client states they feel like they are going to die. Which of the following conditions should the nurse suspect?

The nurse is caring for a client admitted to the critical care unit 48 hours ago with a diagnosis of severe sepsis. As part of this client’s care plan, which of the following interventions is most important for the nurse to discuss with the multidisciplinary care team?

The nurse is admitting a client with Guillain-Barre syndrome to the nursing unit. The client has ascending paralysis to the level of the waist. Knowing the complications of this disorder, the nurse should bring which of the following most essential items into the client’s room?

The nurse administered hydromorphone for pain to a client 30 minutes ago and is checking on the effectiveness of the medication. The client is not responding to verbal or touch stimulus, and has a respiratory rate of 6.  Which of the following interventions should the nurse perform first?  

The client has acute shortness of breath, cough and is sweating profusely. Admission assessment  reveals: blood tinged sputum, a BP of 85/46 mmHg, a HR of 122 BPM, and a respiratory rate of 33 breaths/minute. The client states they feel like they are going to die. Which of the following conditions should the nurse suspect?

An explosion and fire at a chemical plant resulted in the client receiving blast/burn injuries. Which of the following assessments should the nurse prioritize upon arrival to the ED? Select all that apply.

The nurse is caring for the client following an auto-graft to a severe burn wound on the right knee. Which of the following interventions would the nurse perform to help preserve the integrity of the graft

The nurse is caring for a client with the following rhythm. The client is alert, oriented, with a B/P 120/70 mmHg, and RR 20. Which of the following priority interventions should the nurse perform first?