A client has a long history of COPD and is admitted to the hospital with cor pulmonale. The client states, ” The doctor told me that my heart is failing”. “Did I have a heart attack?” The nurse explains to the client that
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A client with a T2 spinal cord injury is beginning intensive…
A client with a T2 spinal cord injury is beginning intensive rehabilitation. One morning as the nurse prepares to assist her to transfer to the wheelchair, the client tells the nurse that she does not feel like getting up, that she has a throbbing headache. It is most important that the nurse
A registered nurse (RN) is supervising a licensed practical…
A registered nurse (RN) is supervising a licensed practical nurse (LPN) caring for a client with a terminal illness and contemplating end-of -life (EOL) decisions. Which statement by the LPN should be corrected by the RN?
Following a craniotomy, a client has been admitted to the Ne…
Following a craniotomy, a client has been admitted to the Neurological Intensive Care Unit. The nurse has established a goal to maintain intracranial pressure (ICP) within the normal range. Which interventions should the RN include in the plan of care? (Select all that apply).
The nurse is caring for a client experiencing cardiogenic sh…
The nurse is caring for a client experiencing cardiogenic shock. Anticipated interventions would include:
You are caring for a client who was admitted for advanced li…
You are caring for a client who was admitted for advanced liver cirrhosis. The client has massive ascites, peripheral 2+ pitting dependent edema in the lower extremities, nausea and vomiting, and dyspnea related to pressure on the diaphragm. Excess Fluid Volume is noted, which indicator is the most reliable for tracking fluid retention?
As the triage nurse in a busy Emergency Department, the foll…
As the triage nurse in a busy Emergency Department, the following four clients walk in the door at the same time. Which client should be seen first?
In preparation for discharging the client newly started on h…
In preparation for discharging the client newly started on hemodialysis, the nurse determines that discharge teaching was effective if the client states which of the following?
Your client has an order for 525 mg of an antibiotic in {x}…
Your client has an order for 525 mg of an antibiotic in {x} ml of 0.9% Normal Saline to be infused over 1 hour and 15 minutes. How many ml per hour (ml/hr) will you set the pump? Record your answer using 0 decimal place(s). Enter only a number in the blank.
According to material discussed in this class, the outcome o…
According to material discussed in this class, the outcome of a hearing screening should: