A client is receiving cardiopulmonary resuscitation (CPR). After asystole is confirmed in two leads and sending for the code cart, which IV medication should be administered?

A client who was admitted because of a spontaneous pneumothorax has a chest tube placed to water seal drainage. The nurse auscultates all lung fields to evaluate the effectiveness of therapy. Which computer documentation indicates that atelectasis is resolving?

Patient Data

The nurse is reviewing the assessment findings, laboratory data, and diagnostic results to consider the client's condition. Choose the most likely options for the information missing from the statement by selecting from the lists of options provided.

The nurse recognizes the client is most likely experiencing

The rapid response team transfers a client with sepsis to the intensive care unit (ICU). The client's white blood cell count is 28,000/mm3 (28 x 10^9/L). Which intervention should the nurse implement first?

Reference Range:

• White blood cell (WBC) [5,000 to 10,000/mm3 (5 to 10 x 10^9/L)]

The nurse is caring for a client with syndrome of inappropriate antidiuretic hormone secretion (SIADH) who was admitted to the intensive care unit (ICU) yesterday. Which intervention is most important for the nurse to include in the client's plan of care (POC)?

Consent is obtained to perform a diagnostic thoracentesis for a client with left side pleural effusion. The client is alert, cooperative, and anxious. The nurse should assist the client into which position immediately prior to the procedure?

A client who sustained severe liver lacerations in a motorcycle collision is transported to the intensive care unit (ICU) following a segmental resection of the liver. One hour later, the nurse notes that the client is hemorrhaging from the surgical site. Which action should the nurse take?

A client who had an anterior wall myocardial infarction (MI) and a coronary artery bypass surgery one year ago is admitted to the intensive care unit (ICU) with severe shortness of breath and hemoptysis. Routine medications include an angiotensin-converting enzyme inhibitor, diuretic, anticoagulant, and potassium supplements. Vital signs are a temperature of 97.6° F (36.4° C) orally heart rate 108 beats/minute, respiratory rate 28 breaths/minute, blood pressure 96/70 mm Hg, and oxygen saturation 89% on room air. Which assessment findings should the nurse expect to find next?

After an endotracheal intubation is performed, bilateral breath sounds can be auscultated. No epigastric gurgling can be heard, and there is an audible gurgle from the client's mouth. Which intervention should the nurse implement?

A client who experiences multiple traumatic injuries begins to ooze blood from an injection site. Which additional finding should the nurse identify that supports an early indication of disseminated intravascular coagulation (DIC)?

A client is admitted to the intensive care unit (ICU) after a colon resection with the formation of a loop colostomy. The nurse determines the client's abdominal dressing is clean and dry. Vital signs are temperature 100 F (37.8° C) orally, heart rate 132 beats/minute, blood pressure 88/65 mm Hg, and urine output 10 ml/hour. Which intervention should the nurse implement?