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?

Following a motor vehicle collision, an unconscious client is admitted to the emergency department (ED) via ambulance. Vital signs on arrival are heart rate 100 beats/minute, respirations 16 breaths/minute, and blood pressure 130/76 mm Hg. The nurse plans to monitor the client for complications associated with a basilar skull fracture. Which finding confirms this complication?

The nurse is caring for a client who arrives to the emergency department (ED) with reports of experiencing dizziness and difficulty walking to the bathroom. The nurse observes right sided weakness and sluggish enunciation of speech. After obtaining vital signs, the nurse should implement which intervention?

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

Patient Data

Drag from Word Choices to complete the sentence.

The nurse anticipates that the primary areas of the client's plan of care will be

A client is admitted to the intensive care unit (ICU) with increasing shortness of breath due to a pulmonary embolism (PE). Which finding should the nurse immediately report to the healthcare provider (HCP)?

Reference Range:

• Central venous pressure (CVP) [2 to 14 cm H2O]

A client with a history of adrenal insufficiency is admitted to the intensive care unit (ICU) with an acute adrenal crisis (Addisonian crisis). The client reports severe nausea and generalized joint pain. Vital signs are a temperature of 102° F (38.9° C), heart rate 138 beats/minute, respirations 16 breaths/minute, blood pressure 80/60 mm Hg. After initiating dextrose 5% in normal saline (D5NS) IV infusion, which intervention should the nurse implement next?

The healthcare provider (HCP) prescribes lidocaine 4 mg/minute IV for a client experiencing premature ventricular contractions (PVCS). The IV bag contains lidocaine 1 gram in 500 mL DW. How many mL/hr should the nurse program the infusion pump to deliver? (Enter numerical value only)

Patient Data

Complete the diagram by dragging from the choices area to specify which condition the client is most likely experiencing, two actions the nurse should take to address that condition, and two parameters the nurse should monitor to assess the client's progress.

The vital signs for a client with heart failure (HF), who is admitted to the intensive care unit (ICU), are a temperature of 96.8°F (37 C), heart rate 125 beats/minute, respirations 22 breaths/minute, and blood pressure 140/50 mm Hg. The nurse determines the client's central venous pressure (CVP) and pulmonary artery wedge pressure (PAWP) are elevated. Which intervention should the nurse implement?

Which assessment finding(s) require(s) immediate attention? Select all that apply.