A client with purulent discharge from a venous ulcer that has been unsuccessfully treated with intravenous vancomycin has been admitted with a possible vancomycin-resistant enterococci (VRE) infection. What nursing intervention(s) should the nurse include in the plan of care? Select all that apply.

A client with a history of heart failure arrives at the emergency department describing an onset of fatigue and weakness. The client has been taking spironolactone 50 mg tablets PO every day. The nurse receives report from the lab that the client has a serum potassium level of 6.2 mEq/L (6.2 mmol/L). Which intervention is most important for the nurse to implement?
Reference Range:

 Potassium (K+): [3.5 to 5.0 mEq/L (3.5 to 5.0 mmol/L)] 

Prior to insertion of an indwelling urinary catheter, which client information is most important for the nurse to obtain?

After the physician orders the echocardiogram, the nurse provides education to the parents on the procedure.
For each statement, click to indicate whether the statement by the parents indicate understanding or no understanding. Each row must have only one response option selected.
 

The nurse identifies the presence of clear fluid on the surgical dressing of a client who just returned to the unit following lumbar spinal surgery. Which action should the nurse implement immediately?

The nurse is assigned to care for a client diagnosed with psoriasis. Which behavior by the nurse addresses this client's psychosocial need for acceptance?

 A client who weighs 176 pounds receives a prescription for enoxaparin sodium 1.5 mg/kg/day subcutaneously. The medication is available in 120 mg/0.8 mL prefilled syringe. How many mL should the nurse administer? (Enter numerical value only.)
- First, convert the client's weight from pounds to kilograms: 176 pounds ÷ 2.2 = 80 kg.
- Next, calculate the total daily dosage in milligrams: 1.5 mg/kg/day × 80 kg = 120 mg/day.
- Since the medication is available in a concentration of 120 mg/0.8 mL, the client requires a full syringe of 0.8 mL for their daily dosage.
 56. The nurse is caring for a client with a history of coronary artery disease who reports waking up with a sudden onset of viselike chest pressure. The client reports that the pain decreases at rest but continues to feel a constant mid-chest pressure. The nurse should perform which intervention in the immediate management of the client?

The nurse observes a client with amyotrophic lateral sclerosis (ALS) is excessively drooling and prepares to suction the client's oral cavity. Which action should the nurse include?

A mother runs into the emergency department with a toddler in her arms and tells the nurse that her child got into some cleaning products. The child smells of chemicals on the hands, face, and on the front of the child's clothes. After ensuring the airway is patent, which action should the nurse implement first?

Case 3/6

The nurse uses the Modified Caregiver Strain Index (MCIS) and determines that the daughter is under significant stress caused by the assumption of her mother's care. The nurse is planning to have a discussion with the daughter on decreasing the stress she is experiencing as a caregiver.

Select the 3 statements that the nurse should include when discussing caregiver stress with the client's daughter.

Select 4 findings that would indicate to the nurse that the administration of the vancomycin antibiotic would be safe to administer.