A home care nurse visits a client who is confined to bed and is cared for by an adult child with substance use disorder. The home is cluttered and unclean, and the nurse notes that the client is wet with urine and shows signs of dehydration. After caring for the client, the nurse contacts the health care provider and reports the incident to Adult Protective Services. What ethical principle is the nurse practicing?

A client is complaining of severe chest pain became unresponsive and the cardiac monitor shows the heart rhythm below. What will be the most appropriate action

A nurse is paying particular attention to the spiritual needs of a client today. The nurse identifies that spiritual beliefs can have a positive effect on general health of a client in which ways? Select all that apply.

The Provider orders an IV weight-based medication to be infused at 4 mcg/kg/min. The patient weighs 198 lbs. You are supplied with a bag of the IV medication that reads 250mg/250 ml. How many mL/hr will you administer?

NOTE

• DO NOT write the unit/s of measurement
• DO NOT round your answer

The nurse in the ICU is caring for a client who was found unresponsive on a sidewalk. The client's blood alcohol level was three times the normal range. Which medications are commonly used for alcohol withdrawal symptoms?

Patients with coronary artery disease should be taught about cholesterol. Which situation is most desirable?

A client age 56 years is experiencing withdrawal from alcohol and is placing themselves at risk for falls by repeatedly attempting to scale the bedrails. Benzodiazepines have failed to alleviate the client's agitation, and the nurse is considering obtaining an order for physical restraints to ensure client safety. The nurse should recognize that this measure may constitute:

A tracheostomy patient is experiencing regurgitation of tube feeding formula. What should be the nurse's first priority?

A 17-year-old unconscious client has been admitted to the critical care unit in critical condition after a motor vehicle crash with proxy for health care decision-making assigned to the client's parents, who are divorced. When the client's hemoglobin drops to a critical level, the medical team approaches the parents regarding permission to initiate a blood transfusion, the client's mother, a practicing Jehovah's Witness, states that her child is also against such a medical intervention. The client's father does not share his ex-wife's belief that their child would refuse the lifesaving treatment and asks that the transfusion be given. What actions can be taken by the critical care nurse to assist in addressing this ethical dilemma that clearly involves the principles autonomy and beneficence? Select all that apply.

NOTE: Select 2 responses for this question

A patient is to receive 1000 mL of IV fluid over 4 hours. The drop factor is 15 gtt/mL. How many drops per minute should the IV be set to deliver?

NOTE

• DO NOT write the unit/s of measurement
• Enter ONLY the number
• DO NOT ROUND YOUR ANSWER

Furosemide (Lasix) 70 mg IV daily. You retrieved Furosemide 10 mg/ml from the pyxis. How much ml will you administer to the client?

NOTE

• DO NOT write the unit/s of measurement
• YOUR ANSWER SHOULD BE IN WHOLE NUMBER