A nurse is monitoring a client who is receiving IV fluid. Which clinical findings indicate that the client has fluid overload?

 A client indicates to the nurse a pain level of 8 out of 10. The nurse notes the client has an order for morphine 4 mg IV Q 6 hr PRN for moderate to severe pain. The client's blood pressure is 80/54 mm Hg, respirations 10 breaths/min, and pulse 62 beats/min. Which action should the nurse take?

The nurse is caring for a client who is being treated on the oncology unit with a diagnosis of lung cancer with bone metastases. The client reports a new onset of weakness with abdominal pain and further assessment suggests that the client likely has a fluid volume deficit. The nurse should recognize that this client may be experiencing which electrolyte imbalance?

The nurse is performing an ongoing assessment on a client admitted to the post-anesthesia care unit at 1655 following abdominal surgery. The nurse documents vital signs every five minutes, as noted in the Vital Signs Record. After reviewing the vital sign trends and notifying the provider, the nurse should anticipate administering what medication?

The nurse is caring for a client with a serum magnesium of 2.9 mEq/L. The nurse should anticipate a prescription from the primary healthcare provider for what treatment?

A nurse cares for a client with a serum potassium of 5.4 mEq/L. The nurse should anticipate a prescription order for what medication?

Which assessment data indicate the postoperative client who had spinal anesthesia is suffering a complication of the anesthesia?

A postoperative client is being discharged home after a minor same-day surgery that required moderate sedation. The PACU nurse is reviewing discharge instructions with the client and the client's spouse. For each potential action, click to specify if the potential nursing action is appropriate or not appropriate for this client. (Select All That Apply)

Which menu choice indicates that a client understands their nurse's teaching about the best dietary sources of iron?

The nurse is reviewing recent serum lab results for a postoperative male client who underwent a thyroidectomy two days ago. The client is complaining of new onset abdominal cramping and diarrhea and has developed an irregular heart rate. Which emergency medication should the nurse expect to administer to this client?

The pharmacy just delivered the sustained-release opioid tablets newly prescribed for a client with a gastrostomy tube. What should the nurse do when preparing to provide this medication to the client?