Arterial Blood Gas Laboratory Test

The nurse is preparing to administer a formula feeding by nasogastric tube (NGT) to a 2-month-old. Which intervention should the nurse implement?

A mother calls the nurse to report that at 0900 she administered an oral dose of digoxin to her 4-month-old infant, but at 0920 the baby vomited the medicine.
Which instruction should the nurse provide to this mother?

A client expresses concern about receiving proper care in accordance with the client's religion. Which action is best for the nurse to take?

A client who was a victim of a rape and was confirmed HIV positive six months ago arrives at the clinic for an appointment.

The client is thin, with a saddened affect and talks about frequently crying and feeling hopeless.

The client describes not wanting to see anyone or go out of the house.

Which action should the nurse take?

A peripheral IV (PIV) is started in the left hand with a 20-gauge catheter.

Lab specimens are drawn.

IV fluids of lactated Ringer's started infusing at 75 mL/hour.

Contractions are now every 4 minutes, lasting 45 seconds.

Mother says they are getting more painful.

She and her husband are instructed on slow breathing and relaxation techniques.

Husband will assist with her breathing.

Client is instructed she can have pain medication if she needs it until time for epidural.

A nurse is caring for an 84-year-old female client in her home and is discussing caregiver stress with the client’s daughter.

Scenario

A nurse is caring for a 26-year-old gravida 2 para 1 female client in the labor and delivery unit. The client delivered vaginally three years ago under epidural anesthesia. She is now in active labor and has been admitted for monitoring and pain management.

Temperature: 96.9 F (36.1 C) measured via internal probe via urinary catheter.

Heart rate: 128 beats/minute, sinus tachycardia (ST). Respirations: 14 breaths/minute.

Blood pressure: 90/79 mm Hg, pulse pressure less than 40 mm Hg. Oxygen saturation: 100% on 40% fraction of inspired oxygen (FiO2). IV fluid bolus given as prescribed.

The client’s surgical dressing is clean and dry.

Ecchymosis is noted on the abdomen around the dressing.

The client has a peripheral intravenous (PIV) line in the right forearm and one in the left hand.

The client also has a right subclavian central venous catheter infusing propofol and intravenous fluids.

Heart sounds are regular.

The skin is pink.

Capillary refill is 6 seconds.

Radial pulses are equal bilaterally.

Lung sounds are clear and equal bilaterally.

The client has an indwelling urinary catheter in place.

No urine is noted.

The client has no visitors at this time.

The social worker is attempting to contact family members.

The client opens her eyes to verbal stimuli and follows verbal commands.

Based on these observations, what is the most appropriate nursing action?

The nurse recognizes that findings consistent with elder mistreatment.

The friend of a nurse who works in an acute care hospital asks the nurse to review the adult daughter's electronic medical record (EMR) to determine if she is honestly disclosing her medical condition.

The nurse's reply should include which information? Select all that apply.