At the end of shift, you are calculating intake and output on your pat lent who was admited for a non- emergent gall bladder removal. She is alert and oriented and able to recall the amount of fluid she has drank all day. You can calculate the amount of IV fluids administered. Her intake is 2500ml and her output is 1200ml from a catheter bag. You realize she is not excreting enough urine me for water she is taking in. What is the most appropriate next step to determine if she is retaining water? 

A nurse on a cardiac care unit oversees the care of different client’s cardiac health problems. Which action can be most appropriately delegated to personnel (UAP/CNA) when a patrent is found unresponsive?

A patient who is ordered a fluid restriction of 1000ml fluid restriction. He is on the list for a kidney transplant due to kidney failure. His mouth feels dry during the day. and he wants to know how he can moisten his mouth without going over his restriction:

A patient with congestive heart failure is at risk of excess fluid volume. Which intervention will best determine if the patient is beginning to have excess fluid volume?

The nurse provides care for the client with an asthma crisis experiencing hypoxia. Which lung sound would the nurse expect to auscultate on the physical assessment?

MA is a 85 year old female who is admited to the hospital with Pneumonia. Education has begun on proper breathing techniques to expand lung volume as much as possible and allow for proper oxygen blood exchange within the alveoli. Which device will help her achieve this as educated by the nurse?

Patient MK is admited with Atrial Fibrillation an irregular heart rhythm. She is also complaining of muscle cramps to her legs and that she started a new diuretic last week. What lab value are you most likely to find on her Complete Metabolic Panel?

The nurse is discussing car safety with the mother of a 6-year-old child. The child’s mother questions the need for the use of special car seats for her child. What information can be provided to her?

A client suffering from chronic obstructive pulmonary disease (COPD) reports that it is hard to cough up secretions and the secretions are thick and sticky. Which intervention will the nurse use to promote respiratory hygiene in this situation?

A patient presents to the Emergency Room with swollen legs and shortness of breath. He tells you that he has a history of heart failure which causes the fluid to build up m his legs and lungs. When you listen to his lung sounds you are most likely to hear which type of breathing sounds?

Albuterol is prescribed for a 79-year-old male patient with severe COPD and Asthma You notice that he is having difficulty timing inhalation to receive the maximum dose of Albuterol. You give him a device to atach to the end of the Albuterol Inhaler called an aero chamber. You then educate him to before pumping the medication into the chamber.