Exhibits

The nurse evaluates the client's findings and test results. Choose the most likely options for the information missing from the statements by selecting from the lists of options provided.

The nurse recognizes that the client is most at risk for aneurysm

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. The risk for this complication is highest in individuals with a history of

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.

Patient Data  

For each action, identify if it is indicated or not indicated when monitoring the effects of lorazepam administration. Each row must have one response action selected.

A 350-bed acute care hospital declares an internal disaster because the emergency generators malfunctioned during a city-wide power failure. The unlicensed assistive personnel (UAP) working on a general medical unit ask the charge nurse what they should do first. Which instructions should the charge nurse provide to the UAPS?

A client with a prescription for "do not resuscitate" (DNR) begins to manifest signs of impending death. After notifying the family of the client's status, which priority action should the nurse implement?

Patient Data

The nurse administered tPA and conducted neurologic assessments every 15 minutes during the infusion. The tPA infusion finished and the nurse performed neurologic assessments every 30 minutes for the 6 hours following the administration. The client was noted to be stable with unchanged neurologic assessments. The nurse begins to plan care for the client's recovery and identifies interdisciplinary team members who can assist with the client's recovery.
Which interdisciplinary team member(s) should assist the client in recovery? Select all that apply.

An older adult client with emphysema who continues to smoke cigarettes returns to the medical unit after a physical therapy session, and is short of breath. The nurse notes that the client is lying supine with the head of the bed elevated to 45 degrees. Oxygen is flowing via nasal cannula at 3L/minute. The client's pulse oximetry is 88%, respiratory rate is 14 breaths/minute, and vital signs are stable. Which intervention should the nurse implement?

When conducting diet teaching for a client who is on a postoperative full liquid diet, which food(s) should the nurse encourage the client to eat? Select all that apply.

The nurse is caring for a client who has been admitted with recurring migraine headaches. To assess the quality of the client's pain experienced from the migraine headache, which approach should the nurse use?

A client with chronic kidney disease (CKD) and a bacterial infection receives a prescription for ciprofloxacin. The standard dose is 500 mg PO twice daily, but due to the patient's renal impairment, a dose adjustment of 50% is recommended. The medication is available in 250 mg tablets. How many tablets should the nurse administer? (Enter numerical value only.)

A client who has type 2 diabetes mellitus is admitted to the intensive care unit with third degree burns over 20% of the body. To decrease the client's risk of developing hyperosmolar hyperglycemic syndrome (HHS), which intervention(s) should the nurse implement? Select all that apply.

A client shares with the nurse concerns of a possible stomach ulcer. The client is experiencing heartburn and a dull gnawing pain that is relieved with eating. Which is the best response by the nurse?