Exhibits here

The nurse is implementing the plan of care.

For each body system, click to specify the potential nursing intervention that would be appropriate for the care of the client. Each body system may support more than one potential nursing intervention. Each category must have at least one response option selected.

As a result of the Adult Protective Services investigation, additional care has been established for the client including physical and occupational therapy twice weekly and a home health aide to provide assistance with activities of daily living.

Select from statement options to complete the sentence.

To assess outcomes, the nurse should consider information reported by the client and caregiver and focus on evaluating the client's

The primary caregiver of an older adult client calls the nurse at the outpatient clinic due to a sudden onset of changes in the client's behavior. The caregiver reports to the nurse that the client normally is oriented and able to answer questions but now is confused and agitated. What
action(s) should the nurse take? Select all that apply.

A client on the cardiac telemetry unit unexpectedly begins manifesting ventricular fibrillation and the advanced cardiac life support (ACLS) team defibrillates the client, restoring a normal sinus rhythm. Later in the day, a family member questions why the code was called, telling the nurse that the client has a living will. How should the nurse respond?

The nurse reviews the findings in the history and physical. Select from Word Choices to complete the sentence.

The nurse recognizes that

Which intervention is most important for the nurse to include in the plan of care for a client who is 12 hours post-thyroidectomy?

While the nurse is conducting an admission assessment of a female client with bipolar disorder, the client suddenly begins to take off her clothes and throw them about the room. Which action should the nurse take first?

Oxygen at 5 L/minute per nasal cannula is being administered to a 10-year-old child with pneumonia. When planning care for this child, which principle of oxygen administration should the nurse consider?

Highlight the 3 orders that should be completed first.

Orders

• Administer oxygen 5 L/minute via simple face mask
• Vital signs ever 1 hour
• X-ray of the right arm and cervical spin
• Place 2 large bore peripheral IV's
• Computed tomography scan of the brain
• Give 1 Liter bolus of 0.9% sodium chloride solution IV once
• Bacitracin applied topically to lacerations every 12 hours

A client who is hypotensive is receiving dopamine, an adrenergic agonist, intravenously (IV) at the rate of 8 mcg/kg/min. Which intervention should the nurse implement while administering this medication?

A client with a history of heart failure arrives at the emergency department describing an onset of fatigue and weakness. The client has been taking spironolactone 50 mg tablets PO every day. The nurse receives report from the lab that the client has a serum potassium level of 6.2 mEq/L (6.2 mmol/L). Which intervention is most important for the nurse to implement?