Exhibits

The nurse reviews the nurse's notes and flow chart to identify trends.

Click to specify the notations that require immediate follow up (more than one notation may be correct.)

Body System

Circulatory

• Heart rate 96 beats/minute
• Blood pressure 90/62 mm Hg
• IV infusing at 125 ml/hr
• Respirations 16 breaths/minute

Respiratory

• Oxygen saturation of 89%
• Several deep breaths

Integumentary

• Episiotomy intact with no redness
• Pad is saturated with blood
• 18 gauge IV to left forearm

Genital/Urinary

• Boggy fundus 1 cm above umbilicus
• Fundus rotated to the right
• Voided 200 mL of clear yellow urine

The nurse is caring for four clients:

• Client A, who has emphysema and whose oxygen saturation is 94% on room air;
• Client B, with a postoperative hemoglobin of 8.2 mg/dL (82 g/L);
• Client C, newly admitted with a potassium level of 3.8 mEq/L (3.8 mmol/L);
• Client D, scheduled for an appendectomy who has a white blood cell (WBC) count of 14,000 mm3 (14 x 109/L).

Which intervention should the nurse implement?Reference Range:

• Hemoglobin [14 to 18 g/dL (140 to 180 g/L)]
• Potassium [3.5 to 5.0 mEq/L (3.5 to 5.0 mmol/L)]
• White Blood Cell [5,000 to 10,000/mm3 (5 to 10 x 109/L)]

The nurse is reviewing the client's chart.

For each finding, click to indicate whether findings suggest that the client's condition has improved or put the client at risk for hypovolemia. Each column must have at least one selection.

The nurse notifies the healthcare provider of the client's status. The healthcare provider comes to the bedside to evaluate the client.

Which should the nurse do? Select all that apply.

The nurse is caring for a client who reports sudden right-sided numbness and weakness of the arm and leg. The nurse also observes a distinct right-sided facial droop. After reporting the findings to the healthcare provider, the nurse receives several prescriptions for the client, including a STAT computerized tomography scan of the head. Which intervention should the nurse should perform in the immediate management of the client?

​​​​​​Patient Data

Review H and P, nurse's notes, and laboratory results.

Complete the diagram by dragging from the choices area to specify which condition the client is most likely experiencing, two actions the nurse should take to address that condition, and two parameters the nurse should monitor to assess the client's progress,

Patient Data

Click to highlight the assessment findings that require immediate follow up by the nurse.

Client is admitted to the medical floor. She has mild subcostal retractions and is sitting in an upright position. Wheezes are noted throughout the lung fields. The client is pale. She has strong peripheral pulses that are equal bilaterally. Her heart rate is 122 beats/minute, blood pressure 134/85 mm Hg, oxygen saturation 91% on room air.

A client who weighs 132 lb receives a prescription for lorazepam 44 mcg/kg IV to be administer 20 minutes before a scheduled procedure. The medication is available in 2 mg/mL vial. How many mL should the nurse administer?

(Enter numerical value only. If rounding is required, round to the nearest tenth.)