Exhibits

The nurse reviews the orders and plans initial steps for caring for the client.

Click to indicate which interventions the nurse should perform to care for this client. Each row must have one response indicated.

The nurse is reviewing the chart. select  the condition from the choices below to fill in each blank in the following sentence. Based on the client's history and physical, the nurse notes that this postpartum client is most at risk for developing

The nurse starts the albuterol nebulizer as prescribed. Which should the nurse assess after the albuterol nebulizer treatment is complete? Select all that apply.

Which problem reported by a client taking lovastatin requires the most immediate follow-up by the nurse?

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 with multiple sclerosis (MS) is receiving interferon beta-Ib 0.1875 mg subcutaneously every other day. The nurse reconstitutes the vial by slowly injecting 2 mL of diluent into the interferon vial for a reconstituted solution of 0.25 mg/1 mL. How many mL should the nurse administer? (Enter numeric value only. If rounding is required, round to the nearest hundredth.)

A client receiving mechanical ventilation has a pH of 7.26, PaCO2 of 88 mm Hg, and a PaO2 of 92 mm Hg. Which intervention should the nurse implement?

Reference Range:

Arterial Blood Gas (ABG)

pH Adult/child: 7.35 to 7.45]

PaCO2 [Adult/child: 35 to 45 mm Hg]

HCO-[Adult/child: 21 to 28 mEq/L (21 to 28 mmol/L)]

The nurse observes that a client with ascites is dyspneic. Which action should the nurse implement first?

When the nurse attempts to teach self-administration of insulin injections to a client who is newly diagnosed with type 1 diabetes mellitus (DM), the client tells the nurse in a loud voice to leave the room. Which action should the nurse take?

A client with a recent exacerbation of heart failure reports to the nurse feeling uncomfortable and anxious, with a sensation of the flopping in the chest. While waiting for an electrocardiogram (ECG), which assessment is most important for the nurse to obtain?

While changing a client's postoperative dressing, the nurse observes purulent drainage at the site. Before reporting this finding to the healthcare provider, the nurse should note which of the client's laboratory values?