Patient Data.

Exhibits

What are the signs and symptoms of DKA? Select all that apply.

A client who weighs 176 pounds receives a prescription for norepinephrine 2 mcg/min intravenously (IV). The IV bag is labeled, "Norepinephrine 4 mg in dextrose 5% in water (D;W) 1,000 mL." How many mL/hour should the nurse program the infusion pump? (Enter numerical value only.).

A client with delusions tells the nurse, "You aren't doing your job.
Go get those people over there and shoot them before they get me." Which statement is the nurse's best response?

A nurse is updating the plan of care for a client who has a pressure ulcer on the sacrum.
Which of the following outcomes are appropriate for this client? (Select all that apply.)

The mother of a school-aged boy tells the practical nurse (PN) that he fell out of a tree and hurt his arm and shoulder. The mother says the boy is in pain and needs medical help.
The nurse should assess the injury and decide the appropriate action to take.
Help the nurse reason out the best assessment.

A 70-year-old female presents to the emergency department triage with a noticeable facial droop and garbled speech.

After having a few drinks at a local seafood restaurant, the client’s husband noticed his wife’s speech became difficult to understand.

The triage nurse does a rapid assessment of the client.

The nurse begins to plan care for the client’s recovery and identifies interdisciplinary team members who can assist with the client’s recovery.

Select the interdisciplinary team members who should assist the client in recovery.

Select all that apply.

Patient Data.

The nurse has called the physician and is anticipating orders.

Select the actions that would help with the listed treatment goals.

Select all that apply.

A new mother on the postpartum unit runs out of the room screaming that her newborn infant's crib is empty and the baby is missing.

Which action should the nurse take first?

A nurse is caring for a client with a specific phobia.
Which statement by the nurse is accurate regarding phobias?

A client with a long history of migraine headaches asks the nurse if there are non-pharmaceutical ways to help obtain pain relief.
Which intervention should the nurse offer?

The client is a 29-year-old with a history of type 1 diabetes from the age of 6. She controls her blood glucose with an insulin pump and uses a continuous glucose monitor.

The client was out of town, and her insulin pump was damaged.

She had forgotten her back-up long-acting insulin at home, so she took the 6-hour drive home.

By the time she arrived at home, she was having nausea and vomiting.

Her blood glucose meter read over 500 mg/dL (27.8 mmol/L). She took a dose of insulin glargine and took herself to the emergency room.

The nurse is drawing an arterial blood gas to evaluate the client post treatment.

Complete the following sentence by choosing from the lists of options.

A pH level of