Which assessment finding for a client receiving oxygen therapy with a nonrebreather mask requires the nurse to intervene immediately?

The nurse is caring for a client in the emergency room who has been diagnosed with shock. The client has a history of an abscessed tooth that has not yet been removed. Which type of shock does the nurse suspect?

The doctor orders your patient to start an IV Heparin drip at 16 units/kg/hr and to administer a loading bolus dose of 60 units/kg IV before initiation of the drip. You're supplied with a Heparin bag that reads 12,500 units/250 mL. The patient weighs 198 lbs. What is the flow rate you will set the IV pump (mL/hr)?

In addition to calling 911, what is the appropriate nursing response when a client calls the telehealth nurse to report being bitten on the arm by an unknown type of snake?

A client who has been mechanically ventilated for 5 days following ARDS is being evaluated for weaning readiness. The respiratory therapist reports the following parameters: Rapid shallow breathing index (RSBI) of 85, negative inspiratory force (NIF) of -28 cm H2O, spontaneous tidal volume of 6 mL/kg, and FiO2 requirement of 40% to maintain SpO2 >92%. Which parameter indicates the client may NOT be ready for weaning?

The nurse is caring for a client with severe bleeding from a wound. Which of the following intravenous solutions would the client most likely receive initially?

Which assessment finding for a client receiving oxygen therapy with a nonrebreather mask requires the nurse to intervene immediately?

The nurse caring for mechanically ventilated clients uses best practices to prevent ventilator-associated pneumonia. What actions are included in this practice? Select all that apply

After morning care, the nurse prepares for tracheostomy care. Which action will the nurse take? Select all that apply.

A client in septic shock has received 30 mL/kg of crystalloid fluid resuscitation but remains hypotensive with a MAP of 58 mm Hg. The provider orders norepinephrine (Levophed) infusion to be titrated to maintain MAP 265 mm Hg. Which nursing action is the HIGHEST priority when initiating this medication?

The ICU nurse receives report on a new client being admitted with a neck injury he received while diving into a lake. The ED nurse reports that his temp is 98.2, blood pressure is 85/54, heart rate is 53 beats per minute, and his skin is warm and dry. What does the ICU nurse recognize that that client is probably experiencing?