Which signs would alert the nurse to possible nutritional alterations? (Select all that apply, one, some, or all.)

A patient is mechanically ventilated and is receiving enteral nutrition via a nasogastric tube. To help ensure feeding tolerance, the nurse checks residual volumes every 4 hours. During a residual check later in the shift, the nurse aspirates a total residual volume of 200 mL. What action should the nurse take next?

The nurse in the ICU is caring for a client who was found unresponsive on a sidewalk. The client's blood alcohol level was three times the normal range. Which medications are commonly used for alcohol withdrawal symptoms?

A 45-year-old recovering heroin abuser is status post lumbar fusion and is admitted to the intensive care unit for pain management isses related to a diagnosis of degenerative disk disease and associated peripheral neuropathy. The client who is currently prescribed oxycodone/paracetamol 5 mg/325 mg two tablets every 4 hours around the clock, gabapentin 300 mg four times per day methadone 10 mg twice daily. The client is awake alert, and oriented X4 with stable vitals is able to move lower extremities bilaterally, but reports decreased sensations in feet bilaterally and reporting incisional pain as a 10 of 10 on the Numeric Rating Scale (NRS)

Select the medication that can be appropriately prescribed and administered to help address the client's addiction maintenance, and postoperative pain.

A home care nurse visits a client who is confined to bed and is cared for by an adult child with substance use disorder. The home is cluttered and unclean, and the nurse notes that the client is wet with urine and shows signs of dehydration. After caring for the client, the nurse contacts the health care provider and reports the incident to Adult Protective Services. What ethical principle is the nurse practicing?

The nurse is caring for a patient with liver dysfunction. What is the maximum dose of acetaminophen the patient should receive in 24 hours?

The client experienced abdominal surgery the previous day and has just received an opioid medication for report of pain. The client is sitting in a chair next to the bed. An additional activity that the nurse uses to relieve pain is:

A client is admitted to the emergency room with a respiratory rate of 7/min. Arterial blood gases (ABG) reveal the following values. Which of the following is an appropriate analysis of the ABGs? 

- pH: 7.22 (acidotic) 

- PaCO₂: 68 mm Hg (elevated, indicating respiratory cause) 

- PaO₂: 78 mm Hg (mild hypoxemia) 

- Saturation: 80% (low oxygenation) 

- Bicarbonate (HCO₃⁻): 26 mEq/L (normal, indicating no metabolic compensation)

Patients with coronary artery disease should be taught about cholesterol. Which situation is most desirable?

A patient is admitted with severe malnutrition. A central venous catheter is placed in the right subclavian vein and total parenteral nutrition (TPN) is started. For which complication should the patient be evaluated immediately after insertion of the catheter?

The nurse is exploring pain assessment with a group of new nurses. Which statements are true regarding pain assessment and management? (Select all that apply, one, some, or all.)