You are explaining the importance of strict intake and output for patients with pulmonary alterations. What is the rationale for careful intake and output for patients with pulmonary alterations?

A tracheostomy patient is experiencing regurgitation of tube feeding formula. What should be the nurse's first priority?

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)

A client age 56 years is experiencing withdrawal from alcohol and is placing themselves at risk for falls by repeatedly attempting to scale the bedrails. Benzodiazepines have failed to alleviate the client's agitation, and the nurse is considering obtaining an order for physical restraints to ensure client safety. The nurse should recognize that this measure may constitute:

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?

A 17-year-old unconscious client has been admitted to the critical care unit in critical condition after a motor vehicle crash with proxy for health care decision-making assigned to the client's parents, who are divorced. When the client's hemoglobin drops to a critical level, the medical team approaches the parents regarding permission to initiate a blood transfusion, the client's mother, a practicing Jehovah's Witness, states that her child is also against such a medical intervention. The client's father does not share his ex-wife's belief that their child would refuse the lifesaving treatment and asks that the transfusion be given. What actions can be taken by the critical care nurse to assist in addressing this ethical dilemma that clearly involves the principles autonomy and beneficence? Select all that apply.

NOTE: Select 2 responses for this question

A client prescribed a medication for hypertension started taking it 3 days ago and arrives in the emergency department with an edematous face and tongue and having a difficult time speaking. What medication is the nurse aware of that may produce this type of side effect?

A client is complaining of severe chest pain became unresponsive and the cardiac monitor shows the heart rhythm below. What will be the most appropriate action

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

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.

Which patient finding supports the nurse's decision to place a patient in the urgent triage category?