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?

The nurse in the ED is reviewing the EKG strip of a client who has prolonged vomiting. Which of the following abnormalities on the client's EKG should the nurse interpret as a sign of hypokalemia?

Provider's Order: Lactated Ringer's 2500 ml over 1 day

What is the hourly rate?

NOTE:

• DO NOT write the unit/s of measurement
• Enter your answer in whole number, example 133

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 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?

A patient on mechanical ventilation is receiving total parenteral nutrition (TPN). Which statement is true?

The nurse is assessing a client admitted to the ICU and receiving opioid analgesic intravenously. Which patient is MOST likely to be experiencing a life-threatening opioid side effect?

Which action is the priority for the forensic nurse examiner (RN-FNE) when caring for a patient who was abducted and gang-raped and is now in serious condition in the emergency department?

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

The nurse and the other members of the team are caring for a client in the ED who converted to ventricular fibrillation (VF). The client was defibrillated unsuccessfully and the client remains in VF. Which medication should the nurse be prepared to administer?

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)