Scenario:A 45-year-old client with a history of type 2 diabetes is admitted to the hospital with hyperglycemia. The client’s blood glucose level is 450 mg/dL. The healthcare provider prescribes an insulin infusion, and the nurse is preparing the care plan. Laboratory results and client data are as follows: Client Data: Vital Signs: BP: 132/78 mmHg HR: 98 bpm RR: 20 breaths/min Temp: 98.6°F (37°C) Laboratory Results: Serum sodium: 140 mmol/L (normal) Serum potassium: 4.1 mmol/L (normal) Serum chloride: 101 mmol/L (normal) Blood glucose: 450 mg/dL (elevated) pH: 7.38 (normal) Medications Ordered: Regular insulin infusion at 0.1 units/kg/hr 0.9% saline IV at 100 mL/hr Instructions:Label if the intervention is to monitor the effectiveness, prevent complications or non-applicable in regards to hyperglycemia management.

A 44-year-old female patient with Cushing syndrome expresses distress about her physical appearance and is scheduled for an adrenalectomy. Which intervention by the nurse best addresses the patient’s psychosocial needs related to disturbed body image?

Case Study: A 45-year-old male patient with acute liver failure is admitted to the hospital. His wife expresses concern about his erratic behavior and emotional outbursts, which are uncharacteristic. The nurse reviews the patient’s clinical data and discusses his care with the wife. Clinical Findings: Vital Signs: BP: 110/70 mmHg HR: 92 bpm RR: 20 breaths/min SpO₂: 98% on room air Labs: Ammonia: 150 mcg/dL (elevated) ALT: 180 U/L (elevated) AST: 220 U/L (elevated) Bilirubin: 4.5 mg/dL (elevated) Assessment: Patient appears confused and irritable. Wife reports the patient has been isolating himself and refusing to engage in conversations. Question Type: Select All That Apply (SATA)Question:Based on the patient’s condition and psychosocial needs, which nursing interventions are most appropriate to address the patient and family’s needs?

A nurse is explaining neurogenic shock to a newly hired nurse. Which statement by the newly hired nurse indicates understanding of the condition?

Scenario:A 60-year-old patient with a history of Addison’s disease arrives at the emergency department with severe weakness, nausea, and confusion. The patient’s spouse reports that the patient stopped taking their corticosteroid medication 3 days ago. The nurse assesses the following clinical data: Assessment Findings: Vital Signs: BP: 82/46 mmHg HR: 124 bpm RR: 24 breaths/min SpO₂: 96% on room air Physical Exam: Dry mucous membranes Generalized muscle weakness Cool, clammy skin Laboratory Results: Serum sodium: 126 mEq/L (low) Serum potassium: 6.1 mEq/L (high) Blood glucose: 52 mg/dL (low) Question Type: Select All That Apply (SATA)Question:Based on the patient’s condition, which nursing actions should the nurse prioritize to manage the Addisonian crisis?

A patient with paraplegia resulting from a T9 spinal cord injury has a neurogenic spastic bladder. Which action would the nurse include in the plan of care?

As one of your clinical assignments, you are assisting an RN with health screening at a health fair. Which person is at greatest risk for experiencing a stroke?

Which order from the health care provider will the nurse implement first for a patient who has vomited 1200 mL of blood?

The nurse is caring for a patient after a head injury. How would the nurse position the patient in bed?

A patient who is diagnosed with Parkinson disease (PD) states, “I can’t tie my shoelaces anymore.” The healthcare provider recognizes that this patient’s problem is due to a deficiency in which of these neurotransmitters?