A client was admitted for a deep circumferential burn on the…
A client was admitted for a deep circumferential burn on the right lower extremity. Upon assessment, the nurse discovered that the right pedal pulse was no longer palpable and could not be located by Doppler. Which procedure does the nurse anticipate?
Read DetailsWhile caring for a client with a pulmonary artery catheter,…
While caring for a client with a pulmonary artery catheter, the nurse notes the pulmonary artery Wedge pressure (PAWP) to be significantly higher than previously recorded values. The nurse assesses respirations to be unlabored at 16 breaths/min, oxygen saturation of 98% on 3 L of oxygen via nasal cannula, and lungs clear to auscultation bilaterally. What is the priority nursing action?
Read DetailsOn a hot humid day, an emergency department nurse is caring…
On a hot humid day, an emergency department nurse is caring for a client who is confused and has these vital signs: temperature 104.1° F (40.1° C), pulse 132 beats/min, respirations 26 breaths/min, and blood pressure 106/66 mm Hg. What action would the nurse take first?
Read DetailsA client is admitted to the burn unit with burns to the uppe…
A client is admitted to the burn unit with burns to the upper chest and head that occurred as a result of a house fire. Initially, during the assessment wheezes are heard, but an hour later, the lung sounds are absent and no wheezes are audible. What is the best action for the nurse to take?
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