On admission to the burn unit, the client with an approximat…
On admission to the burn unit, the client with an approximate 25% Total Body Surface Area (TBSA) burn has the following initial laboratory results: Hct 58%, Hgb 18.2 mg/dL, serum K+ 4.9 mEq/L, serum Na+ 155 mEq/L, and serum osmolality 420 mOsmol/kg. Which provider orders will the nurse perform next?
Read DetailsThe nurse is caring for a client with acute kidney injury wi…
The nurse is caring for a client with acute kidney injury with a potassium level of 7.1 mmol/L. Assessment of the client reveals: S3 heart sound, neck vein distension, BP 130/95 and a telemetry monitor that shows sinus rhythm of 96 beats per minute with frequent premature ventricular contractions (PVC’s). The nurse would perform which of the following interventions first?
Read DetailsThe nurse is caring for a mechanically ventilated client wit…
The nurse is caring for a mechanically ventilated client with a sustained ICP of 22 mm/Hg. The nurse needs to perform an hourly neurological assessment, suction the endotracheal tube, perform oral hygiene care, and reposition the client to the left side. Which of the following would the nurse do that demonstrates understanding of the client’s current medical condition?
Read DetailsThe nurse is admitting a client with Guillain-Barre syndrome…
The nurse is admitting a client with Guillain-Barre syndrome to the nursing unit. The client has ascending paralysis to the level of the waist. Knowing the complications of this disorder, the nurse should bring which of the following most essential items into the client’s room?
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