Decide which client to see first, second, third, and fourth after receiving morning report.

A client with benign prostatic hyperplasia (BPH) is prescribed tamsulosin. Which statement by the client indicates a need for further teaching?

A client is receiving a primary infusion of intravenous lactated ringers (LR) at 150 milliliters per hour. The client accidently pulled out the peripheral intravenous line while getting out of bed at 0730. The peripheral IV site was restated by the IV team at 0830 and the LR was re-stared at 0900. The client will receive a secondary infusion of Ciprofloxacin 200 milligrams in 100 milliliters of 0.9 normal saline at 1730 to infuse at 50 milliliters per hour. How much fluid does the client get during the 0700 to 1900 shift? The answer must be labeled. [BLANK-1]

The nurse has prepared to administer 0.5mL of Fentanyl intravenous push. The Fentanyl label reads 100 micrograms in 2 milliliters of normal saline. How many micrograms has the nurse prepared to administer? Answers must be labeled. [BLANK-1]

A client with prostate cancer reports increasing difficulty initiating urination. Which assessment findings requires the nurse’s most immediate follow-up?

A nurse is assessing a client with long-standing benign prostatic hyperplasia (BPH) who presents with worsening urinary retention. Which subjective assessment findings should the nurse expect? Select all that apply.

The nurse is caring for a client that is 1 day status post open exploratory laparotomy with a nasogastric tube to low intermittent suction. The nurse’s assessment reveals, absent bowel sounds, pain rating of 9, and a rigid abdomen upon palpation. What should the nurse suspect?

Which intervention should the nurse do first for a client admitted with acute pancreatitis complaining of severe abdominal pain with the following assessment findings? Heart Rate 134Blood Pressure 82/48 Mean Arterial Pressure: 52Respiratory Rate 28SPO2 90% on 2L nasal cannula Cool clammy skin Blue/gray color around the navelAmylase: 180 (elevated)Lipase: 210 (elevated)   

The client is receiving a primary intravenous infusion of 0.9 normal saline at 125 milliliters per hour. The client gets Metronidazole 500 milligrams in 100 milliliters of 0.9 normal saline every 6 hours as a primary infusion at 0600, 1200, 1800, 2400. The metronidazole is given over 30 minutes. The client gets Ciprofloxacin 200 milligrams in 100 milliliters of 5% dextrose in water (D5W) intravenous every 12 hours as a primary infusion at 0730 and 1930. The ciprofloxacin is given over 1 hour.  The client voided four times during the shift: 250mL, 340mL, 180mL, and 280mL. The client has 120mL of nasogastric tube output in the suction container emptied at 1500. What is the client’s net fluid balance for the 0700-1900 shift?  Answers must be labeled (+/-mL)  [BLANK-1]

A client with adrenal insufficiency (Addison disease) is brought to the emergency department by a family member. The family reports the client has experienced worsening weakness, nausea, vomiting, abdominal pain, and has had poor oral intake over the past 3 days following an upper respiratory infection.Temperature: 101.3°FHeart rate: 124Respiratory rate: 24Blood pressure: 78/42 mm HgOxygen saturation: 96% on room airSodium: 122Potassium: 6.2Glucose: 52BUN: 34Creatinine: 1.8Cortisol 1.5 (low)WBC:15,200Skin: cool with diffuse hyperpigmentation noted on the elbowsMental status: lethargic but arousable; oriented to person onlyWhich interventions should the nurse implement immediately? Select all that apply.