During hemodialysis, a client reports dizziness and nausea….
During hemodialysis, a client reports dizziness and nausea. Blood pressure has decreased from 138/78 to 82/52 mmHg, and heart rate is 110 beats/min. The client remains alert, with an oxygen saturation of 97% and no chest pain or shortness of breath. Which intervention should the nurse implement first?
Read DetailsThe nurse is caring for a client admitted with pyelonephriti…
The nurse is caring for a client admitted with pyelonephritis. Upon review of the client’s 24 hour intake and output, the record reveals the client has been consuming 3-3.5 L of oral fluid since admission. The most appropriate action for the nurse to take is which of the following?
Read DetailsA client in a hypertensive emergency is admitted to the crit…
A client in a hypertensive emergency is admitted to the critical care unit. In the emergency room the vital signs are: Temperature: 97.9°Farenheit, Pulse: 88 beats/min, Respirations: 20, Blood pressure: 230/108, O2 Saturation: 95%. At 1000 the client is started on prescribed intravenous nitroprusside at 5 mcg/kg/min. The nurse applies evidence based practice guidelines and determines the intervention was effective, if at 1100am the reassessment reveals which of the following objective findings?
Read DetailsA nurse is recovering a client in the post anesthesia care u…
A nurse is recovering a client in the post anesthesia care unit after an open surgical repair of an abdominal aortic aneurysm. The client is awake and follows commands. Which assessment finding requires immediate intervention?
Read DetailsA client is scheduled for a Complete Blood Count (CBC) two w…
A client is scheduled for a Complete Blood Count (CBC) two weeks status post right sided mastectomy with sentinel lymph node biopsy. The nurse is providing instructions for the lab collection of blood. Which statement by the patient indicates understanding of the education and precautions?
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