A nurse is calculating the fluid restriction for a client with acute kidney injury (AKI) who had the following fluid losses in the past 24 hours. urine output: 250 mL, emesis: 150 mL, diarrhea: 100 mL. The client has no other losses. How much fluid should the nurse allocate for the next 24 hours?

A client with a history of epilepsy is brought to the emergency department by family members. The client is actively seizing and has not regained consciousness between seizures. Vital signs: BP 156/94 mm Hg, HR 120 bpm, RR irregular, O₂ saturation 86% on room air. Which of the following nursing actions should the nurse perform in order of priority for a client experiencing status epilepticus?Administer IV benzodiazepine (lorazepam) as prescribedAssess airway and apply oxygenMonitor vital signs and neurologic statusPrepare to administer IV phenytoin for seizure control

A client with DKA is receiving IV normal saline and an insulin drip. The nurse notes that the client’s serum potassium is now 2.8 mEq/L, and the client reports muscle weakness and palpitations. Which action should the nurse take first?

A client with a severe traumatic brain injury (TBI) in ICU, has a ventriculostomy catheter to the right lateral ventricle to continuously monitor intracranial pressure (ICP) and allow for drainage of cerebrospinal fluid (CSF) as needed. The ICP monitor alarm sounds continuously. The nurse notes that the client’s neck is flexed forward and the head of the bed is flat. What is the priority nursing action?

A client arrived at the emergency department via ambulance is very agitated following a head injury due to an acceleration-deceleration motor vehicle accident. The assessment findings suspect an increased ICP. Which nursing action is most appropriate for the nurse to complete?

A client is admitted with a possible diagnosis of hyperosmolar hyperglycemic nonketotic syndrome (HHNS) and has a history of type 2 diabetes controlled with the oral diabetic agent tolazamide. Which intervention should the nurse anticipate the healthcare provider to prescribe to confirm this disorder?

A client arrives at the emergency department via EMS after falling from a horse and is unresponsive. The nurse notes that a cervical collar is in place. Which action should the nurse perform first?

A nurse is caring for a newly admitted client with diabetic ketoacidosis (DKA) to the emergency department. The assessment findings are blood pressure 90/52, HR 102, poor skin turgor and 20 mL of urine output in the past hour. Which order from the physician should the nurse implement first?

A client with diabetic ketoacidosis (DKA) was admitted to the intensive care unit 4 hours ago. The following laboratory results are available:Blood glucose level: 450 mg/dLSerum potassium level: 2.5 mEq/LSerum sodium level: 140 mEq/LUrine specific gravity: 1.025Total urine output (past 4 hours): 50 mLThe client has two IV lines infusing normal saline solution. The physician provides the following orders. Which provider order should the nurse question?

The nurse is preparing a client for hemodialysis. Which assessment should the nurse perform first before initiating the treatment?