A nurse is caring for a patient admitted with acute decompen…
A nurse is caring for a patient admitted with acute decompensated heart failure. The patient has worsening dyspnea, orthopnea, and crackles throughout both lung fields. Current vital signs: BP: 100/66 mm Hg HR: 108 bpm RR: 26 breaths/min SpO₂: 89% on 2 L/min nasal cannula Urine output: 60 mL over the past 4 hours Which intervention should the nurse implement first?
Read DetailsPatient Information: Name: Mary Johnson Age: 72 Admitting D…
Patient Information: Name: Mary Johnson Age: 72 Admitting Diagnosis: Acute on chronic heart failure exacerbation Medical History: Hypertension, Type 2 Diabetes, Obesity Current Complaints: Shortness of breath, fatigue, lower leg swelling Vital Signs: BP: 140/88 mm Hg HR: 95 bpm RR: 24 SpO₂: 91% on 2 L/min nasal cannula Laboratory Results: BNP: 1,200 pg/mL Potassium: 3.1 mEq/L Creatinine: 1.6 mg/dL Glucose: 186 mg/dL Current Medications: Furosemide IV Lisinopril Metoprolol Insulin glargine The nurse is reviewing the current care plan. Drag each intervention to the appropriate category based on the patient’s current clinical status.
Read DetailsA patient with suspected septic shock is transferred from th…
A patient with suspected septic shock is transferred from the emergency department to the ICU. The nurse notes the following: The patient has received 3 liters of IV crystalloid fluid. Blood cultures have been drawn. Antibiotics were started 1 hour ago. Current vitals: BP: 80/52 mm Hg HR: 126 bpm SpO₂: 93% on room air Temp: 39.5°C (103.1°F) Despite initial treatment, the patient remains hypotensive. Which intervention should the nurse implement next to stabilize the patient’s condition?
Read DetailsA patient with systemic lupus erythematosus (SLE) arrives at…
A patient with systemic lupus erythematosus (SLE) arrives at the clinic with complaints of increased joint stiffness, oral ulcers, fatigue, and photosensitivity. She reports increased fatigue, pain, and headaches and states that she’s missed several doses of hydroxychloroquine over the past two weeks. Vital signs: Temp: 101°F (38.3°C) HR: 96 BP: 124/78 RR: 20 SpO₂: 97%. Urinalysis shows mild proteinuria. Which nursing action is the priority?
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