A client in the oliguria phase of acute kidney injury (AKI) has a urine output of 250 mL over the past 24 hours, crackles in the lungs, edema, and jugular vein distention. Lab results show potassium 6.5 mEq/L, sodium 128 mEq/L, and BUN 75 mg/dL. The client reports shortness of breath and chest discomfort.What is the nurse’s priority intervention?

The physician ordered Dilantin 10mg/kg PO x 1 as a loading dose. The client weighs 80 kg, how many mg of Dilantin will the nurse administer?

The nurse is caring for a client with the following arterial blood gas (ABG) results: pH 7.37, PaCO2 55.4 mm Hg, PaO2 51.2 mm Hg, and HCO3− 38 mEq/L. What is the nurse’s primary interpretation of these results?

A client has just returned from a bronchoscopy performed to evaluate persistent coughing and hemoptysis. Which post-procedure action should the nurse prioritize?

The client with a potassium level of 6.5 mEq/L and irregular heartbeat requires continuous monitoring. Which diagnostic test is most important for the nurse to obtain?

A client in status epilepticus is receiving IV lorazepam and phenytoin. The nurse observes shallow breathing and a respiratory rate of 8 breaths/min. What is the nurse’s next action?

A client who had a subarachnoid hemorrhage is being monitored in the ICU. The nurse observes the following on assessment:Glasgow Coma Scale (GCS) score of 11 (Eye response 3, Verbal response 3, Motor response 5)Blood pressure of 185/95 mmHgHeart rate of 120 bpmRespiratory rate of 18 breaths/minMild headacheWhich information is most important to communicate to the healthcare provider?

A nurse caring client presents to the ED with chest pain 7/10 and nausea. The ECG shows T wave inversion in the inferior leads, and troponin I is elevated. Which statement is correct regarding cardiac catheterization in NSTEMI client?

The physician ordered Heparin 1200 units/hr. The nurse received Heparin 45,000 units in 500 mL from the pharmacy. What is the calculated flow rate in mL/hr Round to the nearest whole number

A client with a confirmed hemorrhagic stroke arrives at the emergency department. The nurse notes a systolic blood pressure of 180 mm Hg and observes slight left-sided weakness. Which action should the nurse take next?