The nurse assists a patient with anemia to ambulate in the hallway. Which assessment finding alerts the nurse that the patient is not tolerating the activity?

A patient was on ciprofloxacin intravenously for a lower respiratory tract infection.  At 2130, the nurse reviews the patient’s diagnostic test results, including the sputum culture and sensitivity (C&S), which shows: After reviewing the sputum C&S result, which 2 priority actions will the nurse take? (Select all that apply.)

A 67-year-old male patient was admitted with the diagnosis of peripheral arterial occlusive disease in the right femoral and popliteal arteries. The patient undergoes a right femoral-to-popliteal graft operation. When the patient returned to the unit after the femoral-to-popliteal graft operation, the health care provider prescribed aspirin 160 mg PO daily, clopidogrel (Plavix) 75 mg PO daily, and rosuvastatin calcium (Crestor) 5 mg PO HS. Match the rationale for each medication ordered with its pharmacologic or therapeutic class.

A patient was admitted for small bowel obstruction. A nasogastric tube (NGT) was inserted and connected to low intermittent suction. The provider prescribes nothing by mouth except for medications and famotidine/Pepcid 20 mg via NGT.  How does the nurse administer this medication?

A patient receives the continuous infusion of ½ NS at 75 mL/hour on their right antecubital IV site. On the left forearm, the patient has piperacillin/tazobactam (Zosyn) 3.375g IV in 100 mL NS to run over 4 hours Q 6hrs. The shift starts at 0700. The piperacillin/tazobactam is scheduled to be administered at 0800 and 1400. What is this patient’s total parenteral intake in mL during a 12-hour (7A-7P) shift?

The patient has undergone rhinoplasty related to a traumatic nasal fracture. Which assessment finding would require the nurse to intervene immediately?

The nurse assesses a patient after a thoracentesis. Which assessment finding does the nurse need to immediately address?

John April, 24 years of age, is a male patient who was admitted to the surgical unit after a successful repair of an inguinal hernia. He is 5 feet 10 inches tall and weighs 120 kg. He has a neck circumference of 21 inches. The patient has a morphine PCA. The patient complains of incision pain and rates it on the pain scale as 7 of 10. His family is visiting at the bedside. The nurse administers a bolus dose of morphine. Fifteen minutes after administering the pain medication, a family member enters the hallway and yells, “We need help in here! John is not breathing.” The nurse finds John having periods of apnea lasting a few seconds followed by a short snorting gasp and then he begins breathing at a rate of 12 breaths/min. His lips and nail beds are bluish in coloration. The patient is lying supine in the bed with the head of the bed almost flat. He awakens as the nurse enters, but is very lethargic and somnolent. As John’s nurse, please state: 1. Your first prioritized nursing intervention and the rationale. (1 point) 2. Your second prioritized nursing intervention and the rationale. (1 point)

The nurse cares for a patient who had a bronchoscopy 2 hours ago.  Diet as tolerated was prescribed. The patient asks for a drink of water. Which action should the nurse take next?

The nurse works on a surgical unit. After receiving a hand-off report, which patient should the nurse see first?