A nurse is caring for a client with pre-renal acute kidney injury (AKI) following major abdominal surgery. The nurse notes the following assessment findings: The client’s urine output over the past 2 hours is 50 mL, blood pressure is 90/58 mmHg, and heart rate is 114 beats per minute with sinus tachycardia. Which provider order should the nurse initiate first?

A newly admitted client to the intensive care unit after a motor vehicle accident. On the second day of the hospital admission, the client developed an acute kidney injury. The nurse assessment findings are crackles in both lung bases, urine output 10 mL/hour, potassium 7.8 meq/dL, mean arterial pressure (MAP): 58 mm Hg, and renal replacement therapy is needed. Which renal replacement therapy should the nurse anticipate the provider to prescribe? 

A client is brought to the emergency department after falling down a flight of stairs. Assessment reveals:GCS score: 8 (Eye Opening 3, Verbal Response 3, Motor Response 2)Vital signs: BP 145/90 mm Hg, HR 102 bpm, RR 18/min, SpO₂ 94% on room airThe client is somnolent and responding only to verbal and painful stimuli.Given the client’s GCS of 8, what is the priority nursing intervention?

A nurse is caring for a client who has sustained a spinal cord injury at the C5 level. Which of the following assessments should the nurse prioritize?

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?