Ten minutes after recieving an intravenous antibiotic, the nurses notes that a client has edematous lips and expiratory stridor with the following vital signs:  Blood pressure 70/40 mm Hg, heart rate 130 beats/min, and respirations 36 breaths/min. Which action by the nurse is priority?

A client’s 1,000 ml IV infusion was started at 0500 infusing at 125ml/hr. What time should the IV be completed? 

A new nurse asked her preceptor which patient situation would therapeutic hypothermia be started in the emergency department?

After receiving change-of-shift report on a medical unit, the nurse should first assess the patient with which situation?

The nurse enters the room of a client who is acutely short of breath. Which action should the nurse take first?

A client was admitted for a deep circumferential burn on the right lower extremity. Upon assessment, the nurse discovered that the right pedal pulse was no longer palpable and could not be located by Doppler. Which procedure does the nurse anticipate? 

While caring for a client with a pulmonary artery catheter, the nurse notes the pulmonary artery Wedge pressure (PAWP) to be significantly higher than previously recorded values. The nurse assesses respirations to be unlabored at 16 breaths/min, oxygen saturation of 98% on 3 L of oxygen via nasal cannula, and lungs clear to auscultation bilaterally. What is the priority nursing action?

What action should the nurse take first for a client who is orally intubated and receiving mechanical ventilation and who is anxious and “fighting” the ventilator?

The nurse is caring for a mechanically ventilated client. Which actions will the nurse perform to prevent ventilator-associated pneumonia in this client? (Select all that apply.)

On a hot humid day, an emergency department nurse is caring for a client who is confused and has these vital signs: temperature 104.1° F (40.1° C), pulse 132 beats/min, respirations 26 breaths/min, and blood pressure 106/66 mm Hg. What action would the nurse take first?