A patient with a fractured pelvis is initially treated with…
A patient with a fractured pelvis is initially treated with bed rest and no turning from side to side permitted. The second day after admission, the patient develops chest pain, tachypnea, and tachycardia. The nurse determines that the patient’s symptoms are most likely related to fat embolism when assessment of the patient reveals;
Read DetailsAn 82-year-old woman with a history of chronic heart failure…
An 82-year-old woman with a history of chronic heart failure is in the Emergency Department with increased dyspnea, extreme fatigue, and a nonproductive cough. She states that she can hardly walk to the bathroom from her bedroom without having to stop to rest. Her lower legs are swollen with 3+ edema, and she states that she has gained about 8 pounds over the past few days. When questioned about her medications, she states, “I have been skipping my fluid pill because I hate having to go to the bathroom so much. I get so short of breath.” Vital signs: Temperature 99.9°F (37.7°C), Pulse 110/bpm and regular, Respirations 28/min, Blood Pressure 188/98 mm Hg. She is admitted to the telemetry unit with a diagnosis of exacerbation of heart failure, and given prophylactic anticoagulant therapy, aggressive diuretic therapy, as well as an ACE inhibitor. After a week, the nurse documents the following assessment findings. Which assessment findings indicate the interventions have been effective (select two)
Read DetailsA health care provider adds a second medication for blood pr…
A health care provider adds a second medication for blood pressure control for a client whose blood pressure has not been well-controlled with one antihypertensive medication. If the health care provider orders the following medication combination, which combination should the nurse question?
Read DetailsA client with an ankle wound is admitted with possible osteo…
A client with an ankle wound is admitted with possible osteomyelitis. The client’s temperature is 102 degree F and the ankle is red, warm, swollen and is persistently draining. Based on the client’s status, which HCP order should the nurse plan to defer until later?
Read Details