After coronary artery bypass graft surgery, a patient is transported to the surgical intensive care unit at noon and placed on mechanical ventilation. How should the nurse interpret the patient’s initial arterial blood gas levels? Parameter Patient Results Normal Reference Range pH 7.28 7.35-7.45 PaCO2 46 mmHg 35-45 mmHg PaO2 78 mmHg 80-100 HCO3 26 mEq/L 22-26 mEq/L SaO2 90% 95-100%

The nurse is assigned to care for a group of clients. On review of the clients’ medical records, the nurse determines that which client is most likely at risk for a fluid volume deficit?

A client is admitted to the hospital with a sodium level of 125 mEq/L (normal 135 – 145 mEq/L). Which of the following signs/symptoms would the nurse expect the client to exhibit? Select all that apply.

The nurse is reviewing the laboratory report for a client receiving chemotherapy treatments. Based on the laboratory findings, which action would be most appropriate for the nurse to implement? Laboratory Test Client Value Normal Range WBC 9,000 mm3 4,500 – 11,000 mm3  Neutrophil 62% 60 – 70% Hgb 13.8 g/dL 12 – 16 g/dL Hct 38% 37 – 47% Platelets 100,000 /μl 150,000 – 450,000 /μl

A nurse in an emergency department is reviewing the medical record of a client who experienced an extensive burn injury less than 24 hours ago. Which of the following laboratory results should the nurse expect?

A 26 year old presents to the emergency department having a panic attack. The client is tachypneic and tachycardic. The initial set of blood gas results are as follows: Parameter Patient Results Normal Reference Range pH 7.57 7.35-7.45 PaCO2 22 mmHg 35-45 mmHg PaO2 86 mmHg 80-100 HCO3 17 mEq/L 22-26 mEq/L SaO2 96% 95-100%   This client’s acid-base status would be most accurately described as:

Potassium chloride intravenously has been ordered for a client with hypokalemia. Which action(s) would the nurse take to prepare and administer the potassium chloride? Select all that apply.

The nurse is caring for a client who is 1-day postoperative following an abdominoperineal resection. Upon assessment, the nurse notes bright red bleeding at the incision site. Which of the following actions should the nurse implement first?

A nurse is caring for a client who sustained an electrical burn injury after being shocked by high-voltage equipment. Which of the following findings should the nurse expect as potential complications of this type of injury? Select all that apply

A 35 year old female weighing 220 pounds, presents to the emergency room with burns to her perineum, entire front torso and face. She sustained the burn while pouring lighter fluid onto a charcoal grill. The burn occurred at 12 noon today and due to the prolonged transport, the time is now 2pm. Calculate the rate of infusion for the initial IV pump setting. Round to the nearest whole number if needed