The nurse is caring for a client admitted to the medical unit 72 hours ago with pyloric stenosis. A nasogastric tube was placed upon admission, and since that time the client has been on low intermittent suction. Upon review of the morning’s blood work, the nurse notices that the client’s potassium is below reference range. The nurse should assess for signs and symptoms of what imbalance?

A client was stabbed in the anterior chest with a steak knife. The nurse observes that the client’s airway is patent, that there is a 2-cm laceration on his anterior chest; a sucking noise is coming from his chest wound. What is the priority action?

Harriet, 30 years old, has been admitted to the burn treatment center with full-thickness burns over 30% of her upper body. Her diagnosis is consistent with extracellular fluid volume deficit.  What symptoms would indicate to the nurse that the patient may be experiencing fluid volume deficit.  (Select all that apply)

An elderly client admitted with pneumonia and dementia has attempted several times to pull out the IV and Foley catheter. The nurse obtains a prescription for bilateral soft wrist restraints. Which nursing action is most appropriate?

The teaching plan for a client with acute sinusitis will need to include which of the following interventions? Select all that apply.

A client returns to their room following a fiberoptic bronchoscopy with biopsy. The client was given atropine and morhpine sulfate prior to the test, and lidocaine was used during the test. What intervention by the nurse is most appropriate? 

Which of the following health promotion activities will the nurse include in the discharge plan for a client with asthma.

You are the charge nurse on the med-surg unit and are admitting a client with pneumonia. What client is appropriate to choose as their roommate? 

A client has a tracheostomy placed due to chronic respiratory failure. Upon return to the unit, the nurse notes that the outer cannula has been coughed from the trachea. What is the nurse’s priority action?

A 74-year old female is admitted to the Emergency Room with increasing dyspnea, productive cough, and fatigue.   Nurses’ Notes       1000: Client arrives in Emergency Department with worsening shortness of breath over the past week, strong productive cough with green-tinged sputum, and fatigue. Client has a history of  chronic obstructive pulmonary disease -emphysema; has been using their “relief” inhaler at home with no relief of symptoms. Client lives independently at home and states they smoke approximately 1 pack of cigarettes per day. Ambulatory, alert and oriented x 4. Has coarse crackles auscultated in bilateral lower lung fields with a barrel chest appearance, using accessory muscles, expiratory wheeze on auscultation. Client states they have “less room” to take a deep breath. Clubbing noted in all digits bilaterally. Vital Signs       Time  1000   Oral Temp  99.0 F (37.2C)   Pulse 104   Respiratory Rate 27   Blood Pressure 157/86   Pulse oximeter  91% Room air   Pain  0   Which condition is the client most likely experiencing?