For a client who is at risk for hypokalemia, it is important to teach the client to eat which diet choices? Select All that Apply

A triage nurse in the emergency department is on shift when a 4-year old is carried into the ED by their grandparent. The child is not breathing, and the grandparent states the child was stung by a bee in a nearby park while they were waiting for the child’s parent to get of work. Rapid onset of which condition would lead the nurse to suspect that the child is experiencing anaphylactic shock?

Case Study Question #1: The nurse cares for a 72-year-old female admitted to the medical unit with dehydration and secondary diagnosis of mid-stage Alzheimer’s disease.  Phase Sheet   Name Theresa Peters Gender F Age 72 Weight (lbs/kg) 122 lb (55 kg) Allergies NKA Nurses’ Notes   DAY 1 1800:  Client admitted from ED to medical unit for dehydration after several days of poor PO intake where she appeared to briefly lose consciousness this am after breakfast. Retired for several years as seamstress and husband passed away last year. Now lives with daughter/family due to recent diagnosis of middle stage Alzheimer’s disease, history of mild hypertension & gastroesophageal reflux.  Daughter notes appetite has diminished in past 2-3 weeks, and it is hard to get her to drink enough fluids even in the warmer weather.  She has been more “down in the dumps” the past few weeks. Client has been unsteady on her feet due to dizziness and increasingly weak. P: 104 and B/P 102/62 (sitting) & 94/55 (standing). Skin & mucous membranes dry; tenting noted. Admission BUN & creatinine elevated. Foley inserted and draining concentrated amber urine. Provider notified; ordered fluid challenge of 500 ml normal saline. Alert/oriented to name only, answers questions, pleasant, cooperative, asking for daughter. Vital Signs   Time 1800   T ◦F/ ◦C 97.8 F /36.5 C   P 104   RR 20   B/P 102/62   Pulse oximeter 97   Oxygen Room air   Laboratory Report   Lab Results @ 1400 (ED) Reference Range Sodium 145 135 to 145 mEq/L Potassium 5.0 3.5 to 5.0 mEq/L Glucose (fasting) 72 Normal

The nurse is caring for a client with a sodium level of 152. What is an appropriate dietary choice for this client?

A 75-year old client is receiving an IV infusion at 125mL/hour. During your assessment, you notice engorged neck veins, and an increased blood pressure. The client is also reporting feeling increased shortness of breath. What is the priority intervention?

The nurse is assessing an older adult patient and recognizes that aging increases the risk for impaired gas exchange. Which of the following age-related changes contribute to this risk? (Select all that apply)

The nurse is educating a group of clients about how certain cultural practices can contribute to impaired gas exchange. Which statement by a participant requires further teaching?

The nurse is caring for a client who is exhibiting signs and symptoms of hypovolemic shock following injuries from a motor vehicle accident. In additions to normal saline, which crystalloid fluid should the nurse prepare to administer?

You are caring for an 80-year old client with a cerebrovascular accident that has caused right-sided paralysis. The IV in her left arm is infiltrated. You are going to have to restart the IV. Where will the new IV site be located?

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.   1015: Client has increasing dyspnea, prefers to be sitting up in the chair. Requesting “rescue inhaler.” The provider has been notified. IV started. Ipratropium bromide and albuterol nebulizer treatment started.   Vital Signs       Time  1000 1015   Oral Temp  99.0 F (37.2 C 99.0 F (37.2 C   Pulse 104 108   Respiratory Rate 27 30   Blood Pressure 157/86 159/88   Pulse oximeter  91% room air 90% room air   Pain  0 0     Provider ordered Medications (ER):     Medication Dosage/Frequency/ Route   Ipratropium bromide and albuterol  3mL(0.5mg ipratropium bromide 2.5 mg albuterol) nebulizer treatment 4 x a day. First dose now.   Acetaminophen 500 mg x 1 PO  PRN for moderate to severe back pain   Methylprednisolone sodium succinate 40 mg IV push x 1 dose now   Amoxicillin/clavulanate  875 mg/ 125 mg PO every 12 hours   Albuterol sulfate 2.5 mg/3 ml nebulizer every 4 hours PRN Which medication do you anticipate that the nurse will give first?