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?

A nurse is caring for a client with pneumonia who was prescribed ceftriaxone (Rocephin) oral suspension 600mg once daily. The medication label indicates that the strength is 125mg/mL. How many milliliters of medication will the nurse pour to administer the correct dose. State your answer as a whole number. Do not include mL in your answer.

Which client will potentially experience a diminished or delayed response to inflammation and wound healing?

A nurse is caring for a client diagnosed with pneumonia, dehydration, and a temperature of 101.4º F. The health care provider orders 1000mL of D5W to infuse over 8 hours. The calibration set is 20 drops/mL. The nurse will set the IV flow rate to deliver how many drops / minute? Round your answer to the nearest whole number.

Mr. Jameson, a 62-year-old male, arrives at the emergency department with crushing substernal chest pain that started 45 minutes ago while he was watching television. He describes the pain as “pressure-like,” radiating to his left arm and jaw. He is diaphoretic, pale, and anxious. His wife states that he has a history of hypertension, hyperlipidemia, and type 2 diabetes. Vital Signs on Admission: BP: 150/90 mmHg HR: 110 bpm, irregular RR: 22 breaths/min SpO2: 94% on room air Current Medications: Lisinopril 10 mg daily Metformin 500 mg BID Simvastatin 20 mg daily Diagnostic Findings: ST-segment elevation noted on ECG Troponin level pending The healthcare provider orders the following: Oxygen at 2 L/min via nasal cannula Nitroglycerin sublingual, every 5 minutes PRN for chest pain Aspirin 325 mg, chewable Morphine sulfate 2 mg IV PRN for pain Metoprolol 5 mg IV Prepare for percutaneous coronary intervention (PCI) Which is the priority intervention?

Which foods are recommended in Heart-Healthy Diet? Select all that apply 

Download the Matlab Coding Quiz source file and complete the required coding. When completed (or at least, before the time runs out), save your file and upload your file here.

The client with coronary artery disease and chest pain is prescribed transdermal nitroglycerin, a coronary vasodilator.  Which behavior indicates that the client understands the discharge teaching concerning this medication?

The nurse is caring for a 63 year old female with history of hypertension and complaints of shortness of breath.  Day 1: Bilateral breath sounds clear and present throughout, Weight 80kg(176 LB), Urine output 480ml/8 hours. Vital Signs: Temp-99.7, BP 108/50, Pulse 98, Resp rate-20, O2S at 95% Room Air. Day 4: Breath sounds scattered, crackles heard bilaterally. Apical heart rate rapid and irregular. Audible s3 Gallop. Weight 82.1kg(181 LB). Urine output 320ml/8 hours. Vital Signs: Temp-98.2, BP 138/80,  Pulse 112, Resp rate-28, O2Sat 88% Room Air.  Which of the following lab values based upon patient presentation would you expect to be abnormal? SELECT ALL THAT APPLY.