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?

After abdominal surgery, the client experiences a decrease in blood pressure, decreased level of consciousness, abdominal distention, and a decreased urinary output.  After calling the HCP (Health Care Provider), which order has the highest priority? 

The nurse is caring for a client with emphysema. Which of the following nursing interventions are appropriate? Select all that apply.

A client who is being treated for pneumonia reports sudden shortness of breath. An arterial blood gas (ABG) is drawn. The ABG has the following values: pH 7.21, PaCO2 64 mm Hg, HCO3 24 mm Hg. Which condition does the ABG reflect?