The nurse is admitting a client with decompensated congestive heart failure to the intensive care unit. The nursing assessment reveals adventitious lung sounds, dyspnea, and orthopnea. Vital signs are BP-110/90, Pulse-104, Respirations-34, SPO2- 89% on room air, sinus tachycardia on ECG monitor. The nurse should question which of the following orders?

A client has a platelet count of 84,000 per mm3. The nurse should include which of the following precautions in the discharge instructions?

The nurse is caring for a client who has orders for lidocaine 2 grams IV in 500 mL D5W at 1mg/min. At what rate, in mL/hr, should the nurse set the infusion pump?

The nurse is caring for a client who was started on intravenous antibiotic therapy earlier in the shift. As the second dose is being infused, the client reports feeling dizzy and having difficulty breathing and talking. The nurse notes that the client’s respirations are 26 breaths/min with pulse 112 beats/min and weak. The nurse suspects that the client is experiencing a(n)

The health care provider has prescribed cyanocobalamin, 150 mcg IM. The medication label reads cyanocobalamin, 50 mcg/mL. The nurse prepares to administer how many mL to the client?

A nurse is assessing a client who has alcohol use disorder and is experiencing withdrawal. Which of the following findings should the nurse expect? (Select all that apply)

The nursing management plan for a client with a urinary drainage catheter would include which interventions to prevent catheter-associated urinary tract infection (CAUTI)? (Select all that apply.)

The health care provider (HCP) orders amiodarone IV drip at 0.5 mg/min for ventricular dysrhythmias. The medication is supplied in 450 mg/250 mL of D5W. Calculate the flow rate in milliliters per hour and round your answer to the nearest tenth.

A nurse is caring for a client with Gullain- Barre`syndrome. Upon assessment , the nurse should anticipate that the client will exhibit which of the following?

A client with second-degree burns has been receiving hydromorphone through patient-controlled analgesia (PCA) for a week. The client wakes up frequently during the night complaining of pain. What action by the nurse is most appropriate?