A client who has a history of chronic obstructive pulmonary disease (COPD) is admitted to the hospital with possible pneumonia. Respirations are shallow and breath sounds are diminished. Blood gases reveal: pH – 7.25 (normal level 7.35- 7.45), PCO2 – 70 (normal level 35-45), HCO3- 24 (normal level 22-26).  What acid-base imbalance is this client experiencing?

While assessing a client’s peripheral intravenous site, the nurse observes edema and coolness around the insertion site. How should the nurse document this observation?

The nurse is caring for a client with acute kidney injury and hypermagnesemia (normal level 1.7-2.2 mg/dL). Which assessment finding is typically associated with hypermagnesemia? 

A nurse in an emergency department (ED) is caring for an older adult female client. Nurses’ Notes 1000 Client brought to the ED after falling this morning. Client reports diarrhea for 24 hours and dizziness prior to the fall. Client reports they last voided a small amount of urine at 0600. Client is alert and oriented to person, place, and time. Client reports right hip pain. Right hip with 5 cm (2 in) x 3 cm (1.2 in) area of ecchymosis. Right leg is externally rotated. Pedal pulses 3+ bilaterally. Bilateral breath sounds are clear and present throughout. Apical pulse is rapid and irregular.   Diagnostic Results 1000 Hct 51% (37% to 47%) Hgb 17 g/dL (12 to 16 g/dL) Potassium 3.3 mEq/L (3.5 to 5 mEq/L) Urine specific gravity 1.040 (1.005 to 1.030) Blood glucose 80 mg/dL (74 to 106 mg/dL)   Vital Signs 1000 Temperature 38.6° C (101.5° F) Blood pressure 88/56 mm Hg Heart rate 112/min Respiratory rate 22/min Oxygen saturation 96% on room air Recognizing Cues: Select the four (4) findings that require follow-up.

A nurse in an emergency department (ED) is caring for an older adult female client. Nurses’ Notes 1000 Client brought to the ED after falling this morning. Client reports diarrhea for 24 hours and dizziness prior to the fall. Client reports they last voided a small amount of urine at 0600. Client is alert and oriented to person, place, and time. Client reports right hip pain. Right hip with 5 cm (2 in) x 3 cm (1.2 in) area of ecchymosis. Right leg is externally rotated. Pedal pulses 3+ bilaterally. Bilateral breath sounds are clear and present throughout. Apical pulse is rapid and irregular.   Diagnostic Results 1000 Hct 51% (37% to 47%) Hgb 17 g/dL (12 to 16 g/dL) Potassium 3.3 mEq/L (3.5 to 5 mEq/L) Urine specific gravity 1.040 (1.005 to 1.030) Blood glucose 80 mg/dL (74 to 106 mg/dL)   Vital Signs 1000 Temperature 38.6° C (101.5° F) Blood pressure 88/56 mm Hg Heart rate 112/min Respiratory rate 22/min Oxygen saturation 96% on room air Prioritize Hypotheses: The client is at highest risk for developing which of the following?

The client is prescribed intravenous potassium replacement. Which laboratory value should the nurse verify before administration?

Which of the following is NOT a type of Continuous Measurement? 

Monica taps her pencil a lot during an hour class and has been told by her professor that it has become a distraction to other students. She wants to decrease this behavior, which of the following would be the BEST way to measure her behavior?

Write a 450 to

The speeds (in mph) of the cars passing a certain checkpoint are measured by radar. The results are shown below.  Answer the following questions based on this data set. 40        44        44        48        51        51        51        60 a) Find the range.  [2 points] b) Find the median.  [2 points] c) Check the data above for outliers. Explain.  [6 points]