A client returns to their room following a fiberoptic bronch…
A client returns to their room following a fiberoptic bronchoscopy with biopsy. The client was given atropine and morhpine sulfate prior to the test, and lidocaine was used during the test. What intervention by the nurse is most appropriate?
Read DetailsA 74-year old female is admitted to the Emergency Room with…
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?
Read DetailsA nurse is caring for a client with pneumonia who was prescr…
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.
Read DetailsA nurse is caring for a client diagnosed with pneumonia, deh…
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.
Read DetailsMr. Jameson, a 62-year-old male, arrives at the emergency de…
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?
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