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The nurse is caring for a client with the following arterial…

The nurse is caring for a client with the following arterial blood gas (ABG) results: pH 7.37, PaCO2 55.4 mm Hg, PaO2 51.2 mm Hg, and HCO3− 38 mEq/L. What is the nurse’s primary interpretation of these results?

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A client has just returned from a bronchoscopy performed to…

A client has just returned from a bronchoscopy performed to evaluate persistent coughing and hemoptysis. Which post-procedure action should the nurse prioritize?

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The client with a potassium level of 6.5 mEq/L and irregular…

The client with a potassium level of 6.5 mEq/L and irregular heartbeat requires continuous monitoring. Which diagnostic test is most important for the nurse to obtain?

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A client in status epilepticus is receiving IV lorazepam and…

A client in status epilepticus is receiving IV lorazepam and phenytoin. The nurse observes shallow breathing and a respiratory rate of 8 breaths/min. What is the nurse’s next action?

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A client who had a subarachnoid hemorrhage is being monitore…

A client who had a subarachnoid hemorrhage is being monitored in the ICU. The nurse observes the following on assessment:Glasgow Coma Scale (GCS) score of 11 (Eye response 3, Verbal response 3, Motor response 5)Blood pressure of 185/95 mmHgHeart rate of 120 bpmRespiratory rate of 18 breaths/minMild headacheWhich information is most important to communicate to the healthcare provider?

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A nurse caring client presents to the ED with chest pain 7/1…

A nurse caring client presents to the ED with chest pain 7/10 and nausea. The ECG shows T wave inversion in the inferior leads, and troponin I is elevated. Which statement is correct regarding cardiac catheterization in NSTEMI client?

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The physician ordered Heparin 1200 units/hr. The nurse recei…

The physician ordered Heparin 1200 units/hr. The nurse received Heparin 45,000 units in 500 mL from the pharmacy. What is the calculated flow rate in mL/hr Round to the nearest whole number

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A client with a confirmed hemorrhagic stroke arrives at the…

A client with a confirmed hemorrhagic stroke arrives at the emergency department. The nurse notes a systolic blood pressure of 180 mm Hg and observes slight left-sided weakness. Which action should the nurse take next?

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A nurse wants to implement an evidence-based protocol to red…

A nurse wants to implement an evidence-based protocol to reduce catheter-associated urinary tract infections but feels unsupported by management and unsure how to proceed. Which EBP barrier is this nurse experiencing?

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A client on mechanical ventilation is receiving care to prev…

A client on mechanical ventilation is receiving care to prevent ventilator-associated pneumonia (VAP). During assessment, the nurse notes visible secretions in the endotracheal tube, wheezing in the upper lung fields, and an oxygen saturation of 92%. Which priority action should the nurse take?

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