A nurse is monitoring a client who is receiving a unit of pa…
A nurse is monitoring a client who is receiving a unit of packed red blood cells (PRBCs). Thirty minutes into the transfusion, the client develops acute dyspnea, hypertension, bounding pulses, and bilateral crackles on lung auscultation. Oxygen saturation has decreased from 96% to 88%. Which is the priority nursing intervention?
Read DetailsA 72-year-old client is admitted with confusion, headache, n…
A 72-year-old client is admitted with confusion, headache, nausea, and muscle cramps. Laboratory results reveal: Sodium: 124 mEq/L (Normal: 135–145 mEq/L) Potassium: 4.2 mEq/L (Normal: 3.5–5 mEq/L ) Which nursing intervention should the nurse implement first?
Read DetailsA nurse is caring for an older adult admitted with severe de…
A nurse is caring for an older adult admitted with severe dehydration. Assessment findings include dry mucous membranes, poor skin turgor, urine output of 15 mL/hr, heart rate 118/min, blood pressure 88/54 mm Hg, and elevated BUN levels. Which nursing action is the priority?
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