A 78-year-old patient is brought to the ER with complaints of fever, tachycardia, and tachypnea. His ABG’s reveal:                   pH – 7.21        PO2 – 80         PCO2 – 48      HCO3 – 24      What does this reflect?

After the nurse has received change-of-shift report, which patient should the nurse assess first?

What is the best way for the nurse to decrease the risk of ventilator-associated pneumonia (VAP) in a ventilator-dependent patient? Select all that apply.

The nurse is teaching a patient with asthma how to avoid attacks. What information does the nurse give the patient?  Select all that apply.

The nurse receives report on the assigned patients at the beginning of the second shift. Which of the following patients should the nurse plan to assess first?

The patient with acute respiratory distress syndrome (ARDS) has been recently placed on a ventilator. Arterial blood gas results are: pH of 7.47, PCO2 of 30, HCO3 of 21, and PO2 of 75.  The nurse determines that which of the following acid-base conditions exist:

A patient enters the clinic with an acute sore throat and a temperature of 101.5° F (38.5° C). What diagnostic testing does the nurse educate the patient about?  Select all that apply.

Which client does the nurse safely delegate to the LPN/LVN who has been assigned to the unit for the first time?

A client with a history of chronic obstructive pulmonary disease (COPD) presents to the clinic with increased cough and low-grade temperature. Which question by the nurse elicits the most useful information?

An older adult is admitted to the emergency department with respiratory symptoms. Which new client symptom requires the nurse to intervene immediately?