A 78-year-old female client in the skilled nursing facility…
A 78-year-old female client in the skilled nursing facility has had heart failure and chronic kidney disease. She is receiving furosemide by mouth twice daily, as well as lisinopril. This morning, the nurse notes the following;* weight has increased by 3 pounds (1.4kg) since yesterday*blood pressure is 158/92mmHg* Respiratory rate is 22, lungs have bilateral crackles at the bases*urine output in the past 8 hours is 240mL* the client reports mild shortness of breath and swelling in her anklesUSING CLINICAL REASONING, WHAT IS THE MOST APPROPRIATE NURSING ACTION?
Read DetailsA PN is leading a small team on a medical unit. The PN obser…
A PN is leading a small team on a medical unit. The PN observes that a staff member has been treating colleagues disrespectfully-using harsh tone, dismissive gestures, and public criticism. The PN knows that such behavior comes with a cost. Which of the following are potential negative effects of disrespectful, mean, or aggressive behaviors in the workplace? SELECT ALL THAT APPLY
Read DetailsA PN is caring for a client post-operatively who has been on…
A PN is caring for a client post-operatively who has been on bed rest for 48 hours. The nurse notices the client is complaining of shortness of breath(SOB), but the vital signs are stable, there is no fever, lung sounds are clear, and oxygen saturation is 96% on room air. The usual treatments have not alleviated the complaint. Which action demonstrates the nurse using critical thinking and cognitive skills to determine the most appropriate action?
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