A patient arrives in the emergency department after a panic…
A patient arrives in the emergency department after a panic attack. Vital signs: BP 128/76, HR 118, RR 34 breaths SPO2 97% on room air. The patient appears anxious and restless. His ABG: pH 7.5, PaCO2 30 and HCO3 27. What is the nurse’s best initial intervention?
Read DetailsA nurse is reviewing laboratory results for a client with Ad…
A nurse is reviewing laboratory results for a client with Addison’s disease (insufficiency of the adrenal glands). The client’s serum potassium level is 6.0 mEq/L. The nurse understands this elevated potassium level is most directly caused by which of the following?
Read DetailsA nurse is caring for a client in the PACU following a lengt…
A nurse is caring for a client in the PACU following a lengthy abdominal surgery with significant intraoperative blood loss. The client’s blood pressure has trended down over the past hour, from 118/76 to 96/58, and heart rate has increased from 82 to 110. Hourly urine output has been 15-20 mL for the past two hours. Which conclusion should the nurse draw from these findings?
Read DetailsA nurse is reviewing the AM labs of her patient with heart f…
A nurse is reviewing the AM labs of her patient with heart failure. The patient’s serum sodium is 125 mEq/L, serum osmolality is 270 mOsm/kg, and urine specific gravity is 1.003. Which additional clinical findings should the nurse anticipate during the physical assessment?
Read DetailsA patient is admitted to the emergency department with a his…
A patient is admitted to the emergency department with a history of severe, persistent vomiting for 4 days. Upon assessment, the nurse notes poor skin turgor, a heart rate of 124 beats/min, a blood pressure of 90/52 mmHg, and a urine output of 10 mL/hour. The nurse recognizes that the body is attempting to maintain hemodynamic stability by releasing antidiuretic hormone (ADH). How does the release of ADH help this patient, and which nursing assessment finding would best demonstrate that this compensatory mechanism is occurring?
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