The nurse has obtained the following Arterial Blood Gas (ABG) reading from the client: pH 7.30, CO2 63, HCO3 26, PaO2 92% The nurse would anticipate that this reading is a result of which of the following conditions?  

The picture below represents the the femur fracture that was sustained by the client following a motor vehicle accident: The client’s vital signs are: B/P 98/50 mmHg, Pulse 130 BPM, RR 24, Temp 37.5C, Pain 10 (0-10 scale). The nurse know that the client is at risk for which of the following? Select all that apply.

A client is admitted with a large right tension pneumothorax after a ski pole fell on them and created a sucking chest wound. Which of the following findings would best confirm the presence of a tension pneumothorax?

CASE STUDY QUESTION The following questions pertain to the client who is newly admitted in the ICU with diabetic ketoacidosis.   QUESTION: The nurse knows that the presence of ketones in the blood in this client is the result of which of the following?

The nurse is caring for a client with a gastrostomy tube who is getting continuous enteral feedings via a feeding pump at 75 mL/hour. The client complains of nausea and abdominal pain. The nurse checks gastric residual and obtains 250 mL. Which of the following interventions should the nurse do next?

CASE STUDY QUESTION The following questions pertain to the client who is newly admitted in the ICU with diabetic ketoacidosis.   QUESTION: The nurse knows that the presence of ketones in the blood in this client is the result of which of the following?

Which of the following disorders cause metabolic acidosis? Select all that apply.

The nurse is caring for a client having an episode of status epilepticus. Vital signs assessed by the nurse include blood pressure 160/100 mmHg, heart rate 145 beats/min, respiratory rate 36 breaths/min, SpO2 96% on 100% supplemental oxygen by non-rebreather mask. After establishing an IV line, which order by the healthcare provider should the nurse implement first?

The nurse is caring for the client admitted with new onset of slurred speech, facial droop, and left-sided weakness that started 3 hours ago. The CT scan has ruled out the presence of an intracranial bleed. Which of the following actions are most important to include in the client’s plan of care? Select all that apply.

Daily weights are being recorded for an acute renal failure client who has a urine output less than the total intake of IV fluids and oral intake. The client’s weight was 97.5 kg yesterday and today’s weight is 99 kg. Which of the following would be a priority intervention for this client?