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?

The nurse is caring for a spinal cord injury client in neurogenic shock. Several liters of IV fluids have been administered without improvement of the patient’s condition. Current vital signs assessed by the nurse include: B/P 60/40 mmHg, Pulse 132 beats/min, RR 28 breaths/min, and rectal temperature of 35.5°C. Which of the following provider orders should the nurse perform first?

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

Which of the following nursing diagnoses and interventions has the highest priority while treating a client with Guillain-Barre syndrome?

The alert and oriented client with a closed head injury has a blood pressure 130/90 mm/Hg, pulse 64 beats/min, RR 18 breaths/min, and a Temp. of 38.8° C. To reduce the risk of increased intracranial pressure (ICP) on this client, which of the following is the priority nursing intervention?