A nurse is assessing the following patients. Which of the following patients is most likely to develop sepsis?

A registered nurse (RN) is supervising a licensed practical nurse (LPN) caring for a client with a terminal illness and contemplating end-of -life (EOL) decisions.  Which statement by the LPN should be corrected by the RN? 

The client is NPO and is receiving central parenteral nutrition (PN) via a subclavian catheter.  Which precautions should the nurse implement? (Select all that apply).

You are caring for a client who was admitted for advanced liver cirrhosis. The client has massive ascites, peripheral 2+ pitting dependent edema in the lower extremities, nausea and vomiting, and dyspnea related to pressure on the diaphragm. Excess Fluid Volume is noted, which indicator is the most reliable for tracking fluid retention?

Supportive measures during an acute variceal bleed include administration of Select all that apply.

Your client is receiving IV piggyback doses of gentamicin (Garamycin) every 12 hours. The RN knows that the priority monitoring during the administration of this drug is: 

A nurse is instructed to obtain vital signs and administer an intramuscular injection to a client who has acquired immunodeficiency syndrome (AIDS). What precautions should the nurse take in this case? (SELECT ALL THAT APPLY)

D.B. in room 333 has a diagnosis of ascites,  you notice he is short of breath and has an increased respiratory rate. What would be your first action?

A hemodynamically unstable ICU client develops acute kidney injury (AKI)and renal failure. Which is the best treatment option for this client with uremia?

The nurse is caring for a client with a left radial arterial line.  Which assessment finding indicates a need for the nurse to take action?