A client admited with heart failure requires careful monitoring of his fluid status. Which method will provide the nurse with the best indication of the client’s fluid status?

A patient on the cardiac floor has just had a PlCC line placed by the MD. the Xray team has not verified the position of the catheter tip, yet. You check the heart monitor and notice she begins having an irregular heart rhythm called Atrial Fibrillation. You anticipate that the PlCC line is touching which chamber of the heart?

A patient with congestive heart failure is at risk of excess fluid volume. Which intervention will best determine if the patient is beginning to have excess fluid volume?

The nurse is caring for a client with respiratory alkalosis. Which arterial blood gas data does the nurse anticipate finding?

A patient presents to the Emergency Room with swollen legs and shortness of breath. He tells you that he has a history of heart failure which causes the fluid to build up m his legs and lungs. When you listen to his lung sounds you are most likely to hear which type of breathing sounds?

The poison control nurse receives a call from the caregiver of a young school age child who may have ingested a poisonous substance. Which is the priority response by the nurse?

At the end of shift, you are calculating intake and output on your pat lent who was admited for a non- emergent gall bladder removal. She is alert and oriented and able to recall the amount of fluid she has drank all day. You can calculate the amount of IV fluids administered. Her intake is 2500ml and her output is 1200ml from a catheter bag. You realize she is not excreting enough urine me for water she is taking in. What is the most appropriate next step to determine if she is retaining water? 

You receive report from the off going nurse that patient L K is admited with hyponatremia. the nurse states he is becoming increasingly confused as the day goes on and management is considering restraining the patient, so he does not become a harm to himself. You assess the patient and note that the IV fluids hanging are 0.33% NaCI. What should you do next?

A client with a chest tube wishes to ambulate to the bathroom. What is the appropriate nursing response?

A nurse is administering a blood transfusion to a client. After 15 minutes, the client reports difficulty breathing. What is the first action by the nurse?

Albuterol is prescribed for a 79-year-old male patient with severe COPD and Asthma You notice that he is having difficulty timing inhalation to receive the maximum dose of Albuterol. You give him a device to atach to the end of the Albuterol Inhaler called an aero chamber. You then educate him to before pumping the medication into the chamber.