A nurse is caring for a client who has been admitted with chronic obstructive pulmonary disease.

Exhibits

Select the 4 priority findings that require immediate follow-up.

A nurse is planning care for a client who has acute respiratory distress syndrome (ARDS). Which of the following interventions should the nurse include in the plan?

A nurse is caring for a client who is postoperative hip arthroplasty and has a new prescription for enoxaparin 1 mg/kg/dose subcutaneous every 12 hr. The client weighs 95 lbs. How many mg should the nurse administer per dose? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

A nurse is providing discharge teaching to a client who has a pulmonary embolism and has begun anticoagulant therapy. Which of the following recommendations should the nurse make?
(Select All that Apply.)

A nurse is caring for client who has sepsis and a prescription for vancomycin 1 g in 250 mL dextrose 5% (DSW) over 2 hr by IV intermittent bolus The nurse should set the IV pump to deliver how many mL/hr? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

A client is admitted to the emergency room with a respiratory rate of 7/min. Arterial blood gases (ABG) reveal the following values. Which of the following is an appropriate analysis of the ABGs?

• pH 7.22
• PaCO2 68 mm Hg
• Base excess -2
• PaO2 78 mm Hg
• Saturation 80%
• Bicarbonate 26 mEq/L

A nurse is caring for a client who experienced a femur fracture 8 hr ago and now reports sudden onset dyspnea and severe chest pain. Which of the following actions should the nurse take first?

A nurse is caring for a client who has increased intracranial pressure. Which of the following interventions should the nurse plan to include in the plan of care?(Select All that Apply.)

A nurse is triaging clients in an urgent care clinic. Which of the following clients should the nurse have the provider care for immediately?

A nurse is planning care for a client who has acute respiratory distress syndrome (ARDS). Which of the following changes should the nurse expect?
(Select All that Apply.)

A nurse is preparing a client for surgery. Which of the following is a priority when completing an assessment preoperatively?