A nurse is caring for an 84-year-old male client in the medical unit.

The client was admitted from a provider’s office with complaints of fatigue, dizziness, and shortness of breath. The nurse reviews the client’s medical records to prepare the client’s plan of care.

Exhibits

The client demonstrates mild orthostatic hypotension, with a drop in blood pressure upon standing.

Complete the diagram by dragging from the choices below to specify what condition the client is most likely experiencing, 2 actions the nurse should take to address that condition, and 2 parameters the nurse should monitor to assess the client’s progress.

A nurse is admitting a client who has sustained severe burn injuries in a grease fire.

Using the Rule of Nines, the nurse should estimate that the client has burned the nearest tenth. Use a leading zero if it applies.

Do not use a trailing zero.

A nurse is teaching a newly licensed nurse about the risk factors for dehiscence for clients who have surgical incisions.
Which of the following factors should the nurse include in the teaching? (Select all that apply.)

The emergency service team brings a homeless client found lying in an alley to the emergency department. An assessment is performed, and the client is suspected of having frostbite of the hands.
Which finding would the nurse expect to note in this condition?

A nurse is monitoring the fluid replacement of a client who has sustained burns.
The nurse should administer which of the following fluids in the first 24 hours following a burn injury?

A nurse is caring for a client who has endocarditis. Which of the following findings should the nurse recognize as a potential complication?

A nurse in an emergency department is caring for a client who has deep partial- and full-thickness burns to his face, chest, abdomen, and upper arms.
What is the nurse’s priority intervention for this client during the resuscitation phase of injury?

When considering the risk for heart failure, what would the nurse monitor the client diagnosed with infective endocarditis for on an ongoing basis?

A client with a diagnosis of valvular heart disease is being considered for mechanical valve replacement. Which circumstance is essential to assess before the surgery is performed?

A nurse is planning care for a client who has a halo fixation device. Which of the following actions should the nurse include in the plan of care?

A nurse is preparing to administer ziprasidone 10 mg IM every 6 hr. Available is ziprasidone 20 mg/mL. How many mL 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.) mL. .