An adolescent who is brought to the emergency department (ED) with a fever and persistent lower right quadrant abdominal pain is anxious, fearful, and hyperventilating.
The nurse anticipates the client developing which acid-base imbalance?

Patient Data

What is the rationale for the order of supplemental oxygen 10 L/min via nasal cannula? Select the best answer.

When developing a teaching plan for a client with newly diagnosed type 1 diabetes, the nurse should explain that an increased thirst is an early sign of diabetic ketoacidosis (DKA). Which action should the nurse instruct the client to implement if this sign of DKA occurs?

The practical nurse (PN) is providing care for a client who is receiving an aminoglycoside to treat a bacterial infection.

To assess for signs of ototoxicity, which action should the PN take?

When performing a focused gastrointestinal system assessment, the practical nurse (PN) asks a male client when his last bowel movement occurred. The client answers, "Three days ago." Which action should the PN implement first?

A nurse is planning recreational activities for a group of patients who are receiving rehabilitation and restorative care.
Which of the following factors should the nurse consider when selecting appropriate activities? (Select all that apply.).

The unlicensed assistive personnel (UAP) tells the practical nurse (PN) that a male client is angry because the night shift took over 2 hours to bring him the pain medication, he had to request three times.

Which action should the PN implement first?

A new mother on the postpartum unit runs out of the room screaming that her newborn infant's crib is empty and the baby is missing.

Which action should the nurse take first?

The practical nurse (PN) notices that one of the unlicensed assistive personnel (UAP) working in the long- term care facility consistently records subnormal temperatures when using the thermometer.

Which action should the PN take first?

The nurse is caring for a client who reports sudden right-sided numbness and weakness of the arm and leg.

The nurse also observes a distinct right-sided facial droop.

After reporting the findings to the healthcare provider, the nurse receives several prescriptions for the client, including a STAT Computerized tomography scan of the head.

Which action should the nurse take first?

The nurse on the medical-surgical unit is receiving a transfer report from the post-anesthesia care unit (PACU) nurse for a client who had an exploratory laparotomy.

The PACU nurse provides the following information: "1000 mL normal saline is infusing at 125 mL/hr into the left wrist with 600 mL remaining.

Ondansetron 4 mg intravenously every 8 hours is prescribed for nausea.

The last dose was administered at 0700.

The client is currently describing pain at a level 2 on a 0 to 10 pain scale.

The client has a prescription for hydromorphone 1 mg intravenously every 2 hours as needed for pain.

The last dose was administered at 1000." Which additional information should the PACU nurse report?