Immediately after log-rolling a client to a lateral position, which intervention should the practical nurse (PN) implement?

Choice A rationale:

Providing information about the client's healthcare power of attorney is not the most critical piece of information to report in this situation. The immediate concern is the client's change in mental status and potential medical emergency.

Choice B rationale:

While the reason for the client's admission is important background information, it is not the most urgent information to report in this situation. The priority is addressing the client's acute change in mental status.

Choice C rationale:

The nurse should be aware of the client's currently prescribed medications, but this information does not take precedence over the client's sudden onset of confusion and agitation. Immediate action is needed to address the client's altered mental status.

Choice D rationale:

Increasing confusion and agitation in a client who recently underwent ORIF of the right femur is a significant change in condition and may indicate a medical emergency such as infection, delirium, or other complications. This information should be provided first to alert the healthcare provider to the client's immediate needs.

Question: How many mL/hour should the nurse program the infusion pump?

Step 1: Convert 176 pounds to kg. 176 lbs ÷ 2.2 = 80 kg

Step 2: Calculate the total mcg per hour. 2 mcg/min × 60 min = 120 mcg/hour

Step 3: Convert mcg to mg. 120 mcg ÷ 1000 = 0.12 mg

Step 4: Calculate the mL/hour. 0.12 mg ÷ (4 mg ÷ 1000 mL) = 30 mL/hour

Answer: 30 mL/hour