The nurse is about to administer 1 liter (1000 mL) of 0.9% NS over 2 hours intravenously to a patient in shock.

What rate should the nurse set on the infusion pump?

A nurse is collecting data from a client who has peptic ulcer disease.

Which of the following findings is a manifestation of gastrointestinal perforation?

A nurse is preparing to administer clindamycin palmitate 225 mg PO to a client.

Available is clindamycin palmitate oral suspension 75 mg/5 mL.

How many ml’s should the nurse administer?

The nurse is reviewing orders for a patient in anaphylactic shock.

Which medications should the nurse plan to administer first?

A nurse is attending to a client experiencing hypovolemic shock.

What findings should the nurse anticipate?

A patient is unresponsive to verbal stimuli and exhibits an altered level of consciousness.

Which method should the nurse use to elicit a response from a painful stimulus?

A nurse is caring for a client with an electrical burn.

The client states that since the wound on the skin is small, the burn must not be too bad.

Which of the following is the best response by the nurse?

A nurse is educating a patient newly diagnosed with iron deficiency anemia.

Which of the following would be a component of the education?

A nurse is providing care for a client with severe burns.

The client’s vital signs at 0820 are as follows: Blood pressure 140/80 mm Hg, Heart rate 110/min, Respiratory rate 25/min, Sa 98% on room air, Temperature 36.1 C (97° F). Which of the following interventions should the nurse consider? (Select all that apply.)

A nurse is caring for a client who is to maintain a fluid restriction of 1,200 mL/24 hr. How many mL of fluids can the client have over the next 20 hr if the client had a total fluid intake of 300 mL during the first 4 hr of the shift?

A nurse is assisting a postoperative client.

The client is alert and oriented to person, place, and time, and reports incisional pain of 9 on a scale of 1 to 10. Morphine 8 mg was administered subcutaneously as prescribed at 0900.

The client is now sleeping and is difficult to arouse.

Pupils are 3 mm, equal and reactive to light.

Temperature is 37.5 C (99.5°), respirations are 10/min, and pulse oximetry is 87% on room air.

Which documentation in the client’s medical record requires further action by the nurse?