The nurse sees a life-threatening arrhythmia on a patient's cardiac monitor. Which of the following actions should the nurse take first?

The nurse is caring for a 32-year-old female patient coming to the clinic with peripheral edema, periorbital edema and flank pain. Use the chart to answer the questions

History & Assessments

Medical/Surgical history: Systemic lupus erythematosus (SLE) x12 years. controlled with glucocorticoids, diabetes mellitus x2 years, recurring urinary tract infections (UTIs).

Surgical history includes C-sections x2. Mitral valve regurgitation for 2 years.

Social History: Married with two healthy children, Works full-time as an office manager. Denies use of alcohol, drugs, or tobacco.

Family History: Mother also had SLE died at age 55 from complications of renal failure. Father is alive and healthy.

Physical Assessment: Alert and oriented, moves all extremities, grips and pushes strong, PERRLA 3 mm. Lungs with crackles, bilaterally, no shortness of breath. 51, 52 heart sounds with murmur: 3+ radial and pedal pulses: 4+ edema of the lower legs, ankles and feet: 2+ edema of the fingers and hands: periorbital edema present. Pain with percussion of the costovertebral angle.

Medications: Prednisone 10 mg PO daily, metformin 500 mg PO BID: ibuprofen 600 mg PO for pain PRN.

The nurse is concerned about the patient’s renal function. For each patient finding, specify if the finding is consistent with the disease process of glomerulonephritis, urinary tract infection, or chronic kidney disease. Select all that apply in each row.

A nurse is reinforcing dietary instructions with a client who has chronic kidney disease. Which of the following information should the nurse include?

The nurse is giving discharge instructions to a patient on the medical-surgical unit. Which patient should be taught about the possibility of an overwhelming infection?

An 85-year-old patient who has fallen at home and was unable to get up is admitted to your nursing unit. The patient said she fell 36 hours ago and has been unable to eat or drink. You observe that the patient has voided scant amounts since admission. In planning care for this patient, what condition do you consider related to the diminished renal output?

A nurse is reinforcing teaching with a client who has a urinary tract infection (UTI). Which of the following risk factors should the nurse include in the teaching?

A patient with multiple myeloma develops hypercalcemia. Which intervention can help minimize complications related to hypercalcemia?

You are caring for this team of patients. Which patient is the priority to see first to collect data?

A nurse is assisting in the care of a client in the emergency department (ED).

Complete the following sentence by using the list of options.

The nurse should first address the client’s

The nurse sees a life-threatening arrhythmia on a patient's cardiac monitor. Which of the following actions should the nurse take first?

A nurse is caring for a client who has cholelithiasis with bile duct obstruction. The nurse should expect which of the following findings when obtaining the client's urine specimen?