Cardiac
The patient with heart failure has an order for daily weights. The nurse should ensure...
The weight is taken at the same time everyday wearing the same amount of clothes.
The nurse notices her client with COPD is having difficulty breathing. The nurse should place this client in what position?
Orthopneic
What lab value would you anticipate to be elevated in a client with an infection?
WBC
The nurse has 3 tasks that need to be completed within the hour. What task can they delegate to the UAP?
Administer the clients antibiotics
Teach the client how to use the incentive spirometer
Obtain vital signs on the client
Which chamber of the heart pumps oxygenated blood to the body?
Left ventricle
What symptom is most common in a client having a myocardial infarction?
Chest pain
The nurse notices their client with a tracheostomy is having difficulty clearing their secretions on their own. After assessing the client the nurse should?
Offer tracheostomy suctioning to the client
The patient has a glucose level of 240. What would you anticipate the provider orders for this client?
Insulin
A 75 year old female has an order for metoprolol. The nurse prepares the medication but the client has refused. What should the nurse do?
Document and notify the provider
What is the primary function of alveoli?
Exchange oxygen and carbon dioxide
A client with hypertension should avoid foods high in
sodium
The nurse has a client with a chest tube and notices continuous tidaling in the chamber. What should the nurse do?
This is a normal finding that the nurse can document.
The client has a BUN of 30 and creatinine of 4.5. What body system would you anticipate is not working effectively?
Renal/Kidneys
The nurse has a client on contact precautions. What should the nurse put on before they enter the room?
Gloves and gown
Which blood vessels carry blood away from the heart?
Arteries
The nurse has a patient with chronic heart failure. The nurse would anticipate what symptoms in this client.
JVD
Edema
Weight gain
Crackles in the lungs
Fatigue
The patient is at risk for atelectasis. What nursing interventions can the nurse provide to decrease this risk?
Frequent turning
Encourage incentive spirometer use
Promote deep breathing and coughing
The patient has a platelet level of 85,000. This client would be at risk for?
The nurse is completing an assessment on her client at shift change and notices their IV site is red and swollen. What should the nurse do first?
Stop the infusion
Which hormone lowers blood glucose? What organ is it excreted from?
Insulin
Pancreas
The nurse has an order to administer metoprolol with orders to hold if HR 60> and systolic BP 100>. The clients vitals are:
RR: 18
HR:50
BP: 125/80
What should the nurse do with this medication?
Hold the medication and notify the provider
A 54 year old male with suspected bacterial pneumonia has orders for blood cultures and IV antibiotics. Which action should the nurse preform first?
Obtain blood cultures
The client has a potassium of 5.6. What type on monitoring would you anticipate the provider order?
Cardiac Monitoring
The nurse has an order for orthostatic vital signs for her client. What positions should they place the client in to obtain these vitals?
Supine
Sitting on the edge of the bed
Standing
Accessory
Have them shrug their shoulders up and down