A patient with End-stage renal disease (ESRD) has returned to the unit following hemodialysis treatment. What is the nurse's priority assessment when the patient first returns to the unit?

The critical care nurse is planning care for a patient with 25% burn injuries. Which of the following does the nurse recognize as complications for this patient that need to be considered in the plan of care? Directions for drag and drop: Click your answer choice from the possible answers box on the left and drag to the Selected Answers box on the right.

The nurse is providing care to a patient with a 10% TBSA burn injury. Which of the following is a priority intervention for preventing infection?

The nurse is providing health promotion teaching to a patient who is at risk for developing end-stage renal disease (ESRD). Which of the following does the nurse include when discussing primary prevention of ESRD?

The trauma nurse is caring for a patient who was ejected from a motor vehicle. Which of the following alerts the nurse to the manifestations of hemorrhagic shock? Directions for drag and drop: Click your answer choice from the possible answers box on the left and drag to the Selected Answers box on the right.

The critical care nurse is planning patient care at the beginning of their shift (0730). Which of the following patient's should the nurse see first?

A nurse receives shift report on a patient with renal failure who has received sodium polystyrene. The nurse reviews the patient's chart to evaluate the effectiveness of the medication. Which laboratory result would indicate to the nurse that the medication has been effective?

After reviewing the patient's chart, which medications should the nurse administer?

The nurse is caring for a male client who reports blood in their stool and has a Hgb 5.6 g/dL (reference range 13.5-18 g/dL), Hct 16.8% (reference range 40-50%), and a WBC 3,400/mm3 (reference range 4500-11,000/mm3). The provider orders 2 units of packed red blood cells (PRBC). While monitoring the patient 10 minutes after starting the blood transfusion, the patient reports a sudden onset of chills, back pain, and appears anxious. What is the nurse's first action?

A patient with chronic renal failure requiring dialysis has missed the last two (2) dialysis sessions. Which of the following indicates that the patient is experiencing fluid volume overload? Directions: Drag and drop your choices from the Possible Answers in the left box to the Selected Answers box on the right to indicate your selected answers More than one choice may be selected

The nurse is reviewing the lab results for a female client diagnosed with diverticulitis. The patient reports excessive diarrhea. Which lab values does the nurse anticipate to support the diagnosis of fluid volume deficit for this patient? Directions: Drag and drop your choices from the Possible Answers in the left box to the Selected Answers box on the right to indicate your selected answers. More than one choice may be selected.

The nurse is caring for a patient in the diuretic phase of acute kidney injury. What complication should the nurse assess for?

The nurse is caring for a patient with an acute kidney injury (AKI). While analyzing the labs, the nurse observes that the patient's potassium is 6.2 mEq/L (reference range 3.5-5.0 mEq/L). Which medications does the nurse anticipate the provider to order to lower the patient's potassium level?

The nurse is caring for a patient in hypovolemic shock on a norepinephrine infusion. Which assessment finding indicates that the medication is therapeutic?

Which of the following pharmacological agents does the nurse recognize is used for the different types of shock? Directions for Matrix Choose the pharmacological agent most likely used for the different types of shock.

The nurse is receiving the SBAR note below. Select to highlight the five findings from the report that are the most concerning and require immediate action by the nurse. SBAR Report: Situation: S.B. is a 54-year-old female patient who had bariatric surgery 2 days ago. Their current weight is 118 kg. The patient is allergic to shellfish. Background: The patient has a medical history of obesity. Assessment. The patients' vital signs are BP 80/48 mmHg, HR 138 beats per minute, RR 32 breaths per minute, Temp. 99.9° F, and a Pulse Oximetry of 91% on room air. The patient is A&0 x2, the lungs are clear bilaterally, heart sounds are S1S2 and bounding. Sinus tachycardia on the monitor. They report 10/10 generalized abdominal pain, and they have voided 300 ml over the past 12-hour shift. WBCs are 13,000/mm3 (reference range 4,500-11,000/mm3), Potassium 3.4 mEq/L (reference range 3.5-5 mEq/L) BUN 28 mg/dL (reference range 10-20 mg/dL), Glucose 128 mg/dL (reference range 70-110 mg/dL) and the Lactate is 6 mmol/L (reference range <1.25 mmol/L). Response/Recommendation: The patient has orders for Acetaminophen 1 gm PO every 4 hours PRN for temperature >100.8°F, Ceftriaxone 2 gm IV every 8 hours, Pantoprazole 40 mg IV twice daily, Potassium Chloride 40 mEq PO x once, and 0.9% Sodium Chloride per sepsis protocol. She needs a nutritional consult.

The nurse is developing a plan of care for a patient with diverticulitis. What problems is the nurse most likely to include in the problem list? Directions for drag and drop: Click on your answer choice in the left Possible Answers section and drag and drop into the Selected Answers section.

The nurse is developing a plan of care for a patient with diverticulitis. What interventions is the nurse most likely to include in the plan of care? Directions for drag and drop: Click on your answer choice in the left Possible Answers section and drag and drop into the Selected Answers section.

The nurse is caring for a patient with ulcerative colitis who reports a sudden increase in abdominal pain and nausea. The nurses' assessment findings include a temperature of 101.4 F, a heart rate of 115 bpm, a blood pressure of 96/40 mmHg, and a rigid, board-like abdomen on palpation. What is the nurse's first action?

The nurse is performing an assessment of a patient with neurogenic shock. Which of the following manifestations does the nurse anticipate?

The emergency nurse is preparing to assess a patient with a burn injury. What does the nurse recognize as the most important reason of performing a head-to-toe assessment for this patient?

The nurse is providing health promotion teaching to a patient with chronic kidney failure who has started hemodialysis. Which of the following statements by the patient demonstrates a correct understanding?

The nurse is caring for a female patient who reports vomiting blood. The patient's Hgb was 4.2 g/dL (reference range 13.5-18 g/dL), Hct 13.6% (reference range 38-47%), and a WBC of 9,400/mm3 (4500-11,000/mm3). The provider orders 2 units of packed red blood cells (PRBC). The nurse is performing the one-hour assessment during the transfusion of the second unit of PRBCs. The vital signs one hour ago were blood pressure 102/58 mmHg, heart rate 101 bpm, respirations 20, temperature 99.3°F, and pulse oximetry of 95% on room air. Which of the following assessment findings are the most concerning to the nurse?

The nurse is providing discharge instructions to a patient with chronic kidney disease who is on hemodialysis and prescribed sevelamer carbonate. Which statement by the patient requires further intervention by the nurse?