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A set of questions and answers related to the nursing care of patients with various medical conditions, including pulmonary edema, pneumonia, and myocardial infarction. A wide range of nursing priorities, interventions, and assessments that nurses should consider when caring for these patients. The questions and answers provide a comprehensive overview of the nursing management of these conditions, including identifying priority needs, administering medications, monitoring lab values, and preparing patients for procedures. The level of detail and the range of topics covered suggest that this document could be useful as study notes, lecture notes, or a summary for nursing students or healthcare professionals preparing for exams or clinical practice.
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Arthur Thomason Diagnosis: pulmonary edema DOB: 5/19/ MRN: 54910270 Room: 112 - ANSWER-After receiving the handoff report, the nurse should determine the client's priority needs. Indicate if the client is a high priority or low priority using each of the priority frameworks below. Maslow's Hierarchy of Needs High Airway, Breathing, Circulation High Safety and Risk Reduction High Urgent vs Nonurgent High Chronic vs Acute/Stable vs Unstable High Arthur Thomason Diagnosis: pulmonary edema DOB: 5/19/ MRN: 54910270 Room: 112 Part 2 - ANSWER-Which of the following nursing actions should the nurse take for the administration of furosemide? (Select all that apply.) Assess client's blood pressure before administration of furosemide. Ask client if they have allergies to sulfonamides.
Instruct client to change positions slowly. Low Which of the following concerns should the nurse address while providing client care? (Select all that apply.) Physiological: Comfort Physiological: Gas Exchange Physiological: Infection Physiological: Inflammation Physiological: Perfusion Which of the following actions should the nurse take? (Select all that apply.) Teach the client how to use an incentive spirometer. Instruct the client to cough and deep breathe every 2 hr. Increase the client's supplemental oxygen from 2 L/min to 4 L/min. Which of the following lab values should the nurse report to the client's provider? (Select all that apply.) Hemoglobin 10.9 g/dL Hematocrit 34.3% BUN 6 mg/dL RBC 3.5 x 10⁶/μl WBC 15,600 mm³ Which of the following actions should the nurse take? Stop the client's IV infusion. Which of the following nursing actions should the nurse include in the client's plan of care? (Select all that apply.) Teach the client how to use a metered-dose inhaler. Monitor the client's blood glucose level.
Room: 102 - ANSWER-After receiving the handoff report, the nurse should determine the client's priority needs. Indicate if the client is a high priority or low priority using each of the priority frameworks below. Maslow's Hierarchy of Needs High Airway, Breathing, Circulation High Safety and Risk Reduction High Urgent vs Nonurgent High Chronic vs Acute/Stable vs Unstable of Needs High Airway, Breathing, Circulation High Safety and Risk Reduction High Urgent vs Nonurgent High Chronic vs Acute/Stable vs Unstable High Which of the following concerns should the nurse address while providing client care? (Select all that apply.) Physiological: Pain Physiological: Perfusion Physiological: Gas Exchange
Psychosocial: Stress and Coping Safety: Injury prevention What orders may the nurse anticipate Metoprolol 5 mg IV bolus every 2 min x 3 Aspirin 325 mg PO now, then once daily Morphine 4 mg IV bolus now then every in 15 min x 3 doses, then every 4 hr The nurse is preparing to administer thrombolytic therapy to the client. Which of the following should the nurse identify is a contraindication prior to administering thrombolytic therapy? (Select all that apply.) Surgery in last month Use of anticoagulants Uncontrolled hypertension Active peptic ulcer Which of the following actions should the nurse take? (Select all that apply.) Check the client's oxygen saturation level. Place the nasal cannula on the client properly. Assist client to high-Fowler's position. Which of the following provider's prescriptions should the nurse anticipate? (Select all that apply.) Obtain arterial blood gases stat. Maintain strict intake and output. Administer morphine 4 mg IV every 4 hours as needed for anxiety or pain. Administer furosemide 40 mg IV push twice daily. Jose Martinez Diagnosis: myocardial infarction, stent placement DOB: 5/16/ MRN: 77919280 Room: 101 - ANSWER-After receiving the handoff report, the nurse should determine the client's priority needs. Indicate if the client is a high priority or low priority using each of the priority frameworks below.