A nurse is caring for a client with a tracheostomy. The client’s partner has been taught to perform suctioning.

Which of the following actions by the partner should indicate to the nurse a readiness for the client’s discharge?

A nurse is assessing a client who has a pneumothorax with a chest tube in place. For which of the following findings should the nurse notify the provider?

A nurse is caring for a client who has thrombophlebitis and is receiving a continuous heparin infusion. Which of the following medications should the nurse have available to reverse heparin’s effects?

A nurse is caring for a 75-year-old male client who is experiencing difficulty breathing and shortness of breath.

Medical History: Nurses Notes: 75-year-old male who reports increased dyspnea for 4 days.
Denies cough or fever.

Past Medical History: Two pack a day smoker for 50 years.

Diagnosed with lung cancer 8 years ago and treated.
Over the last year has developed frequent pleural effusions treated with thoracentesis.

Hypertension.

Surgical History: Right lower lobectomy 4 years ago.

Left hernia repair 25 years ago.
Decreased lung sounds.

The nurse is caring for the client following a thoracentesis. (Select the 3 findings that require immediate follow-up.)

A nurse is preparing an adolescent client who has pneumonia for percussion, vibration, and postural drainage. Prior to the procedure, which of the following nursing actions should the nurse complete first?

f 55. A nurse is analyzing a client’s electrocardiogram (ECG) strip and identifies the following information:

Heart rate: 92/min.
Rhythm: Irregular.
P wave: Unable to identify.
PR interval: Unable to measure. QRS duration: 0.10 seconds.

Based upon this information, the nurse should interpret the client’s rhythm as indicating which of the following?

A nurse is providing teaching to a client who has coronary artery disease. Which of the following statements should the nurse include in the teaching to explain the correlation between changes in the coronary arteries and manifestations that occur?

A nurse is caring for a client who has chronic renal disease and is receiving therapy with epoetin alfa.

Which of the following laboratory results should the nurse review for an indication of a therapeutic effect of the medication?

A nurse on a cardiac care unit is caring for a preschooler.

• Hospital Day 1, 17:38: Medication Administration Record.
• 20:15: Received 4-year-old child with an exacerbation of heart failure.
• Family reports history of congenital mitral stenosis.
• Breath sounds with wheezing noted in bilateral lower lobes.
• Nonproductive cough noted.
• Dyspnea with respiratory rate 30/min.
• Oxygen at 2 L/min applied per nasal cannula.
• Telemetry applied: Sinus rhythm at rate 116/min. Abdomen soft, nontender.
• Bowel sounds positive in all 4 quadrants. Lower extremities with 2+ edema noted.
• Pedal pulses palpable bilaterally.
• Peripheral saline lock intact to right forearm with no signs and symptoms of infection.
• Weight 26 kg (44 lb). Increase in dyspnea noted with orthopnea.
• Nasal flaring with respiratory rate of 36/min.
• Lung sounds with wheezing noted throughout.
• Lower extremity edema 3+ to bilateral lower extremities.
• Extremities cool with decreased skin pigmentation noted.
• Peripheral pulses weak bilaterally.
• Jugular vein distention noted.
• Provider notified.

Received prescription for additional dose of furosemide. The client is at risk for developing:

A nurse is caring for an adolescent who has hemophilia A and is scheduled for wisdom teeth extractions.

Prior to the procedure, the nurse should anticipate that the client will receive which of the following products?