ask a bilingual family member to tell the client to point to where the pain is call the oncology unit and ask for the nurse who is a native Korean to come and translate show the client the equipment before using it, such as indicating that an IV line will be placed in the arm…
The nurse is reviewing a client’s PRN pain medications. There is an order for acetaminophen 1,000 mg PO q4 hours as needed for pain. How should the nurse proceed?
call the health care provider to clarify the order administer the medication as ordered if needed for pain give other PRN medications for pain and ignore the order avoid giving pain medication every 4 hours and give it every 6 hours
The nurse is precepting a student nurse on the cardiac floor and reviewing the cardiac cycle. The nurse knows that the student nurse understands ventricular systole when the student nurse states that blood enters which vessels during ventricular systole?
the aorta and vena cava the aorta and pulmonary vein the aorta and pulmonary artery the pulmonary vein and vena cava the pulmonary artery and vena cava
The nurse is caring for an elderly client who presents to the ED with poor appetite, confusion, and weakness. Lab work is ordered for the client. The nurse should immediately notify the health care provider for which lab result?
chloride 99 mEq/L calcium 9.4 mg/dL sodium 118 mEq/L potassium 4.2 mEq/L
The nurse is caring for a client with a diagnosis of fluid overload caused by congestive heart failure. Which findings would the nurse expect to find when reviewing client labs?
decreased BUN increased hematocrit increased sodium levels decreased sodium levels increased serum osmolality
The nurse is reviewing a rhythm strip of a client on the telemetry unit. There are no discernible P waves, and a sawtooth pattern of waves is present. The atrial rate is regular, and the PR interval is not measurable. The nurse would chart which rhythm for this client?
atrial flutter atrial fibrillation torsades de pointes normal sinus rhythm ventricular fibrillation
The nurse is caring for a client with a wound that presents with full-thickness tissue loss and eschar covering the wound bed. The nurse would record this wound as which stage?
Stage I Stage II Stage III Stage IV unstageable