Ati Rn Adult Medical Surgical Practice 2019 -2023 With Ngn Already Passed

A nurse is caring for a client who is receiving dialysis. 0630: Client reports feeling warm, nauseated, and lightheaded; appears restless and slightly confused. Blood pressure 88/50 mm Hg Heart rate 110/min Respiratory rate 24/min Oxygen saturation 93% on room air For each potential nursing intervention, click to specify if the intervention is indicated or not indicated (I or NI) 1) Obtain the client's blood glucose level 2) Apply oxygen at 2 L/min via nasal cannula 3) Notify the provider immediately. 4) Place the client in Trendelenburg postion 5) Administer a 0.9% sodium chloride 200 mL IV bolus 6) Perform a 12 lead ECG {Ans: 1) Obtain the client's blood glucose level (NI) 2) Apply oxygen at 2 L/min via nasal cannula (I) 3) Notify the provider immediately. (I) 4) Place the client in Trendelenburg position. (I) 5) Administer a 0.9% sodium chloride 200 mL IV bolus (I) 6) Perform a 12 lead ECG (NI)}The nurse is caring for the client. For each potential provider's prescription, click to specify if the potential prescription is anticipated or contraindicated for the client. Potential Prescription: Anticipated/Contraindicated Prepare the client for chest tube insertion. Place the client in Trendelenburg position. Transfuse packed RBCs.