BSN 266
| 2025/2026 | Verified Questions &
Answers | Complete Study Guide
, BSN 266
Study online at https://quizlet.com/_hqjs30
1. A client diagnosed with pancreatic reports severe epi- Provide a bedside table for
gastric pain. After administering a narcotic analgesic, client to lean across
the client insists on Tip sitting up and leaning forward.
Which action should the nurse implement?
2. After an endotracheal tube (ETT) is initially placed for Auscultate for breath
a client requiring mechanical ventilation. which inter- sounds bilaterally in all
vention should the nurse implement first? lung fields
3. The nurse assesses the telemetry monitor of a client Document that the client
who is 24 hours postoperative from having a perma- is experiencing a paced
nent pacemaker insertion. The nurse observes that a rhythm
pacemaker spike is present before each QRS complex
in lead II of the electrocardiogram (ECG). Which inter-
vention should the nurse implement?
4. After intubating a client, correct placement o the en- Firmly secure the ETT in
dotracheal tube (ETT) is confirmed wit a chest x-ray. place
Which intervention should the nurse implement to en-
sure that the ETT placement is maintained?
5. History and Physical Decrease the sodium con-
The client is a 59-year-old female with hyperosmo- centration in the IV fluids
lar hyperglycemic syndrome (HHS). She developed ab- from 0.9% to 0.45%
dominal pain several days ago and nausea starting
yesterday. This morning she was extremely drowsy Alert the provider of the
and confused at work. Her coworker brought her to current blood glucose lev-
the hospital. el
Flow Sheet Add 20 mEq of potassium
1200 admit to the medical intensive care unit chloride to the IV fluids
Vital signs every hour
0.9% sodium chloride IV infusion at 200 ml/hr
| 2025/2026 | Verified Questions &
Answers | Complete Study Guide
, BSN 266
Study online at https://quizlet.com/_hqjs30
1. A client diagnosed with pancreatic reports severe epi- Provide a bedside table for
gastric pain. After administering a narcotic analgesic, client to lean across
the client insists on Tip sitting up and leaning forward.
Which action should the nurse implement?
2. After an endotracheal tube (ETT) is initially placed for Auscultate for breath
a client requiring mechanical ventilation. which inter- sounds bilaterally in all
vention should the nurse implement first? lung fields
3. The nurse assesses the telemetry monitor of a client Document that the client
who is 24 hours postoperative from having a perma- is experiencing a paced
nent pacemaker insertion. The nurse observes that a rhythm
pacemaker spike is present before each QRS complex
in lead II of the electrocardiogram (ECG). Which inter-
vention should the nurse implement?
4. After intubating a client, correct placement o the en- Firmly secure the ETT in
dotracheal tube (ETT) is confirmed wit a chest x-ray. place
Which intervention should the nurse implement to en-
sure that the ETT placement is maintained?
5. History and Physical Decrease the sodium con-
The client is a 59-year-old female with hyperosmo- centration in the IV fluids
lar hyperglycemic syndrome (HHS). She developed ab- from 0.9% to 0.45%
dominal pain several days ago and nausea starting
yesterday. This morning she was extremely drowsy Alert the provider of the
and confused at work. Her coworker brought her to current blood glucose lev-
the hospital. el
Flow Sheet Add 20 mEq of potassium
1200 admit to the medical intensive care unit chloride to the IV fluids
Vital signs every hour
0.9% sodium chloride IV infusion at 200 ml/hr
