ATI - Comprehensive C, CP retake

ATI - Comprehensive C, CP retake take A nurse is caring for a client who has bipolar disorder and is experiencing acute mania. The nurse obtained a verbal prescription for restraints. Which of the following should the actions the nurse take Document the client's condition every 15 minutes Lab Values Hgb 14-24 Hct 44-64 RBC 4.8-7.1 WBC 9-30 PLT 150-300 Glucose 40-60 Acid Base pH 7.35- 7.45 PCO2 35-45 HCO3 22-26 respiratory acidosis low pH, high CO2 respiratory alkalosis high pH, low CO2 met alkalosis high pH, high HCO3 met acidosis low pH, low HCO3 care A nursing planning care for a school-age child who is 4 hr postoperative following perforated appendicitis. Which of the following actions should the nurse include in the plan of care Administer analgesics on a scheduled basis for the first 24 hr first A nurse is receiving change-of-shift report for a group of clients. Which of the following clients should the nurse plan to assess first A client who has a hip fracture and a new onset of tachypnea take A nurse is preparing to apply a transdermal nicotine patch for a client. Which of the following actions should the nurse take Wear gloves to apply the patch to the client's skin first A nurse has just received change-of-shift report for four clients. Which of the following clients should the nurse assess first A client who was just given a glass of orange juice for a low blood glucose level aspiration A nurse is caring for a client who is receiving intermittent enteral tube feedings. Which of the following places the client at risk for aspiration A history of gastroesophageal reflux disease values A nurse is reviewing the laboratory results for a client who has Cushing's disease. The nurse should expect the client to have an increase in which of the following laboratory values Serum glucose level- increased take A nurse is caring for a client who has severe preeclampsia and is receiving magnesium sulfate intravenously. The nurse discontinues the magnesium sulfate after the client displaces toxicity. Which of the following actions should the nurse take Administer calcium gluconate IV