ATI RN 3.0 Clinical Judgment Practice 1 well explained 2024.

A nurse is caring for a client who has COPD. Nurses' Notes 0800: The client is lying in bed with the head of bed elevated to 45°. The client appears to be underweight and has generalized pallor and clubbing on fingers. Lung sounds are decreased throughout with inspiratory wheezes. Heart rate is regular. Albuterol, indacaterol, and methylprednisolone given with breakfast. 0830: The client is sitting up in bed. Shortness of breath is noted, inspiratory and expiratory wheezing. Vital Signs 0800: Temperature 36.7° C (98° F) Heart rate 76/min Respiratory rate 30/min BP 110/74 mm Hg Pulse oximetry 88% 2 L oxygen via nasal cannula 0830: Temperature 36.7° C (98° F) Heart rate 86/min Respiratory rate 35/min BP 100/78 mm Hg Pulse oximetry 90% 2 L oxygen via nasal cannula Medication Administration RecordAlbuterol aerosolized 5 mg in 3 mL saline every 1 hr PRN Indacaterol 75 mcg inhaled once a day @ 0800 Methylp - ANSWERSAssist the client with controlled coughing. Instruct the client to use pursed lip breathing. Obtain an order for an additional dose of albuterol. A nurse is caring for a client in a prenatal clinic. Nurses Notes 28 weeks of gestation: The client reports they can feel the baby kick every hour. The client also reported that they get headaches weekly. 30 weeks of gestation: The client reports a constant headache for the last 3 days that is unrelieved by acetaminophen. The client also reports blurred vision, right side upper abdominal pain, and decreased fetal movement. History and Physical 28 weeks of gestation: Fundal height 26 cm 80.5 kg (177 lb) client has gained weight since visit 2 weeks ago Deep tendon reflexes 2+ Negative clonus 1+ pitting pedal edema Swelling of the hands 30 weeks of gestation: Fundal height 26 cm 82.7 kg (182 lb) client has gained weight since visit 2 weeks ago Epigastric pain Deep tendon reflexes 3+ Positive clonus 3+ pitting pedal edema Swelling of the face and hands Diagnostic Results 30 weeks of gestation: Nonreactive nonstr - ANSWERSLiver panel results Blood pressure Nonstress test results Fundal height Platelet count Fetal movement A nurse is caring for a client in a clinic. Medical History 01/15/XX: Metabolic syndrome Nicotine use disorder Moderate, persistent asthma