41) The client who is two days postoperative following a pneumonectomy has an apicalpulse (AP) rate of 128 beats per minute and a blood pressure (BP) of 80/50 mmHgwhich intervention should the nurse implement first?(a) Document and continue to monitor(b) Assess the client’s incisional wound(c) Prepare to administer dopamine, a vasopressor(d) Increase the client’s intravenous (IV) rate

The nurse is reviewing discharge teaching with a client who was newly prescribed digoxin. Which statement, if made by the client, would require follow-up? Select all that apply.1/2Your Score/Max+/- Scoring Rule"I should take my pulse before taking each dose.""This medication will require me to take my weight daily.""This medication will require me to have periodic blood work.""I will ensure I get plenty of potassium in my diet.""If I notice visual changes, I will call my eye doctor.

A nurse in an emergency department is preparing a client for emergency surgery.The client's blood alcohol level is 180 mg/dL.Which of the following actions is the nurse's priority?A. Insert an indwelling urinary catheter.B. Insert an NG tube.C. Obtain consent for surgery.D. Apply antiembolic stockings.

32) A patient with shock of unknown etiology whose hemodynamic monitoring indicatesa BP 92/54, pulse 64, and an elevated pulmonary artery wedge pressure has thefollowing collaborative interventions prescribed. Which intervention will the nursequestion?(a) Infuse normal saline at 250ml/hr(b) Keep head of bed elevated to 30 degrees(c) Give nitroprusside unless systolic BP is less than 90 mmHg(d) Administer dobutamine to keep systolic BP greater than 90 mmHg

30) A patient with septic shock has a urine output of 20 ml/hr for the past 3 hours. Thepulse rate is 120, and the central venous pressure and pulmonary artery wedgepressure are low. Which of these orders by the health care provider will the nursequestion?(a) Give furosemide(b) Increased normal saline infusion(c) Administer hydrocortisone(d) Prepare to give broad spectrum antibiotic

58) A nurse is assessing the provider in caring for a client who has developed a tensionpneumothorax. Which actions should be performed first?(a) Assess the client’s pain(b) Large-bone needle thoracostomy(c) Administer lorazepam(d) Prepare for chest tube insertion.