A 43-year-old male client has presented to the emergency department with vomiting that he claims is of a sudden onset. The client also states that the emesis has often contained frank blood in the hours prior to admission. His vital signs are stable with temperature 98.3°F (36.8°C), pulse 88, BP 140/87, and respiratory rate 18. Which potential contributing factor would the health care team suspect first?

An ultramarathon runner is admitted following a day-long, 50-mile (80-kilometer) race because urinary volume is drastically decreased and the urine is dark red. What is the likely cause of the red urine?

A 40-year-old man who uses heroin intravenously was diagnosed with hepatitis C (HCV) 1 year ago and now has chronic viral hepatitis. Which statement by the client to his care provider would warrant correction by the nurse?

A client with kidney cancer who underwent exploratory surgery has returned to the postoperative unit with a report of severe burning and indigestion in the epigastric region. Which intervention by the nurse would be priority for this client?

Which medication would the nurse anticipate being prescribed for the client with renal failure who has hyperphosphatemia?

A 68-year-old black man who has smoked for at least 50 years reports that lately he feels as though food is getting stuck in his throat. At first this was a problem just with dry food, but now his morning oatmeal is getting “stuck.” On questioning, he reports drinking at least 3 alcoholic beverages nearly every day. Which is most likely his problem?

An adolescent male with type 1 diabetes is exasperated by his regimen of blood sugar monitoring and insulin administration, and has told his mother that he wants to scale both back. Which response by his mother is most accurate?

A frantic parent reports a large mass in the child’s abdomen; after diagnostic testing, the health care provider diagnoses a Wilms tumor, stage IV. After the provider leaves the room, the parents ask the nurse, “What does this mean?” Which response by the nurse is most accurate?

A nurse is teaching a student about nephrotic syndrome. Which statement(s) about the pathogenesis of nephrotic syndrome is accurate and should be included in the education? Select all that apply.

A 51-year-old male has been diagnosed with alcohol-induced liver disease. He admits to the nurse he does not understand what the liver does in the body. Which of these statements best explains the liver’s function?