A nurse is caring for a client who has late-stage Alzheimer’s disease and is hospitalized for treatment of pneumonia. During the night shift, the client is found climbing into the bed of another client who becomes upset and frightened. Which of the following actions should the nurse take?
A nurse provides care for a client who is diagnosed with the…
A nurse provides care for a client who is diagnosed with the syndrome of inappropriate antidiuretic hormone (SIADH). Which of the following laboratory values would be expected?
A nurse in the emergency department is implementing a plan o…
A nurse in the emergency department is implementing a plan of care for a conscious client who has a suspected cervical spinal cord injury. Which of the following signs and symptoms would the nurse anticipate for this client? (Select all that apply.)
A nurse is caring for a client who has sustained a deep full…
A nurse is caring for a client who has sustained a deep full-thickness burn injury on both thighs. In prioritizing the nursing diagnoses for the plan of care, the nurse will give the highest priority to what nursing diagnosis?
A young man comes to the provider office with complaints of…
A young man comes to the provider office with complaints of muscle weakness. lack of appetite, and weight loss. The nurse notes dark skin pigmentation as well. What would the nurse anticipate ordered by the provider? Select all that apply
The nurse is assessing a client admitted to the medical-surg…
The nurse is assessing a client admitted to the medical-surgical unit on the night shift. The nurse observes that the client has an enlarged, protruding abdomen and distended veins on the abdominal wall. Upon physical examination, the nurse detects a shock wave of fluid during palpation and dullness to percussion. The nurse notes the client is confused and exhibits asterixis. The nurse would anticipate the provider to order what intervention?
A nurse is caring for a client who is 1 day postoperative fo…
A nurse is caring for a client who is 1 day postoperative following a transsphenoidal hypophysectomy. While assessing the client, the nurse notes a large area of clear drainage seeping from the nasal packing. Which of the following should be the nurse’s initial action?
A client has been admitted to ICU with sepsis due to celluli…
A client has been admitted to ICU with sepsis due to cellulitis of the leg. The provider ordered Ampicillin 600mg/75mL to run over 45 minutes. No pump can be found to infuse this and the tubing has a drop factor of 10 gtts/mL. How many gtts/min will the nurse infuse the medication at? (round to the nearest whole number)
A nurse is caring for a client who has an epidural hematoma….
A nurse is caring for a client who has an epidural hematoma. Which of the following manifestations should the nurse expect?
The nurse is reviewing the health care records of a client,…
The nurse is reviewing the health care records of a client, The team suspects a malignant breast tumor. On palpation, the mass most likely had what characteristic?