A client is admitted to the emergency department complaining of intermittent numbness, tingling, and burning pain occurring as the color changes on his hands. What associated underlying disease can cause these symptoms? 

A nurse is developing an educational program to teach a group of adolescents about sexually transmitted infections (STIs). What would the nurse inform the group about the single greatest risk factor contributing to the transmission of an STI?

A nurse is reviewing a journal article about erectile dysfunction and possible causes associated with this condition. Which factor/s would the nurse assess to determine a client’s risk for this condition? Select All That Apply:

The nurse is taking care of a 40-year-old client complaining of chronic, thick, persistent mucus production in the lower airway. The provider ordered chest physiotherapy and postural drainage. The nurse explains that after the client is positioned for postural drainage the nurse will perform which action to help loosen secretions?

The nurse is administering gentamicin as part of the treatment for a client with Klebsiella Pneumonia.  The nurse assesses the client’s lab values.  The nurse is most concerned about which lab value being an adverse reaction to the gentamicin.

An unconscious adult is admitted to the Emergency Department. The client is hemorrhaging and in hypovolemic shock. The HCP (healthcare provider) ordered a blood transfusion stat.  The client’s spouse states “My wife is a Jehovah’s Witness and should not receive a blood transfusion”.  What is the nurse’s best action?

A client is on neutropenic precautions following treatment for acute lymphocytic leukemia and now presents with hypotension, tachycardia and an elevated temperature.  The nurse notifies the HCP. Which order from the HCP would be the nurse’s priority intervention?

A nurse is caring for a client diagnosed with a pneumothorax who had a chest tube inserted 4 hours prior.  There is vigorous bubbling in the water seal chamber of the chest tube drainage system. What is the nurse’s best action?

You are administering heparin and following the protocol below for a client weighing 189 lbs. The order is to administer an initial heparin bolus IV followed by a titrated IV infusion. Round to the tenths place. HEPARIN PROTOCOL Initial bolus- 50 units/kg Initial rate – 18 units/kg/hr Obtain a PTT every 6 hours, and adjust dosage and rate as follows: If  PTT is less than 35 secs:      Repeat bolus with 80 units/kg and increase the rate by 4 units/kg/hr. If  PTT is 36 to 44 seconds:       Repeat bolus with 40 units/kg and increase the rate by 2 units/kg/hr. If  PTT is 45 to 75 seconds:       Continue current rate. If  PTT is 76 to 90 seconds:       If  PTT is 76 to 90 seconds:          Decrease rate by 2 units/kg/hr. If  PTT is greater than 90 secs: Hold the heparin for 1 hour and decrease rate by 3 units/kg/hr. Available (for bolus)  – heparin 1,000 units/mLAvailable (for infusion) –  heparin 25,000 units in 250 mL D5W    What rate will the nurse set the pump at for the titrated heparin IV infusion in response to the PTT of 40 secs? 

The nurse is caring for a client who had transurethral resection of the prostate (TURP) 1 day ago, with continuous bladder irrigation (CBI). Which assessment findings does the nurse expect?