15) During an assessment of a patient who is thought to pote…

15) During an assessment of a patient who is thought to potentially have urinary calculi, the nurse will palpate the kidneys to determine if this will elicit a painful response.  The nurse knows that the kidneys are retroperitoneal, meaning that they are situated ________ the peritoneum.

A nurse is caring for a client on a medical-surgical unit. N…

A nurse is caring for a client on a medical-surgical unit. Nurses’ Notes 0800: A male client is admitted with a 3-day history of abdominal cramps and diarrhea of 4 to 5 liquid stools/day. Stool contains mucous and is foul-smelling. Stool sent for culture. Client was taking PO amoxicillin/clavulanate for a respiratory tract infection, 500 mg q 12 h for 10 days. Antibiotics completed 7 days ago. Prescribed labs drawn. 0830: Client assessment performed. Heart rate 102/min Respiratory rate 20/min  Breath sounds clear and equal bilaterally Blood pressure 128/66 mm Hg Temperature 38.9° C (102° F) Oxygen saturation 95% on room air Abdomen soft, nondistended with hyperactive bowel sounds audible in 4 quadrants. Hematocrit 47% (37% to 47%) Hemoglobin 16 g/dL (12 g/dL to 16 g/dL) Potassium 3.3 mEq/L (3.5 to 5.0 mEq/L) Diagnostic Results Day 2, 0800: Stool culture positive for Clostridium difficile (negative) Which of the findings below would require further action by the nurse?

A nurse is caring for a client who has cancer and is undergo…

A nurse is caring for a client who has cancer and is undergoing chemotherapy. Physical Examination January: Weight 70.5 kg (155 lb)BMI 24 February: Weight 69 kg (152 lb)BMI 23 Diagnostic Results January: Complete Blood Count:WBC count 5,500/mm³ (5,000 to 10,000/mm³)RBC count 4.2 (4.2 to 5.4)Hgb 12 g/dL (12 g/dL to 16 g/dL)Hct 37% (37% to 47%)Platelet count: 150,000/mm³ (150,000 to 400,000/mm³) February: Complete Blood Count:WBC count: 4,500/mm³ (5,000 to 10,000/mm³)RBC count 4 (4.2 to 5.4)Hgb: 14 g/dL (15 g/dL to 16 g/dL)Hct: 36% (37% to 47%)Platelet count: 140,000/mm³ (150,000 to 400,000/mm³) Nurses’ Notes January:  Client reports fatigue and nausea following chemotherapy treatments. States, “It just makes me not want to eat. When I do eat, the food taste funny.” Client teaching: Instructed client to attempt to eat small meals several times daily, to eat food cold or at room temperature, to avoid fried foods. Encourage client to rest before eating meals. Oral mucosa is inflamed.  Client teaching: Instructed client to avoid mouthwashes that contain alcohol, to increase water intake to 2 or more liters daily, and to avoid hot foods. Reviewed laboratory findings and stressed the need to protect self from illness due to immunosuppression. Client teaching: Instructed client to not eat raw or undercooked meat, to drink only pasteurized milk, and to boil water before drinking it; take temperature daily and report fever, avoid crowds, wash hands frequently with antimicrobial soap. Reviewed laboratory findings and stressed need for bleeding precautions. Client states, “I’ve had bleeding from these ulcers in my mouth.” Client teaching: Use an electric razor, take a stool softener if constipation occurs, avoid coarse-textured foods. February: Client has experienced weight loss of 1.5 kg (3 lb), has experienced decrease in hct and hgb, WBC, and platelet count. Client reports still not able to consume much food; has increased intake of water. Oral mucosa with less inflammation. Client reports no bleeding episodes. Which of the following assessments indicates an improvement in the client’s condition?