A 74-year-old client with chronic systolic heart failure and atrial fibrillation is admitted for worsening fatigue and nausea. The client takes digoxin 0.25 mg daily and furosemide 40 mg twice daily. Vital Signs  Temperature: 98.4°F (36.9°C) Heart rate: 48 bpm, irregular Blood pressure: 86/54 mmHg Respiratory rate: 20/min SpO₂: 96% on room air Subjective  Reports: nausea, decreased appetite, blurred yellow vision Lab Results  Potassium: 2.8 mEq/L Magnesium: 1.5 mg/dL Digoxin level: 3.1 ng/mL Other Results  ECG: atrial fibrillation with slow ventricular response and frequent PVCs The nurse is reviewing provider prescriptions. For each action below, indicate whether the intervention is Expected or Not Expected for this client.

Which of the following is water soluble vitamin?

The disease characterized by hallmark diamond-shaped (often referred to as star-shaped) lesions on the skin in swine is:

A sedentary, obese, middle-aged client is recovering from surgery to remove an embolus in the right iliac artery. The nurse should develop a discharge plan with the client that will focus on participating in which activities? Select all that apply.

A 16-year-old male presents to the emergency department with increasing right knee swelling and pain after minor trauma during basketball. He has a history of Christmas disease.  Assessment findings: Temperature: 99.1°F (37.3°C) Heart rate: 118 bpm Blood pressure: 92/58 mmHg Respiratory rate: 22/min SpO₂: 98% on room air Right knee: tense swelling, warmth, decreased range of motion, severe pain with passive movement Ecchymoses noted on bilateral forearms Hemoglobin: 9.2 g/dL (previous baseline 13.5 g/dL) aPTT: prolonged PT/INR: normal The nurse is developing a plan of care. For each nursing action, indicate whether the action is Expected or Not Expected for this client.

Castration in camelids should occur at what age?

The nurse is developing a discharge teaching plan for a client who had a graft insertion for an abdominal aortic aneurysm 4 days ago. The nurse reviews the client’s chart for information about the client’s history. Key findings are noted in the chart below. Based on the data and expected outcomes, which should the nurse emphasize in the teaching plan?  

A client had a repair of a thoracoabdominal aneurysm 2 days ago. Which findings should the nurse consider unexpected and report to the healthcare provider (HCP) immediately?

What is Maintenance Nutrient Requirement (MNR)?

What bovine disease may lead to peritonitis, liver or reticular abscesses, pericarditis, or vagal indigestion?