The nurse is providing care for an older adult client with a history of diabetes mellitus. The client presents with chills, fever, and malaise. The nurse notes localized tenderness, erythema, edema, and pain with movement of the lower right extremity. Which additional assessment information is most likely to support the presence of an infection?

The nurse is providing care to a client with a positive enzyme-linked immunosorbent assay (ELISA) test. On examination, the client is found to have fever, weight loss, and Candida infection. The client also reports having night sweats. Which CD4 value does the nurse expect based on the clinical presentation?

Select all that apply. A patient admitted after severe trauma presents with a temperature of 38.8°C, HR 110 bpm, and RR 24/min. Which findings meet the criteria for SIRS?

A client exhibits pitting, ridging, and separation of nails from the nail bed. Which musculoskeletal disorder does the nurse suspect in the client?

The nurse is teaching a client nonpharmacological therapy to treat acute gout. Which statement by the client indicates the need for additional teaching?

The nurse is creating an educational presentation about musculoskeletal infection. Which risk factors for musculoskeletal infection would the nurse include in this presentation? Select all that apply.

A young client with a history of spinal cord injury of the thoracic spine is in the intensive care unit with a blood pressure of 80/45. On physical assessment, the client has the expected loss of neurological function below the level of injury, skin is noted to be edematous, lungs are clear, and a urinary catheter is draining small amounts. Medications to increase the blood pressure are being given through IV lines. Which condition does the nurse suspect in the client, based on these findings?

A client is diagnosed with systemic inflammatory response syndrome (SIRS). Which physiological changes does the nurse suspect in the client with this condition? Select all that apply.

A patient in the ICU with septic shock is on norepinephrine and mechanical ventilation. The nurse notes: MAP = 58 mmHg Urine output = 15 mL over the past hour Lactate increased from 3.8 → 5.2 mmol/L Abdomen distended and tense What is the nurse’s priority action?

A nurse is assessing four clients who are suspected of having systemic lupus erythematosus (SLE). Which client does the nurse recognize as most likely to have developed the disease?