A nurse is caring for a client with thyroid storm who is confused. The healthcare provider ordered that the client have cotton wrist restraints to prevent the client from attempting to remove the intravenous (IV) and indwelling catheter. Which is essential for the nurse to include in the client’s care plan?
A nurse is caring for a client who has a 2.2 cm kidney stone…
A nurse is caring for a client who has a 2.2 cm kidney stone and an indwelling urinary catheter. Which of the following assessment findings is the priority for the nurse to report to the provider?
A nurse is providing instructions for a 62-year-old Asian cl…
A nurse is providing instructions for a 62-year-old Asian client who is scheduled for a colonoscopy. When reviewing the pre-procedure dietary preparation education, which of the following is the most important to obtain about the client’s diet?
A patient with Parkinson’s disease is prescribed carbidopa/l…
A patient with Parkinson’s disease is prescribed carbidopa/levodopa. The nurse will assess the effectiveness of the drug therapy by assessing for improvement of which clinical manifestation?
A nurse is caring for a client who has reported their incisi…
A nurse is caring for a client who has reported their incision has suddenly “popped open”. The nurse recognizes organs are protruding through the abdominal wall. What action will the nurse implement first?
A client admitted to the medical-surgical unit is scheduled…
A client admitted to the medical-surgical unit is scheduled for abdominal surgery later in the day. The client has an order to receive 1000 mL of lactated ringers (LR). Select all correct interventions for a client receiving I.V. therapy.
The client diagnosed with moderate benign prostate hyperplas…
The client diagnosed with moderate benign prostate hyperplasia (BPH) is being treated with tamsulosin. Which intervention should the nurse implement?
The nurse is caring for a patient who received a dosage of i…
The nurse is caring for a patient who received a dosage of insulin aspart (Novalog) at 0700. The nurse is aware that this type of insulin peaks within _______ hours.
A client is managing his diabetes. He has a hemoglobin A1C o…
A client is managing his diabetes. He has a hemoglobin A1C of 10.5%. Based on these findings, the nurse concludes that the client
A client states to the nurse, “I would like to get the vacci…
A client states to the nurse, “I would like to get the vaccine for hepatitis C.” Which response is most appropriate by the nurse?”