The nurse is caring for a client in intensive care receiving mechanical ventilation and intravenous insulin infusion. The nurse notes sudden onset hypotension, tachycardia, and jugular vein distension. What should the nurse do first?
A client who suffered a stroke is having difficulty swallowi…
A client who suffered a stroke is having difficulty swallowing food and beverages. The client complains that it feels like “the food is sticking to the back of my throat.” Given this information, the priority nursing interventions would be to:
A client is admitted with the diagnosis of obstructive jaund…
A client is admitted with the diagnosis of obstructive jaundice. Which assessment findings would the nurse expect to see in this client? Select all that apply.
A 51-year-old male has been diagnosed with alcohol-induced l…
A 51-year-old male has been diagnosed with alcohol-induced liver disease. He admits to the nurse he does not understand what the liver does in the body. Which of these statements best explains the liver’s function?
Upon admission to the ICU, a client with a history of cor pu…
Upon admission to the ICU, a client with a history of cor pulmonale will likely be exhibiting which clinical manifestations of right-sided heart failure? Select all that apply.
A female client presented to her primary care physician with…
A female client presented to her primary care physician with classic signs/symptoms of Cushing syndrome. Upon testing, it was discovered that the client had vaginal small cell carcinoma. How can the health care providers explain the Cushing syndrome signs/symptoms to this client?
The nurse is assessing a female neonate on the neonate’s fir…
The nurse is assessing a female neonate on the neonate’s first clinic appointment after leaving the hospital. Which manifestations leads the nurse to suspect the neonate has developed a urinary tract infection? Select all that apply.
A nurse is performing client education with an adult recentl…
A nurse is performing client education with an adult recently diagnosed with chronic kidney disease. Which statement by the client would the nurse most likely want to correct or clarify?
A 22 year-old student has developed a fever and diarrhea whi…
A 22 year-old student has developed a fever and diarrhea while on a backpacking trip in Southeast Asia. His oral temperature is 101.4°F (38.6°C). The diarrhea is bloody, frequent, and small in volume. These clinical manifestations are distressing enough that he is visiting a local medical clinic in the area. Which diagnosis best characterizes this health problem?
A short, nonsmoking 44-year-old male presents to the emergen…
A short, nonsmoking 44-year-old male presents to the emergency room with left-sided chest pain and a cough. He states the pain started abruptly and worsens with deep breathing and coughing. He denies recent injury. Assessment includes shallow respirations with a rate of 36, normal breath sounds, no cyanosis. Which condition is most likely causing his symptoms?