The patient with advanced cirrhosis develops esophageal varices as a direct result of portal hypertension. The RN adds Risk for ineffective tissue perfusion r/t potential for hemorrhage to the care plan. Of the following interventions which one would the LVN question and seek clarification on?

A client who had a craniotomy is sitting in a chair with the nurse present in the room. While the client is sitting, he begins to experience a grand mal seizure. At this time, the most important nursing intervention is which of the following

A patient comes to the ED complaining of severe stomach pains and is diagnosed with pancreatitis. Which of the following labs substantiate this diagnosis?

A nurse is evaluating the effect of dietary counseling on the client with cholecystitis. The nurse determines that the client understands the instructions given if the client states that which food item is acceptable to include in the diet?

The parents of a child on the burn unit are informed their child needs an escharotomy done to the circumferential burn to the lower extremity. The parents ask the nurse for clarification on why the procedure needs to be done. The most teaching response by the nurse would be:

The patient with cirrhosis complains of the blandness of the low-protein diet. The nurse reminds the patient the prescribed diet for this condition helps to:

A post-op appendectomy patient has an NG tube and wonders why the previous nurse told him he was receiving Nexium, an “ulcer preventing” medication. The patient reports he has never had any stomach problems in his life. The nurse’s best response would be:

When the patient reports gas pains and is unable to expel the gas, the nurse would:

Which of the following stoma assessments 1-day post-op after a transverse colostomy should be reported to the surgeon right away?

A nurse provides instructions to a client after a liver biopsy. The nurse tells the client to: