21 hours ago The nurse receives a report on 4 clients. Which client should the nurse assess first? 1. A 29-year-old heroin user admitted for arm cellulitis 24 hours ago has abdominal cramps and is restless 2. A 34-year-old admitted with femur fracture 24 hours ago is confused and has SpO2 of 91% 3. >> Go To The Portal
Which client should the nurse assess first? 1. The client with Guillain-Barré syndrome who has ascending paralysis to the knees. 2. The client with a C-6 spinal cord injury who has autonomic dysreflexia.
a. Check the intravenous (IV) infusion site for swelling or redness. b. Check the infusion pump settings for accuracy. Make eye contact with the patient, and introduce him or herself as the patient's nurse. d. Offer the patient something to drink. During an assessment, the nurse is unable to palpate pulses in the left lower leg.
The nurse is assessing a 22 year old patient experiencing the onset of symptoms of type 1 diabetes. To which question would the nurse anticipate a positive response? a. "Do you crave sugary drink?"
The nurse reviews the laboratory results for 4 assigned clients. Which result is most important for the nurse to report to the primary health care provider? 1. Client with atrial fibrillation receiving warfarin for 7 days with an International Normalized Ratio (INR) of 1.3 2.
A nurse notices that a client who is 1-day postoperative knee replacement surgery has a cool numb foot with a weak peripheral pulse. The nurse pages and asks the health care provider (HCP) to come see the client. The HCP states that the client's foot has been like that since surgery and that there is no need to come.
1. LPN assigned to a client with a gastrointestinal bleed and hypotension who is receiving blood and requires vital sign monitoring every hour . 2. LPN assigned to a newly admitted client with a bowel obstruction who is experiencing severe abdominal pain .
2. Client with alcoholic cirrhosis who has coffee ground nasogastric drainage, blood pressure of 90/60 mm Hg, and pulse of 110/min .
The surgeon explains to the client's child, who speaks both Spanish and English, that an exploratory laparotomy is needed to determine the cause of the obstruction and possible causes include intestinal adhesions and ovarian or colon cancer.
1. 20-year-old college student who reports getting a ringlike, red bull's eye-shaped, itchy leg rash after hiking in the woods 2 days ago . 2. 65-year-old female with pneumonia taking antibiotics who reports white, curdlike vaginal discharge and itching .