- When preparing a client for discharge from the hospital following a cystectomy and a urinary diversion totreat bladder cancer, which instruction is most important for the nurse to include in the client's dischargeteaching plan?
- The nurse is completing a head to be assessment for a client admitted for observation after falling out of atree. Which finding warrants immediate intervention by the nurse?
- While assessing a radial artery catheter, the client complains of numbness and pain distal to the insertionsite. What interventions should the nurse implement?
- Which intervention is most important for the nurse to include in the plan of care for an older woman withosteoporosis?
- nurse-manager is preparing the curricula for a class for charge nurses. A staffing formula based onwhat data ensures quality client care and is most cost-effective?
- For the past 24 hours, an antidiarrheal agent, diphenoxylate, has been administered to abedridden, older client with infectious gastroenteritis. Which finding requires the nurse to take further action?
- Based on the information provided in this client's medical record during labor, which should the nurseimplement? (Click on each chart tab for additional information. Please be sure to scroll to the bottom rightcorner of each tab to view all information contained in the client's medical record.)
- A client who sustained a head injury following an automobile collision is admitted to the hospital. Thenurse include the client's risk for developing increased intracranial pressure (ICP) in the plan of care. Whichsigns indicate to the nurse that ICP has increased?
- A client receiving chemotherapy has severe neutropenia. Which snack is best for the nurse torecommend to the client?
- The nurse is caring for a client who had gastric bypass surgery yesterday. Which intervention is mostimportant for the nurse to implement during the first 24 postoperative hours?
- The nurse is developing a teaching program for the community. What population characteristic is mostinfluential when choosing strategies for implementing a teaching plan?
- When preparing to discharge a male client who has been hospitalized for an adrenal crisis, the clientexpresses concern about having another crisis. He tells the nurse that he wants to stay in the hospital afew more days. Which intervention should the nurse implement?
- A client with multiple sclerosis (MS) has decreased motor function after taking a hot bath Uhthoff's sign).Which pathophysiological mechanism supports this response?
- A postoperative female client has a prescription for morphine sulfate 10 mg IV q3 hours for pain. Onedose of morphine was administered when the client was admitted to the post anesthesia care unit (PACU) and3 hours later, the client is again complaining of pain. Her current respiratory rate is 8 breaths/minute. Whataction should the nurse take?
- One day following an open reduction and internal fixation of a compound fracture of the leg, a maleclient complains of "a tingly sensation" in his left foot. The nurse determines the client's left pedal pulses arediminished. Based on these finding, what is the client's greatest risk?
- A client who had a small bowel resection acquired methicillin resistant staphylococcus aureus (MRSA)while hospitalized. He treated and released, but is readmitted today because of diarrhea anddehydration. It is most important for the nurse to implement which intervention.
- In caring for a client with Cushing syndrome, which serum laboratory value is most important for thenurse to monitor?
- The nurse who is working on a surgical unit receives change of shift report on a group ofclients for the upcoming shift. A client with which condition requires the most immediate attention bythe nurse?
- Azithromycin is prescribed for an adolescent female who has lower lobe pneumonia and recurrentchlamydia. What information is most important for the nurse to provide to this client?
- After changing to a new brand of laundry detergent, an adult male reports that he has a fine itchy rash.Which assessment finding warrants immediate intervention by the nurse?