Author: Anonymous

Upon assessment, which clinical finding is often noted in Cushing’s syndrome?

A night nurse is receiving report on a patient from the off-going day nurse. The day nurse reports the patient has unrelieved pain rated 9/10 on a 0 to 10 scale. The night nurse is preparing the plan of care and understands this pain: 

In developing a care plan for a patient with an open reduction internal fixation (ORIF) of an open displaced fracture of the tibia,  what is the priority nursing diagnosis?

The nurse would not expect which assessment finding in a patient who has arterial insufficiency in the lower extremities?

A 65-year-old patient with a long history of smoking presents to the clinic with increasing shortness of breath and fatigue. On assessment, the nurse notes the patient has a barrel-shaped chest, uses accessory muscles to breathe, and has a prolonged expiratory phase. The nurse should recognize these findings as indicative of which underlying condition?

A nurse is assessing a patient who was involved in a motor vehicle accident and suspects a tension pneumothorax. Which of the following clinical findings would confirm this suspicion?

An appropriate instruction for the client with diabetes related to the care of the feet is:

During the assessment of a patient with hypoxemia, which early sign should the nurse expect to find?

A nurse is providing care to a patient who is experiencing hyperkalemia. Which medication would the nurse anticipate administering to help lower the patient’s potassium level?  

A client with diabetes receives a prescription for an ACE inhibitor and asks what this drug will do for him. The nurse responds that the drug reduces changes in the blood vessels may help delay the onset of which problem?