A nurse is assessing a client who sustained a spinal cord injury at the thoracic level. The client reports decreased bowel movements and abdominal bloating. Which physiologic mechanism best explains this finding?
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A client with hypovolemic shock has a urine output of 20 mL/…
A client with hypovolemic shock has a urine output of 20 mL/hr. What action should the nurse prioritize?
A nurse is teaching a client newly enrolled in a weight mana…
A nurse is teaching a client newly enrolled in a weight management program about strategies to enhance weight loss and prevent regain. Which statements by the client indicate appropriate understanding? Select all that apply.
A client underwent a transurethral resection of a bladder tu…
A client underwent a transurethral resection of a bladder tumor (TURBT) for early-stage bladder cancer. On postoperative day 1, the nurse notes the client’s urine is bright red with clots. Which action is the priority?
A nurse is caring for a client with head and neck cancer who…
A nurse is caring for a client with head and neck cancer who is receiving continuous enteral nutrition via a nasogastric tube. During assessment, the nurse notes an increased external tube length, an abrupt increase in residual volume, and coughing during feeding. What is the nurse’s priority action?
A client presents to the emergency department with sudden, s…
A client presents to the emergency department with sudden, severe left flank pain radiating to the groin, nausea, and hematuria. The client is pacing and unable to sit still. Which nursing action is the highest priority?
A nurse is assessing an older adult for age-related cardiova…
A nurse is assessing an older adult for age-related cardiovascular changes. Which findings should the nurse recognize as expected age-related changes in the cardiovascular system? Select all that apply.
A nurse is teaching a client with stress urinary incontinenc…
A nurse is teaching a client with stress urinary incontinence about non-surgical management strategies. Which instructions should the nurse include? Select all that apply.
A 78-year-old client with end-stage heart failure has freque…
A 78-year-old client with end-stage heart failure has frequent hospitalizations and worsening symptoms despite optimal therapy. The healthcare team discusses transitioning to hospice care but encounters several barriers. Which challenges might delay hospice referral for this client? Select all that apply.
A nurse is teaching a client with hepatitis C about the pote…
A nurse is teaching a client with hepatitis C about the potential for chronic infection. Which statement by the client indicates understanding?