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A client with severe vomiting and diarrhea for 3 days is admitted with BP 86/54, dry mucous membranes, and tachycardia. BUN and creatinine are elevated, and urine output is 0.2 mL/kg/hr. Which action is the priority?

A client presents with progressive fatigue, pruritus, and abdominal distention. The nurse notes 2+ bilateral lower extremity edema, multiple spider-like vascular lesions on the chest, and yellowing of the sclera. Laboratory results show elevated bilirubin, low albumin, and prolonged PT/INR. Based on these assessment findings, the nurse suspects impairment of which organ system?

A client with a recent T5 spinal cord injury has warm, dry skin, hypotension, bradycardia, and low urine output. Reflexes remain intact. Which condition does the nurse suspect?

Which statement by a client with cirrhosis and ascites indicates correct understanding of dietary teaching?

A client with newly diagnosed diverticulosis asks about dietary changes. Which instruction is appropriate?

A client is admitted after a gasoline fire. On assessment, the nurse documents burns to the: Entire left leg  Anterior trunk Posterior right arm What is the client’s estimated %TBSA burned?

A client with chronic kidney disease, sepsis pneumonia, and lactic acidosis has a serum potassium of 6.9 mEq/L. They receive hemodialysis every Monday, Wednesday, and Friday but missed their last two sessions due to illness. Their ECG shows peaked T waves, a widened QRS, and an irregular rhythm. Which orders would the nurse anticipate to treat the hyperkalemia and cardiac irritability? Select all that apply.

A client with rapidly progressing Guillain-Barré syndrome. Which assessment is the nurse’s priority?

The nurse is caring for a client whose laboratory results show elevated AST and ALT, elevated bilirubin, and a positive hepatitis B surface antigen (HBsAg) test. Which interpretation by the nurse is most accurate?

A client with acute kidney injury has urine output of 200 mL/day, elevated potassium and phosphorus, and metabolic acidosis. Which phase of AKI is the client most likely in?