A nurse is assessing a client with suspected Ménière disease. Which functional health pattern questions are most appropriate to guide subjective data collection? Select all that apply.
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A 55-year-old client with controlled hypertension is schedul…
A 55-year-old client with controlled hypertension is scheduled for a laparoscopic appendectomy. The surgeon suggests performing the procedure in an ambulatory surgical center. Which factor should the nurse consider most critical in evaluating the appropriateness of this setting?
A client recently diagnosed with psoriasis asks the nurse ab…
A client recently diagnosed with psoriasis asks the nurse about lifestyle factors that could worsen flare-ups. Which factors should the nurse identify as potential triggers for symptom exacerbation? Select all that apply.
A client with a deep partial-thickness burn is receiving enz…
A client with a deep partial-thickness burn is receiving enzymatic debridement as part of wound care. The nurse prepares to apply a topical agent containing collagenase. What is the primary therapeutic action of collagenase in this treatment?
A 45-year-old client with a history of anxiety is scheduled…
A 45-year-old client with a history of anxiety is scheduled for laparoscopic cholecystectomy. The client reports severe preoperative anxiety. Which combination of preoperative medications would be most appropriate?
A nurse is monitoring a patient in the PACU who recently rec…
A nurse is monitoring a patient in the PACU who recently received an opioid for pain. The nurse is concerned about the potential for hypoventilation. Which nursing actions are appropriate to ensure patient safety in this situation? Select all that apply.
A 45-year-old marathon runner collapses at the finish line w…
A 45-year-old marathon runner collapses at the finish line with altered mental status. Lab results show serum sodium of 158 mEq/L. Which intervention should the nurse prioritize in the initial management of this client’s hypernatremia?
A nurse is assessing a client with suspected inadequate oxyg…
A nurse is assessing a client with suspected inadequate oxygenation. Which clinical manifestation would indicate early hypoxia and require immediate nursing intervention?
A client receiving mechanical ventilation requires endotrach…
A client receiving mechanical ventilation requires endotracheal suctioning due to increased airway secretions and audible rhonchi. The nurse takes precautions to prevent suction-related complications. Which interventions are appropriate? Select all that apply.
A nurse is performing closed suctioning for a mechanically v…
A nurse is performing closed suctioning for a mechanically ventilated client with copious airway secretions. Which actions reduce the risk of suction-related complications? Select all that apply.