Cheilitis.jpg During a routine office visit the nurse notes…

Cheilitis.jpg During a routine office visit the nurse notes broken skin at the corners of a male client’s mouth (see picture). The area occasionally bleeds, has crusts and is painful. Lips are dry. Client complains of fatigue and some shortness of breath on exertion. A review of labs shows these values: Hg 9.4 g/dL (13.8-17.2 g/dL) HCT 28.2 % (40.7-53%) What condition does the nurse suspect may be present?

A nurse is assessing a 62-year-old client who reports persis…

A nurse is assessing a 62-year-old client who reports persistent fatigue, occasional confusion, numbness and tingling in the feet, and difficulty maintaining balance when walking. On examination, the nurse notes a smooth, red tongue. Which condition should the nurse suspect?

A nurse is caring for a client who is dehydrated due to freq…

A nurse is caring for a client who is dehydrated due to frequent diarrhea from a clostridium difficle infection. The physician has ordered 3,000 mL of D5NS over the next 24 hr. The nurse should set the IV pump to deliver how many mL/hr? Round to the nearest whole number. Enter numeric value only in the blank. [BLANK-1]

Client reports chronic tearing, eye irritation, and a sensat…

Client reports chronic tearing, eye irritation, and a sensation of “something in the eye.”   On assessment, the nurse notes that the lower eyelid is turned inward and the cornea appears slightly reddened. Which action should the nurse take first? Eye Disorder

A client is admitted to the hospital with limited mobility f…

A client is admitted to the hospital with limited mobility following a stroke. The client is frequently repositioned while in bed and is receiving physiotherapy to overcome right-sided lower extremity weakness. The nurse observes that the client often slides down in the bed, requiring frequent repositioning, and the absorbent pad under the client is wet with urine between changes. The client is being tube-fed and tolerating well. Based on this scenario, what factors does the nurse identify as putting the client at risk for skin breakdown? Select all that apply.