An older adult client with a history of diabetes mellitus and renal calculi is admitted with acute pyelonephritis. The client presents with shaking chills, a temperature of 101.5°F (38.6°C), and severe flank pain. Which action should the nurse implement first?
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The nurse is caring for a client diagnosed with heart failur…
The nurse is caring for a client diagnosed with heart failure. The nurse develops the nursing diagnosis: Excess fluid volume related to compromised cardiac regulatory mechanisms as evidenced by a 10 pound weight gain in one week. Based off of this nursing diagnosis, which nursing assessment is most appropriate for the nurse to implement?
A nurse is providing teaching to a caregiver of a client wit…
A nurse is providing teaching to a caregiver of a client with moderate-stage Alzheimer’s disease who reports that the client shows little interest in eating during mealtimes. Which of the following caregiver strategies should the nurse identify as NOT appropriate?
The nurse is caring for a post operative client. The client…
The nurse is caring for a post operative client. The client’s pain is 6 on the 0-10 scale. The order reads to give morphine 2.5 mg IV every hour PRN for pain. The label reads 5mg/ml. The nurse is preparing to give a PRN dose of Morphine. The last dose was given 1 1/2 hours ago. How much medication should be drawn up in a 3 ml syringe?
The client is admitted to the medical floor with acute diver…
The client is admitted to the medical floor with acute diverticulitis. Which collaborative intervention would the nurse anticipate the health-care provider ordering?
The nurse recognizes that which symptom is most likely cause…
The nurse recognizes that which symptom is most likely caused by Cushing’s Syndrome?
Following a motorcycle accident, a 58-year-old client arrive…
Following a motorcycle accident, a 58-year-old client arrives in the emergency department with massive left lower leg swelling. Which action will the nurse take first?
The nurse recognizes which of these findings is associated w…
The nurse recognizes which of these findings is associated with a diagnosis of acute appendicitis?
The client asks the nurse “My doctor told me that I should u…
The client asks the nurse “My doctor told me that I should use my short-acting inhaler for my asthma flare-ups that happen just once in awhile. I have more than one inhaler, so which one should I use?”
A nurse is caring for a postoperative client in the recovery…
A nurse is caring for a postoperative client in the recovery unit who is groggy but easily arousable. The client suddenly begins vomiting. What is the nurse’s immediate action?