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The nurse is caring for a client with a massive burn injury and possible hypovolemia. Which assessment data will be of most concern to the nurse?

A client had abdominal surgery last week. The client calls the office and says the wound is now draining thick yellow-green material that has a strange odor.  How would the nurse document this drainage?

A client develops neutropenia after receiving chemotherapy. Which information about ways to prevent infection will the nurse include in the teaching plan? (select all that apply)

The nurse is caring for a client with a history of binge drinking for several days. Assessment findings include respiratory rate 8 breaths per minute, decreased level of consciousness and tachycardia. The nurse expects arterial blood gas analysis to reveal which imbalance?

When caring for a client the first postoperative day after abdominal surgery, the nurse obtains an oral temperature of 100.1° F. Which action would the nurse take first?

Which change in a client’s assessment has the greatest urgency?

A client is seen in the emergency department for a sprained ankle. Which interventions would the nurse include in the plan of care?

The nurse assesses an older male client in an ambulatory surgical center after a laparoscopic cholecystectomy. Which assessment finding indicates the client may not be ready for discharge?

Initial fluid management for a term infant with hydrops fetalis includes:

A 29 week mother has a fundal height measuring greater than dates. An ultrasound is performed and the infant is found to have ascites and pleural effusions with an estimated fetal weight of 2.45 kg. What is the most likely cause for these findings?